False labor (Braxton-Hicks contractions)


As you near the end of your pregnancy, you may start noticing signs and feeling symptoms of false labor. They can set in one month or one day before you actually give birth - only time will tell. The question is how will you know when it's real - and when it's not?

Generally, your health care provider will be able to tell if you are in labor by checking your cervix to determine if you are effaced and dilated. Often, it can be difficult to tell whether you are in true labor or having false labor. The following are some tips that may help you to distinguish true labor from false labor:

The Real Thing (True Labor)

  • After timing the contractions, you determine that they are coming consistently and getting closer together.
  • Each contraction is lasting anywhere from 30-70 seconds getting longer.
  • The contractions do not go away even if you change your level of activity.
  • Usually with true labor, the contractions have a radiating feeling in your lower back and upper abdomen.
  • The intensity of the contractions becomes greater as time progresses.
  • During a contraction, you are unable to talk to other people or laugh at a joke.

False Start (False Labor)

  • The contractions continue to be irregular or have a sporadic pattern.
  • There is no consistent length or intensity of contractions and no pattern develops.
  • No clear change or increase in the intensity of the contractions.
  • May feel the contraction lower in abdomen without the radiation feeling.
  • Changing activities effects the contractions.

Remember the list above includes the most common findings between true and false labor, but every woman and baby are different. You may still be unclear whether you are in true labor, and it is always better to call your health care provider for guidance.


Review Date: 2/19/2007
Reviewed By: Douglas A. Levine, MD, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY. Review provided by VeriMed Healthcare Network.

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Encouragement + An Assist = Success

Nine days past her due date, Sara Howe was awakened at 3:00AM when her water broke. Thrilled that the long wait was finally over, Sara and her husband David packed up and headed to PeaceHealth Southwest Medical Center. By 5:00AM they were comfortably settled into one of PeaceHealth Southwest’s Labor Delivery Recovery and Postpartum rooms, ready for action. But four hours later, Sara contractions had still not progressed so her midwife started her on Pitocin. Soon the contractions kicked in and Sara was well on her way.

At around eight o’clock the next morning, it was time for Sara to start pushing. So she pushed. And she pushed, and she pushed, and she pushed. "The first few hours of pushing went by without me realizing the time," remarked Sara. "But around the fourth hour I started to wonder if I was still making progress. That is when the encouragement of my midwife, husband and the PeaceHealth Southwest nursing staff kept me going. It was like I had my own cheering section."

Unfortunately, even with all the support and encouragement, Sara’s labor was not progressing because her baby’s head was tilted in the birth canal. Neither Sara or her midwife wanted her to have a Cesarean section after all that work, so her midwife suggested an assisted delivery. Read more >

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