34 weeks gestational with irregular painless contraction this signs called ?

الشرح

Core Concept: Braxton Hicks contractions are irregular, painless (or mildly uncomfortable), and infrequent 'practice' uterine contractions that occur throughout pregnancy but are often noticed in the second and third trimesters. They do not cause cervical dilation or effacement, distinguishing them from true labor.

Clinical Presentation: • Irregular tightening of the abdomen that resolves with hydration, rest, or a change in position. • No progressive cervical change. • Complications: None; this is a normal physiological process.

Diagnosis: 1) First-line: Clinical assessment of contraction pattern (irregular, non-progressive) and maternal symptoms. 2) Gold standard: Tocodynamometry and digital cervical examination to confirm the absence of cervical dilation/effacement.

Management: Acute: Reassurance, maternal hydration (oral or IV), and rest (often in the left lateral position). Definitive: Routine prenatal care and patient education on the differences between Braxton Hicks and true labor.