Being pregnant can evoke both joy and worry, and many become extra aware of their bodies: Is it "just" Braxton Hicks contractions, or could it be a sign of premature labor? Premature labor typically means birth before week 37. If you are in doubt, it is always okay to contact a midwife, your GP, or the maternity ward for advice.
Symptoms of premature labor you should react to
Some symptoms can be important to take seriously, especially if they are new, increasing, or occur before your due date:
- Regular contractions that do not disappear with rest.
- Pain or dull ache in the lower abdomen, feeling labor-like.
- Downward pressure, as if the baby is pushing more than usual.
- New or increased discharge, especially if it is watery or bloody.
- Vaginal bleeding (even spotting can be relevant to mention when contacting healthcare professionals).
- Suspicion of waters breaking.
What is "new to you" can be the key
Many pregnant women experience discomfort and Braxton Hicks contractions, but if something changes character, becomes regular, or feels wrong in your body, it's a good reason to seek an assessment.
Signs of premature contractions and the difference from Braxton Hicks contractions
Braxton Hicks contractions can come and go and are often irregular. Signs of premature contractions, on the other hand, can be:
- The contractions occur with a certain rhythm, e.g., every 10-15 minutes or more often.
- They continue over time, even if you lie down, drink water, and try to relax.
- They are accompanied by downward pressure, lower back pain, or period-like pains.
Practical check at home before you call
Note the time, duration, and strength of contractions for 30-60 minutes. This makes it easier to describe your symptoms when you call for advice.
Waters breaking before term and altered discharge
If you experience a sudden gush of fluid or a persistent trickle, it could be amniotic fluid. Vaginal discharge can also change during pregnancy, but always seek professional medical assessment if:
- You suspect your waters have broken.
- Watery discharge persists.
- Discharge contains blood, has a brownish tint, or a foul odor.
It's a good idea to use a pad so you can monitor the amount and color, but avoid "waiting and seeing" if you strongly suspect your waters have broken.
When to call the maternity ward
You should contact the maternity ward, midwife, or doctor if you have symptoms that could resemble signs of premature labor, especially with:
- Regular labor-like pains or contractions.
- Bleeding.
- Suspicion of waters breaking.
- Significant downward pressure or severe pain.
- If you generally feel that something is not as it usually is.
It is perfectly legitimate to call "just in case" – that's precisely why help is available.
What you can do while waiting for an assessment
If you have mild symptoms and are awaiting advice (or while getting ready to call), you can try:
- Rest and relaxation: lie on your side and avoid physical exertion.
- Drink water and eat a little if you can, as discomfort can sometimes be worsened by dehydration or low blood sugar.
- Avoid intercourse and tampons if you are bleeding or suspect your waters have broken.
- Pack essentials if you are told to come in for an assessment.
Comfort is not treatment, but it can make waiting easier
If your body feels heavy and strained, gentle support in everyday life can provide more peace of mind, without this in itself saying anything about the cause of the symptoms.
Products that may be practical if you need an assessment before your due date
If you end up needing to visit the maternity ward or be observed, it can be nice to have a few things ready that relate to comfort and practical everyday support (not treatment):
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