Braxton Hicks vs Real Labor

What are Braxton Hicks contractions?

They are **practice contractions** — irregular, usually short, and often go away with rest or hydration.

How can I tell if contractions are real labor?

True labor contractions become **regular, longer (≥60 seconds), stronger, and closer together**. They don’t stop with rest or position changes.

Do Braxton Hicks contractions hurt?

They may feel like **tightening or pressure**, but they are usually less intense and not progressively painful like real labor.

What should I do if I’m not sure?

Hydrate, change position, and time contractions for 1–2 hours. If the pattern builds, it may be **early labor**.

What is the 5-1-1 rule?

Contractions **every ≤5 minutes**, lasting **≥1 minute each**, continuing for **≥1 hour** — a common guideline to call your provider.

Is spotting or mucus plug normal?

Yes, a **bloody show** or mucus plug can be part of labor onset. Monitor closely and inform your provider.

When should I seek care immediately?

If your **water breaks**, there’s **bright red bleeding**, **severe pain**, **decreased fetal movement**, or any urgent concern — go in right away.