Update: October 2018
The term of delivery is approaching and more and more questions arise in
future mom. Among the many exciting pregnant women sounds
next: what are false contractions during pregnancy? TO
Unfortunately, not every obstetrician considers it necessary to explain the essence
ложных contractions, чем они отличаются от настоящих и нормально ли это.
Most pregnant women are confronted with false contractions and,
usually shortly before delivery. Помимо подобных contractions о
a number of other harbingers, not
which is difficult to notice.
Harbingers of childbirth
The period of gestation in women continues on average 280
days or 40 obstetric weeks. TO концу этого срока, примерно за 2
weeks, precursors of childbirth appear, informing about the close
their offensive. Thanks to precursors, the woman realizes that soon
long-awaited meeting with the baby. These signs appear
for all women, for someone they are well expressed, and for someone else they are not
notices at all. But childbirth rarely begins suddenly, “without
warnings ”, and the period of precursors for it is laid by nature,
so that the woman has time to prepare and tune for childbirth. Completly not
the appearance of all precursors of childbirth,
the occurrence of one or two should already alert the woman.
Понятие ложных contractions ввел английский врач Брэкстон-Хикс в
late 19th century, therefore, their other name Braxton-Hicks contraction
или training. False contractions are called periodic
arising spontaneously muscle contractions of the uterus. Their appearance
have been registered since 6 weeks of gestation, but in most pregnant women
they are felt only after 20 weeks. TO концу беременности,
примерно на 38 неделе, ложные или training схватки ощущаются
future moms in 70% of cases. Such contractions are called false,
as they do not lead to the start of labor and stop
on their own.
The belly goes down at the expectant mothers a couple of weeks before giving birth.
primiparous and for several hours in multiparous. It’s connected with
that the presenting part of the baby is usually the head,
pressed against the entrance to the small pelvis, pulling up the uterus behind him. With
This upper part (bottom), also lowers, which relieves pressure
uterus on the chest and abdominal cavity. Since the uterus has dropped
the woman notes relief of breathing, dyspnea disappears with a small
exercise, but is in a sitting position or walking
getting harder. Since the uterus no longer raises the stomach,
heartburn and belching disappear. But moving the uterus down enhances
pressure on the bladder, which is manifested by increased
With the prolapse of the uterus, a feeling of heaviness may appear in the lower
abdominal areas and discomfort in the area of the inguinal ligaments. Also not
tingling in the legs and lower back is excluded. These symptoms
associated with irritation of nerve endings located in the small
pelvis when inserting the head into its entrance.
The mucus plug comes off
This feature is considered
the most characteristic, not to notice it is difficult. Early cervical glands
gestational begin to produce a thick secret that
fills the cervical canal and prevents penetration
pathogenic microorganisms in the uterine cavity, thereby protecting
fruit and amniotic fluid from infection. On the eve of birth in
In a woman’s body, estrogen production increases, due to
which the neck begins to soften and open slightly, that
contributes to the discharge of mucus plug. Characteristic features
its discharge serves as a gelatinous mucous clots that are visible
on linen. The color of the mucous cap is different: from white or transparent
to yellowish or pinkish. Often there are streaks in traffic
blood, which is considered normal and speaks of the imminent onset of labor (in
during the day). The mucus plug is either completely or immediately released.
or in parts throughout the day. The cork is painless, but
may cause sore lower abdominal pain. Timing
cork discharge vary. She is может отойти как за 2 недели до
начала родов, так и непосредственно с началом contractions.
За одну – две недели до начала contractions снижается вес беременной
(about 500 grams. – 2 kg). Action of progesterone which
retained in the body fluid decreases, and work is included
estrogens. As a result, excess fluid is removed from the body,
swelling is reduced, it is much easier to put on shoes and pull on gloves with
Change urination and defecation
Most pregnant women report constipation before childbirth,
which is associated with compression of the rectum with the prelying part of the child.
But the opposite situation is also possible – the occurrence of diarrhea. Also
urination increases as the head of the fetus presses on the urinary
bubble, causing a frequent urge to urinate. Possible incontinence
urine, especially during exercise.
Changing fetal movement
TO окончанию срока беременности будущая мама отмечает снижение
двигательной activity ребенка. It’s connected with rapid growth and
increase in fetal weight. It becomes cramped in the uterus, which
reflected in his movements, they become smaller.
Frequent mood swings
On the eve of childbirth, a frequent change is characteristic of a pregnant woman.
moods. Activity and efficiency suddenly gives way to tears,
due to neuroendocrine processes and woman fatigue.
Often, future moms fall into apathy, are drowsy and tend to
solitude. All these signs indicate an accumulation of energy.
before the upcoming act.
Causes and characteristics of false labor
What are false fights for? First of all they
keep the uterus in good shape, “train” it before birth and create
conditions for the “maturation” of the cervix. Secondly, thanks
training folds blood flow to the child increases, which
contributes to its better oxygenation and nutrient
substances. It becomes clear that false contractions relate to
absolutely normal manifestations, which should not be feared.
There are a number of factors that can push the occurrence
Training fights appear in the following conditions:
- excessive physical exertion (housework, occupation
sports, long standing on the legs, etc.);
- hot shower / bath reception;
- increased motor activity of the fetus;
- drinking coffee and strong often (excite the nervous system
and increase the tone of the uterus);
- emotional stress, stress;
- active sex and orgasm (release of oxytocin, which
promotes uterine contractions);
- smoking and drinking alcohol;
- fatigue, sleep disturbance;
- full bladder (squeezes the uterus, forcing her
- dehydration of the body (decreases the volume of circulating blood,
worsening blood supply to the uterus, which provokes it
- improper or inadequate nutrition;
- multiple fetus or large fruit (too close space for
child / children, any movement irritates the uterine walls);
- overeating or hunger, consumption of “soda”
(causes the stomach to contract, irritation of which is transmitted
- touching the belly of a stranger.
Characteristics of false labor
As mentioned, false contractions occur in the second half
gestation, but usually on the eve of childbirth (at 38 – 39 week
pregnancy). As a rule, training fights appear in
evening time when a woman is resting. These fights do not deliver
pains occur irregularly and infrequently. In addition, false labor
only prepare the cervix for disclosure, but do not cause it. Part
expectant mothers may not feel false contractions, but this is not
Symptoms and sensations
Since each organism is individual, the symptoms of false
contractions may vary. Someone feels good about them
significant intensity and severity of discomfort, and
someone they pass almost unnoticed. To characteristic features
training fights include:
- contractions are irregular, it is impossible to catch their rhythm
occurrences (they can occur every 5–6 hours (but less often,
than 6 times per hour) and after 1 – 2 days;
- the duration of false contractions is short, a few seconds, not
more than a minute;
- tension (compression) of the uterus;
- bright sensations during labor, pains do not deliver, but bring
- usually occur in the evening or at night when the woman is resting
(in the afternoon, future mothers often do not focus attention on them);
- intensity of contractions quickly decreases with a change of position
What are the sensations of false fights? In many cases
training bouts are painless, and expectant mothers tolerate them
pretty easy. But in the case of a low pain sensitivity threshold
false contractions are very unpleasant and even require assistance.
Feelings during false labor pains resemble menstrual pain:
pulling nature and arise in the lower abdomen. Also a woman can
feel the hardening of the uterus itself, putting your hand on the stomach.
Differences between true and false fights
How to distinguish false contractions from the real? Signs of training
and true contractions are shown in the table:
|Significant pain, increasing after some
|The duration of the fight increases||–||+|
|Discharge of amniotic fluid||–||+|
|There is no clear rhythm of uterine contractions, irregularity
|The intensity of contraction increases, uterine contractions last
minute and longer
|Исчезновение contractions при смене положения тела или физической
|The neck is gradually opened and smoothed.||–||+|
|There is pressure either in the vagina or in the pelvis||–||+|
|Last less than 2 hours, and in an hour less than 4 uterine
How to cope with false fights
To eliminate discomfort delivered by training
contractions will help compliance with some recommendations:
A leisurely walk in the park or square will help not only
eliminate discomfort, but also enrich the mother’s blood
oxygen, which is useful to the baby.
Change body position
Sometimes it is enough to change the position of the body, to take the maximum
comfortable posture. If a pregnant lies – you can get up and do
a few steps, or crouch during prolonged standing.
Take a break
Take a break и расслабиться поможет просмотр любимого фильма,
listening to calm music or reading a book.
To ease Braxton-Hicks contractions will help to receive a warm shower or
bath with aromatic oil.
Возникновение ложных contractions отличный момент для тренировки
correct breathing in labor, which was taught in the classroom
mothers. Take deep breaths with your nose, trying slowly and
exhale smoothly through the mouth, and his lips folded. Can
try doggy breathing – intermittent and frequent, but not
get carried away, otherwise dizzy.
Drink water or snack
If a ложные схватки обусловлены обезвоживанием, достаточно для
their relief to drink a glass of plain water. In case of famine, even
the lung that provoked the uterine contractions should
snack, but easily digestible and nutritious (for example, banana).
When to call an ambulance
Sometimes there are situations when it is necessary to urgently call an ambulance.
help or contact your doctor:
- gestational age at which uterine contractions appeared,
less than 36 weeks (the threat of premature birth is not excluded);
- the occurrence of moderate or heavy bleeding
(suspicion of placental abruption);
- the appearance of watery discharge (possible rupture of amniotic
- discharge of mucus plug before 36 weeks;
- pressing pain in the sacral and lumbar regions;
- feeling of pressure in the perineum;
- excessive physical activity of the child or its sharp
- частота contractions составляет 3 и более за 10 минут (начало
Pathological preliminary period
The preliminary period – what does this mean? Preliminary period
called the length of time during which the woman’s body
prepared for childbirth. That is, the preliminary period can be
назвать подготовительным периодом, во time которого появляются
harbingers of childbirth. Normal preliminary period is recorded
in 30–33% of women at the end of gestation (38–40 weeks). For
physiological preliminary period is characterized by:
- contractions that occur with different frequency, duration and
intensity, but lasting no more than 6 – 8 hours;
- возможно самостоятельное исчезновение contractions и вновь их
occurrence after 24 hours;
- sleep and general well-being of the pregnant woman are satisfactory;
- There is a complete readiness of the future mother for childbirth (“mature”
neck, mammary and oxytocin tests are positive and
- the uterus is in the normal tonus, the fetus does not suffer in utero;
- in 70% of the normal preliminary period develops into an adequate
Pathological preliminary period
About the pathological preliminary period say when
drags on the preparatory period, characterized by
irregular but painful contractions that do not contribute
structural changes of the neck. It is diagnosed in 10 – 17%
pregnant women and usually goes into labor abnormalities (weakness
contractions или дискоординация contractions). In foreign literature
Such a pathology is called “false birth”.
The pathological nature of the preliminary period can be
- emotional lability and neurosis;
- endocrine pathology (obesity or underweight,
menstrual disorders, genital infantilism and
- somatic pathology (heart defects, arrhythmias, hypertension,
kidney and liver disease);
- chronic inflammation of the uterus and cervix;
- large fruit;
- numerous abortions (dystrophic processes);
- fear of childbirth, unwanted pregnancy;
- first birth in women younger than 17 and older than 30;
- little and plenty;
- wrong position of the fetus and placenta;
- narrow pelvis and other.
The clinical picture of the pathological preliminary period
characterized by painful contractions that occur not only
at night, but during the day. Схватки нерегулярные и длительное time не
переходят в true. Continue pathological preliminary
the period can from one to ten days, which disrupts the sleep of a pregnant
and contributes to her fatigue.
The cervix does not undergo structural changes, that is, not
�”Ripen”. It is long, located anteriorly or posteriorly, dense, and
outer and inner mouth closed. Also, the bottom does not unfold
uterine segment, and the uterus itself is easily excitable and has an elevated
The presenting part of the child is not pressed for a long time against the entrance to the small
pelvis despite the absence of any inconsistency between
the size of the baby and the pelvis of the mother. The presence of hypertonicity of the uterus
complicates the palpation of the head and small parts of the child.
Маточные сокращения отличаются монотонностью длительное time,
промежутки между ними не укорачиваются и интенсивность contractions не
is increasing. The future mom’s psychoemotional status also suffers. She is
irritable and tearful, aggressive and afraid of childbirth, doubts
their successful completion.
The long course of the pathological preliminary period
often complicated by premature discharge of water and intrauterine
hypoxia of the fetus. Due to energy consumption, this pathology is often
turns into weakness of tribal forces.
Often there are vegetative disorders (neurocirculatory
dystonia, excessive sweating), a woman complains of pain in
поясничной и крестцовой областях, сердцебиение и одышку,
painful movement of the baby.
Вопрос: Мне предстоят первые роды и я боюсь, что
I can not distinguish between false and true fights. What do i do?
Many primiparous women are afraid to miss real contractions,
taking them for false. Doctors recommend: for any doubt in false
contractions, especially with their pain and duration per minute and
more should be corrected to the hospital. Obstetrician will hold an internal
vaginal examination and evaluate maturity and cervical dilatation. If a
the alarm is false, the woman will be allowed to go home with the recommendation to appear in
female consultation in 2 – 3 days.
Вопрос: TOогда я рожала в первый раз, врачи мне
talked about some wrong preparatory bouts and through
some time opened the fetal bladder, after which I gave birth to myself.
What was it and how high is the probability of the situation to repeat
In the first birth, you had a pathological preliminary
period. The likelihood of developing it in the second birth depends on
many reasons, but first of all from the mood for prosperous
completion of childbirth. Attend mother school, study
self-hypnosis and respiratory gymnastics, try to get rid of
fear of childbirth and follow the advice of a doctor. Competent
psycho-prophylactic preparation for childbirth will significantly reduce the chances
on the pathological course of the preparatory period.
Вопрос: У меня 41 – 42 недели (пересчитали в
female consultation), but there are no false fights and other
harbingers of childbirth. What to do?
Perhaps you are postponing pregnancy. To stimulate labor
use natural methods (long walks,
having sex, certain nourishment, etc.).
Вопрос: TOак лечат патологический прелиминарный
The tactics of a woman depends on the duration of the pathological
preparatory period, the state of the neck, the intensity of pain
sensations, the state of the mother and child. With a “mature” neck and
the duration of this pathology is less than 6 hours
bladder to stimulate contractions. If a шейка «незрелая», но
This period lasts 6 hours or less, sedatives are prescribed.
preparations (Relanium) and preparation of the neck is carried out (prepidil-gel
intracervical). In case of prolonged flow (more than 10 hours)
pathological preparatory period is assigned
drug sleep-rest, after which the pregnant woman wakes up in
active phase contractions.