How can doctors tell if you’re having contractions?
Contractions are a common occurrence during pregnancy, and they can be a sign that labor is approaching. However, it’s important to differentiate between Braxton Hicks contractions and true labor contractions. Here’s how doctors can determine if you’re experiencing the real thing.
1. Timing and Intensity
One of the first things doctors will do is ask you to describe the contractions. They will want to know the timing, intensity, and frequency of the contractions. True labor contractions typically become more frequent, stronger, and closer together as labor progresses. If the contractions are irregular, weak, and don’t follow a pattern, they are likely Braxton Hicks contractions.
2. Pain and Discomfort
True labor contractions are usually accompanied by pain and discomfort in the lower back, abdomen, and pelvis. The pain may be sharp or dull and can radiate to the legs. Braxton Hicks contractions, on the other hand, are usually less painful and may not cause any discomfort at all.
3. Change in Fetal Movement
During labor, the baby’s movements may decrease as the contractions become more intense. If you notice a significant decrease in fetal movement, it’s important to contact your doctor immediately. However, a slight decrease in movement may not necessarily indicate labor, as it can also be caused by other factors.
4. Cervical Dilation and Effacement
One of the most definitive ways to determine if you’re in labor is through a physical examination. Your doctor will check your cervix for dilation and effacement. If the cervix is dilated and effaced, it’s a strong indication that labor is progressing. This can be done by a vaginal exam or an internal ultrasound.
5. Fetal Heart Rate Monitoring
To ensure the well-being of both you and your baby, your doctor may use a fetal heart rate monitor to track the baby’s heart rate during contractions. This can help determine if the baby is coping well with the stress of labor.
Conclusion
While it can be challenging to differentiate between Braxton Hicks contractions and true labor contractions, doctors have several methods to determine if you’re experiencing the real thing. By paying attention to the timing, intensity, pain, fetal movement, cervical dilation, and fetal heart rate, your doctor can help you understand whether you’re in labor or just experiencing false labor. Remember to communicate openly with your healthcare provider to ensure the best possible care for you and your baby.
