Contractions

Contractions are a tightening feeling across your stomach and sometimes into your back and thighs.

Each contraction’s opening (dilating) your cervix and moving your baby down the birth canal so they can be born.

How long contractions last

Each contraction usually begins gently, builds up to a peak and then tails off.

At the start of the first stage:

they may last about 40 to 50 seconds
you may get one every 10 minutes

By the end:

they’re likely to last over a minute
there’ll probably be less than a minute between them

Are contractions painful?

Although they’re usually painful, between each contraction you may not feel much pain at all.

They may remind you of period pains or feel much more painful. Every woman’s experience is different, as the intensity can vary a lot.

Coping with contractions

You should get some tips to help you to manage your contractions at your antenatal classes. You can ask your midwife for advice too.

When you feel a contraction coming:

try to stay calm – relax your shoulders, your face, your hands
concentrate on your breathing, keeping it slow and relaxed, and focus on breathing out
sway and rock your pelvis and make any noises you find helpful
don’t resist the contraction – it will get stronger, reach its peak and then start to fade

How your partner or birthing partner can help

Your partner or birthing partner should be there to support you too by:

gently rubbing your back
holding your hand to keep your rhythm

Breathing exercises can help, and your partner can breathe with you if you find that helpful.

Braxton Hicks contractions

From week 28 onwards you may feel your abdomen:

tighten for about 30 seconds several times a day
harden and see it remain tense for several seconds

These are Braxton Hicks contractions. This can be easy to mistake for labour but they’re different from labour contractions as they:

don’t get longer or stronger
don’t start to come more often – they tend to be short and come and go
aren’t painful

You can find out if it’s the real thing or not by timing them.

Should I go to hospital?

Contractions are a part of labour, but do not always mean that the birth is near. Labour is often slow at the start, particularly if it’s your first baby. If you think you’re in labour and you’re not sure what to do, contact the maternity unit or your midwife about your symptoms. They will tell you what to do next. Your midwife may come and examine you at home and help you decide the best place to be, or suggest you go into the maternity unit to get checked.

More signs that labour’s starting

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