34 weeks gestational with irregular painless contraction this signs called?

الشرح

Core Concept: Braxton Hicks contractions are irregular, infrequent, and usually painless uterine contractions that occur throughout pregnancy. They are considered "practice" contractions and do not cause cervical dilation or effacement.

Clinical Presentation:

• Irregular uterine tightening that is felt in the front of the abdomen, does not increase in intensity, and often resolves with hydration, rest, or a change in position.

Diagnosis:

• First-line plan: Clinical assessment and tocodynamometry to monitor contraction frequency and intensity.
• Gold standard: Digital cervical examination or transvaginal ultrasound for cervical length to definitively rule out true preterm labor.

Management:

• Acute: Reassurance, oral or IV hydration, and maternal rest in a left lateral position.
• Long-term/Definitive: Education on distinguishing Braxton Hicks from true labor signs (regularity, increasing intensity, cervical change) and when to report to the hospital.