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Ask A Childbirth Educator
Questions and Answer

Q. At what stage in pregnancy can Braxton Hicks Contractions start ? I'm 23 weeks and sometimes experience tightening across my tummy and sharp pains on my side.

A. Braxton Hicks contractions actually begin in the first trimester--they just aren't noticeable until the uterus and baby enlarge. Some women notice them as early as 16 weeks. Braxton-Hicks are usually painless, though they can be uncomfortable as the uterus stretches. Most women experience them as a gradual tightening or a feeling of tightening combined with stretching. Sometimes sharp side pain can be caused by your uterine ligaments stretching. Wearing an abdominal support can help this. If the side pain is constant or worsens, contact your caregiver. It is always better to err on the side of caution and have a symptom you are concerned about checked out. If you are having a lot of Braxton-Hicks and they are starting to pluck your nerves, try taking a hot bath and drinking a warm drink. Sometimes Braxton- Hicks can be triggered by lack of fluids, so maintaining proper hydration is important. Overdoing activity during the day can also trigger a lot of Braxton-Hicks---remember to rest and take an occasional break.

Karen Klimsak-Ungar, CCE has been a certified childbirth educator for Birth Works® since 1996. She is currently Managing Editor for the Birth Works newsletter, sits on the Birth Works Board of Directors, and serves on their National Trainee Review Committee. A happily married mother of two, she also continues to teach Birth Works classes as well as private classes.

Karen will answer your questions on fertility, pregnancy, birth, breastfeeding and babies. Her advice does not take the place of your practitioner. Personal answers will not always be possible.