Labor & Delivery

Introduction

Understanding the difference between real labor and false labor can help you determine when it’s time to head to the hospital or call your healthcare provider. False labor, also known as Braxton Hicks contractions, can mimic the early stages of true labor, making it challenging to differentiate between the two. Here’s how you can tell the difference.

Real Labor vs. False Labor

1. Contraction Patterns

• Real Labor: Contractions occur at regular intervals and gradually get closer together. They become longer, stronger, and more intense over time.
• False Labor: Contractions are irregular and do not get closer together. They often vary in length and intensity.

2. Contraction Strength

• Real Labor: Contractions steadily increase in strength. They become progressively more intense and do not ease up, even when you change positions or rest.
• False Labor: Contractions are usually weak and do not increase in intensity. They might feel strong initially but tend to taper off.

3. Contraction Location

• Real Labor: Contractions usually start in the lower back and move to the front of the abdomen. You may feel a cramping sensation that wraps around your body.
• False Labor: Contractions are often felt only in the front of the abdomen or in the pelvic region. They do not have a wrapping-around pattern.

4. Changes in Activity

• Real Labor: Contractions continue regardless of your activity level. Walking, lying down, or changing positions will not stop the contractions.
• False Labor: Contractions often stop or slow down with a change in activity or position. They may diminish when you rest, walk, or drink water.

5. Cervical Changes

• Real Labor: There will be progressive cervical dilation and effacement. Your healthcare provider can confirm these changes during an examination.
• False Labor: No significant changes in the cervix. The cervix does not dilate or efface significantly.

Other Signs of Real Labor

• Water Breaking: The rupture of the amniotic sac (water breaking) is a clear sign of real labor. It can be a gush of fluid or a steady trickle.
• Bloody Show: A blood-tinged mucus discharge from the cervix may indicate that labor is imminent.

When to Call Your Healthcare Provider

• Regular Contractions: If you experience regular, painful contractions that last about 60 seconds and occur every 5 minutes for an hour, it’s time to call your healthcare provider.
• Water Breaking: If your water breaks, contact your healthcare provider immediately, even if you are not experiencing contractions.
• Decreased Fetal Movement: If you notice a significant decrease in your baby’s movements, seek medical advice.
• Bleeding: If you experience bright red bleeding that is more than a small amount, contact your healthcare provider immediately.

Conclusion

Distinguishing between real labor and false labor can be challenging, but understanding the differences in contraction patterns, strength, location, and other signs can help. If you are unsure or have any concerns, it’s always best to contact your healthcare provider for guidance.

Message from Dr. Bushra Gul

Dear Patients,

Understanding the signs of real labor versus false labor can help you feel more prepared and confident as you approach your due date. If you ever feel uncertain or have any questions, please do not hesitate to reach out to your healthcare team. We are here to support you every step of the way.