Contractions, the tightening and relaxing of uterine muscles, are a key part of pregnancy, preparing the body for childbirth by softening and widening the cervix. While some signal labor, others are preparatory. If contractions unexpectedly slow or stop, it can be confusing. This article explores different contraction types, common reasons they might halt, practical steps to take, and when to seek medical attention.
Understanding Different Contraction Types
Contractions are not all the same, and distinguishing between their types is essential for understanding why they might stop.
Braxton Hicks contractions, often called “practice contractions” or “false labor,” are irregular and typically mild. They usually do not increase in intensity or frequency and often subside with changes in activity or rest. These contractions prepare the uterus for labor but do not cause cervical dilation.
Prodromal labor involves contractions more regular and intense than Braxton Hicks, sometimes mimicking early true labor. They can be painful, occurring at intervals like every 5 to 10 minutes and lasting almost a minute. Unlike true labor, prodromal contractions do not cause significant cervical change or progress to active labor, often stopping and starting over days. They help position the baby or efface the cervix without consistent progression.
Early true labor contractions are characterized by their regularity, increasing intensity, and persistence, even with movement or rest. They typically cause the cervix to dilate and efface. Even in early true labor, contractions can sometimes slow down or temporarily stop. This can happen due to factors like fatigue or emotional stress, or because the body is not yet ready for active labor, which involves consistent, progressive cervical changes.
Common Factors That Can Halt Contractions
Several common factors can cause contractions to slow down or stop, whether they are prodromal or in the early stages of true labor.
Dehydration is a frequent culprit; insufficient fluid intake can irritate the uterus, causing contractions that may subside once rehydrated.
Fatigue and insufficient rest can also inhibit labor progression. The physical demands of pregnancy, especially in the third trimester, can lead to extreme exhaustion. If the body is overly tired, it may struggle to continue labor efficiently, causing contractions to wane. Prioritizing rest and sleep can help conserve energy for the demanding process of childbirth.
Emotional stress or high anxiety levels can also play a role. Stress can cause the body to release hormones that counteract those driving contractions, slowing or halting uterine activity. Finding ways to relax and reduce stress can be helpful.
Position changes can sometimes impact contraction patterns; moving from active to rest, or vice versa, might cause contractions to become less frequent or stop. A full bladder or bowel can also exert pressure on the uterus, leading to irregular contractions that may cease once relieved. Sometimes, contractions simply subside as the body continues its preparation, indicating it’s not yet ready for active labor.
What to Do When Contractions Slow or Stop
When contractions slow or stop, there are several practical steps to consider.
Prioritizing rest and relaxation can be beneficial; a warm bath or shower can help soothe muscles and promote a sense of calm. Engaging in other relaxation techniques, such as listening to calming music or practicing mindful breathing, can also help manage discomfort and encourage the body to relax.
Ensuring adequate hydration and nourishment is important. Drinking plenty of water can help address any dehydration that might be contributing to the stalled contractions. Having a light, easily digestible snack can also provide necessary energy.
Changing positions and engaging in gentle movement can sometimes restart or strengthen contractions. Walking, swaying, or trying different resting positions can encourage the baby to move into a more optimal position and stimulate uterine activity. Distraction can also be effective; engaging in activities that take the mind off the contractions can help reduce anxiety and allow the body to progress naturally.
Throughout this period, it is important to continue monitoring fetal movement. Regular movement indicates the baby’s well-being. If there is a decrease in fetal activity, it warrants immediate attention.
When to Contact Your Healthcare Provider
Knowing when to contact a healthcare provider is important for safety. Contact your provider immediately if you experience:
- A significant decrease or absence of fetal movement, such as being unable to count 10 movements within two hours, or any noticeable change from the baby’s usual pattern.
- Vaginal bleeding, particularly bright red or heavy bleeding. While light spotting, often called “bloody show,” can be a normal sign of cervical changes, heavier bleeding is not.
- Any fluid leakage from the vagina, which could indicate your water has broken. This might be a sudden gush or a slow trickle.
- Fever or chills, which could signal an infection.
- Persistent or severe pain, even if contractions have stopped.
- Any other questions or concerns about your symptoms or the progression of contractions.