Prodromal Labor (False Labor): Causes, Symptoms & How to Tell the Difference

During the final weeks of pregnancy, many women experience contractions that feel real but aren’t a sign of true labor. This phenomenon is known as prodromal labor or false labor. Understanding the differences between these contractions and real labor can help expectant mothers feel calmer and more prepared for delivery.

What Is Prodromal Labor?

Prodromal labor refers to contractions that occur before true labor begins. These contractions can be regular and sometimes painful, leading many women to believe that labor has started. However, unlike true labor, prodromal contractions do not cause cervical dilation.

Causes of Prodromal Labor

Experts are not entirely sure why prodromal labor occurs, but several factors may play a role:

• Changes in the uterus as it prepares for birth
• The baby moving into position for delivery
• Hormonal fluctuations (especially oxytocin)
• Physical fatigue or emotional stress

Common Symptoms

Prodromal labor contractions can feel similar to real labor but usually have specific patterns, such as:

• Contractions that occur regularly but don’t get stronger over time
• Discomfort or tightness in the lower abdomen or back
• Contractions that may stop when you rest, change position, or drink water
• No progressive cervical dilation

Prodromal vs. True Labor

Feature	Prodromal Labor	True Labor
Contraction strength	Remains the same or eases with rest	Becomes stronger and more regular
Contraction duration	May vary in length	Becomes longer and closer together
Cervical change	No significant dilation	Progressive dilation and effacement
Relief with activity	Stops with rest or hydration	Continues regardless of position

How to Manage Prodromal Labor

While prodromal labor can be tiring, it’s usually not dangerous. Here are a few ways to manage it safely:

• Rest and hydrate frequently
• Practice deep breathing or prenatal yoga
• Take a warm (not hot) shower
• Eat light, nourishing meals
• Contact your healthcare provider if contractions become stronger, closer, or accompanied by bleeding or fluid leakage

When to Call Your Doctor

You should seek immediate medical advice if:

• Your contractions become very regular and increasingly painful
• You experience vaginal bleeding or water breaking
• You notice decreased fetal movement

Remember: every pregnancy is different. If you’re unsure whether you’re in true or false labor, it’s always best to check with your healthcare provider.

References

• Mayo Clinic. “False labor: How to tell it’s not time yet.”
• American College of Obstetricians and Gynecologists (ACOG). “Labor and Birth.”
• National Health Service (NHS). “Signs of labor.”

Disclaimer

This article is for informational purposes only and does not replace professional medical advice. Always consult your healthcare provider for personalized guidance during pregnancy.