Uterine Contractions: What Every Expecting Mom Needs to Know

So, you’re feeling your belly tighten and wondering if those are uterine contractions. These muscle squeezes are your uterus’s way of getting ready for something big: labor. But not all contractions mean the baby’s on the way — some just get your uterus practicing.

There are different kinds of uterine contractions. You’ve probably heard of Braxton Hicks contractions, aka “practice contractions.” These can start as early as the second trimester, though most notice them in the third. They’re usually irregular, painless, and go away if you change position or relax. Think of them like your uterus warming up before the main event.

True labor contractions feel different. They get stronger over time, come at regular intervals, and don’t ease up when you rest. They start low in your back or abdomen and slowly wrap around your belly. When they hit, you’ll need to stop what you’re doing and breathe through the discomfort. Timing these contractions is key—if they’re coming about every 5 minutes and lasting 40 to 60 seconds for over an hour, it’s probably time to head to the hospital or call your healthcare provider.

Besides labor, uterine contractions play a role in menstruation too. During your period, contractions help shed the uterine lining, which can sometimes cause cramps. The pain varies from person to person — some feel it mildly, others quite strongly.

For pregnant women, it’s worth knowing that spotting different contractions is normal, but if you experience pain early on, bleeding, or contractions that won’t stop, don’t hesitate to reach out to your doctor. It’s better to be safe and get checked out.

Here’s a quick tip: keep a contraction diary when you think labor might be near. Note when contractions start, how long they last, and how far apart they happen. This info helps your healthcare team decide the best timing for your hospital visit.

In short, uterine contractions are your body’s natural signals during pregnancy and labor. Understanding them helps ease worry and prepares you for the exciting journey ahead. Got questions or weird feelings down there? Your healthcare provider is the go-to person to clear things up.