When Do Contractions Start in Pregnancy and How to Cope With Them?

You’ve reached the final stretch of pregnancy, and every cramp or twinge brings the same question to mind: Is this it? For many women, contractions are the first sign that labor is beginning, but they don’t always arrive the way you’d expect.

Contractions are your body’s way of preparing to bring your baby into the world. But they don’t start suddenly or follow one clear rule. Some are mild and irregular (called Braxton Hicks), while others grow in intensity and signal that labor has truly begun.

Contractions tighten and relax the uterus. They help:

They can feel like:

The key is not just how they feel, but how regular and intense they become over time.

These can begin as early as the second trimester, though they’re more noticeable in the third. Also called “practice contractions,” they:

Common triggers include dehydration, physical activity, a full bladder, or even sex.

If you have regular contractions before 37 weeks, it could be a sign of preterm labor, especially if they’re:

If you suspect this, call your doctor immediately.

These usually start between 37 and 42 weeks of pregnancy and mark the beginning of true labor. Early labor can last hours or even days and includes:

You may also notice:

Once your cervix is dilated around 4–6 cm, labor progresses into the active phase, where contractions are:

This is usually when people head to the hospital or birthing center.

If you’re ever unsure, don’t hesitate to contact your healthcare provider. It’s always better to ask.

Coping with contractions, whether they’re practice ones or full-on labor pains, requires a mix of physical, emotional, and mental strategies. Here’s what can help:

Use slow, deep breathing to stay relaxed and oxygenated. Try:

Focusing on the breath helps anchor your attention and reduce anxiety.

Dehydration can trigger or worsen contractions. Sip water often, and eat light, energy-rich snacks in early labor (unless your doctor advises otherwise).

Water soothes tense muscles and provides comfort. A warm shower directed at the back or a water bath can be very effective in early labor.

Ask your partner or doula to apply pressure on your lower back or hips during contractions. It can ease discomfort and help you stay grounded.

Try a warm compress on your back or abdomen, or use a cold pack if you’re feeling overheated.

Create a calm space with soothing music, visual imagery (like ocean waves or blooming flowers), or repeating affirmations like: “Each contraction brings me closer to meeting my baby.”

Head to your birthing facility if:

Always trust your body and your instincts.

Contractions may seem intimidating, especially if this is your first pregnancy. But they’re not your enemy, they’re your body’s natural rhythm, guiding your baby into your arms.

Knowing when they start, how they progress, and how to manage the sensations gives you confidence and control. With the right support and preparation, you can move through each wave with grace, strength, and trust in your body.