As an expectant mother approaches her due date, her body undergoes various changes in preparation for the imminent arrival of her little one. Among these changes, Braxton Hicks contractions and prodromes are two common occurrences that can sometimes cause confusion. In this blog, we'll explore the differences between Braxton Hicks contractions and prodromes, helping you better understand these essential signs on the path to childbirth.
Braxton Hicks Contractions: The "Practice" Contractions
Braxton Hicks contractions, often referred to as "practice" contractions or false labor, are a normal part of pregnancy. They are named after the British gynecologist who first described them in the 19th century. These contractions are typically mild, irregular, and do not lead to labor or cervical dilation. Braxton Hicks contractions can start as early as the second trimester but are more noticeable during the third trimester.
Characteristics of Braxton Hicks Contractions:
1. Irregular Timing: Braxton Hicks contractions do not follow a consistent pattern. They may occur infrequently and at irregular intervals.
2. No Progression: Unlike true labor contractions, Braxton Hicks contractions do not become stronger, longer, or closer together over time.
3. Location of Sensation: They are often felt as tightening or pressure in the abdomen and can sometimes be accompanied by a slight hardening of the belly.
4. Relief with Position Change: Changing positions, walking, or resting can often alleviate Braxton Hicks contractions.
5. No Other Labor Signs: Braxton Hicks contractions do not come with other typical signs of labor, such as water breaking or a show (the mucus plug discharging).
Prodromes: The Early Indicators of Labor
Prodromes, also known as pre-labor or early labor signs, are the initial signs that labor is approaching. These indicators signal that the body is preparing for the active phase of labor, which involves cervical dilation and effacement. Unlike Braxton Hicks contractions, prodromes are considered genuine early labor signs.
Common Prodromal Signs:
1. Light and Irregular Contractions: Prodromal contractions may resemble mild menstrual cramps and can be inconsistent in intensity and duration.
2. Lower Back Pain: Many women experience mild to moderate discomfort in the lower back as a prodromal sign.
3. Cervical Changes: The cervix may begin to dilate and efface (thin out) in preparation for active labor.
4. Mucus Plug Discharge: Losing the mucus plug, which is a thick, jelly-like substance that sealed the cervix during pregnancy, is a typical sign that labor is on the horizon. By horizon, I mean that it will happen soon but we do not know when soon is. By and large, do not mean something really reliable.
5. Nesting Instinct: Some women may experience a sudden burst of energy and an urge to prepare their surroundings for the baby's arrival.
Differentiating Between Braxton Hicks Contractions and Prodromes
Understanding the distinctions between Braxton Hicks contractions and prodromes is crucial for expectant mothers. Although both can cause discomfort and mimic early labor signs, there are several key differences to consider:
1. Timing and Pattern: Braxton Hicks contractions are irregular and do not follow a predictable pattern, while prodromes may occur with more consistency and may gradually become stronger and more frequent.
2. Cervical Changes: Prodromal signs often involve changes in the cervix, such as dilation and effacement, which are not present during Braxton Hicks contractions.
3. Relief with Rest: Braxton Hicks contractions often subside with rest or a change in activity, while prodromes may persist regardless of position or activity level.
Conclusion
As an expectant mother, recognizing the difference between Braxton Hicks contractions and prodromes can alleviate unnecessary worry and help you prepare for the actual onset of labor. While Braxton Hicks contractions are harmless "practice" contractions, prodromes are genuine signs that your body is gearing up for labor.
If you experience any signs of labor or are unsure about the nature of your contractions, do the shower test. Enter the shower, and stay there for about 30'. If your contractions do not come back, most likely they were just a rehearsal. If in the shower they are still the same or get more intense or with shorter breaks, it is possibly birth. Embrace these early signs with confidence and anticipation, knowing that the arrival of your little one is just around the corner.
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