How to tell if it’s time to go—or just time to rest.
Overview
During pregnancy, especially in the third trimester, many women feel contractions and wonder: Is this real labor?
Understanding the differences between Braxton Hicks (false labor) and true labor contractions helps you respond appropriately—and avoid unnecessary trips to the hospital.
Comparison Table
| Feature | Braxton Hicks (False Labor) | True Labor |
|---|---|---|
| Frequency | Irregular, infrequent | Regular, get closer together over time |
| Pain Level | Mild to moderate discomfort | Becomes stronger, longer, and more painful |
| Location | Front of the abdomen | Starts in the back, radiates to front or lower belly |
| Change with position | Often stops with movement, hydration, or rest | Continues regardless of position or activity |
| Cervical changes | No dilation or effacement | Causes the cervix to dilate and efface (thin out) |
Additional Tips to Tell the Difference
- Time your contractions: Use a timer or contraction app. True labor contractions occur at regular intervals and gradually get closer together.
- Hydrate and rest: Braxton Hicks often go away if you drink water and lie down.
- Pain pattern: True labor pain builds steadily and won’t fade with rest or change in position.
When to Call Your Doctor or Go to the Hospital
- Contractions are five minutes apart, lasting at least 60 seconds, for one hour (“5-1-1 rule”)
- Water breaks
- You have bleeding, severe pain, or reduced fetal movement
- You’re high-risk or preterm (<37 weeks) and experience regular contractions
Bottom Line
Braxton Hicks are your body’s way of practicing for birth. But when contractions get stronger, more regular, and don’t stop—that’s your cue that baby might be on the way. Always trust your instincts and reach out to your healthcare provider if you’re unsure.
