Giving Birth with Confidence, The Pregnancy Experience

What Does a Contraction Feel Like?

What Does a Contraction Feel Like?

Cara Terreri, LCCE, CD(DONA)

If you landed on this post because you searched "what does a contraction feel like," welcome! I hope you won't be disappointed. It's so hard to describe something physical to someone who has no framework to understand it. Like, if you were to describe to me right now how it feels to hike Mt. Everest, I would hear you but not really "get it." My typical hike involves plodding along well-worn paths at the closes state park. 

The standard way to describe a contraction goes like this: it differs from person to person, but in general, you feel an all-over tightening of your abdomen and pain or cramping that often begins in your lower back and radiates to the front. The reality is that everyone's experience and description of the sensation is slightly different. Some people say that contractions feel like intense menstrual cramps while others describe lots of pressure and back pain.

Personally, I describe a contraction in active labor (6cm and beyond) as an all-encompassing kind of pain. There's the tell-tale belly tightening, but then the sensation is something that is hard to describe other than to say it was so intense, my whole body felt it. There's no way to fully "escape" what's happening, so you just succumb and use your best coping skills. And when a contraction is over, the pain relief is immediate and complete! Overall, the experience for me was intense but manageable. I could handle it as long as I was free to move and do what I needed to cope. When I was unable to move around, the pain felt more than intense and very much unmanageable. For example, the car ride to the hospital was not ok.

But don't take just my word for it. Below, you'll find out how nine other people describe a contraction. 

"Throughout my pregnancy, the Braxton Hicks contractions felt like little charlie horses over the top of my belly. When I was in labor for my first child, I remember finally deciding to get the epidural and when the medicine started to work, it only worked for half of my body. One side was bearable while the other side felt like it was being squeezed and twisted as far as it would go. I couldn't believe the difference. I would have preferred to have all or nothing! Also, having had three kids now, I will say that the difference between contractions with and without Pitocin is night and day."

-Vanessa

"I think contractions feel like a combination of nasty period cramps and horrible bowel movement cramps at the same time. I know they say they start in your back, but I felt like mine started everywhere at the same time."

-Maddy

"My contractions with my second pregnancy were completely different from my first. With my first, they were the textbook example of a contraction. The pain started at my sides and worked it's way to the middle of my stomach. They started out like pretty mild menstrual cramps and then became completely unbearable. With my second labor, I suffered from pubic symphysis dysfunction and all of my contractions started in my lower back and moved to the front of my lower abdomen and into my pubic bone. They were really severe very quickly after my water broke. And with every single one I felt the urge to push. Of course, the doctors and nurses told me not to since I was only 4 cm dilated! I labored for 36 hours! I now wonder if I should have listened to my body and pushed a little it would have went faster. Who knows. Labor is a funny thing. I just learned that every labor and pregnancy will be different!"

-Bri

"I agree with Vanessa, contractions with Pitocin versus without it are so so different....black and white. And with my first, it was back labor so it was also totally different. They were throbbing and long and it felt like my back was going to split open. With my home birth, the contractions felt like a deep, deep ache. Deep down inside my body, almost as if the sensation of my cervix spreading combined with my son descending were like my bottom was going to fall out...but in a good way. A productive way. Thinking back, they weren't painful as much as a feeling that snapped me into the present."

-Pamela

"With my second, I felt only a long, long awful pain across my entire abdomen. From the outside, you could feel that my whole abdomen was rock hard and it felt like a charlie horse, only a million times worse. The pain didn't change or come and go, just remained for hours. On the monitors, it was showing that I was contracting every two minutes when I got to the hospital, but again to me the pain and hardness never stopped and started, just constant. With my first son, the pain was fairly textbook as menstrual pains that got worse, deeper, and closer in time as labor progressed."

-Alicia

"With each of my four births, my contractions have been different. For number one, I was induced with Pitocin. I had been planning an unmedicated birth, but was told in my childbirth education classes that it was impossible to have Pitocin without an epidural, so each contraction was a fight for the birth I wanted. Ultimately, I had an epidural that didn't work, and I dilated completely unmedicated. The second time I was also induced with Pitocin, but was absolutely certain that I would have an unmedicated birth, so each contraction was a validation that I was strong, and could do it. With my third (I had become a doula and childbirth educator), I had absolute trust in my body, and each contraction literally felt orgasmic. They were intense, but after the peak of each one, I felt the same rush that I do after an orgasm. It was amazing! With the fourth, I was in complete denial for most of my very rapid labor, so each contraction was almost a surprise. I had intense back labor, but if I vocalized throughout the contraction it was bearable."

-Liz

"With my first, I felt no Braxton Hicks or at least I didn't know what I was feeling. My labor started with what I could only describe as a "funny feeling" in my belly...I didn't feel cramp-like sensations or hardening until later on. As I progressed, I definitely felt the tightening, hardening feeling with intense cramps but all in my abdomen area...nothing in my back. With this one, I have been having BH contractions for quite some time. They began early on for me and the sensation felt like the baby was doing a twirling or twisting motion. Eventually, I realized that they were BH contractions and felt the classic hardening, tightening in my abdomen."

-Becky

"With my first birth, they started out similar to menstrual cramps and gradually became more intense like extreme bowel movement cramps. It was that menstrual cramp feeling in the beginning, though, that distinguished them from the Braxton Hicks cramps I'd had through the pregnancy and let me know it was "real" labor. Once I was about halfway dilated it felt like one big constant contraction, with no rest in between, even though the monitors showed a brief break between them.The contractions felt different with my second birth, though, and I wasn't sure I was really in labor. They didn't feel the same way they did the first time around, and my BH contractions had been so intense and uncomfortable (painful, not just the tightening feeling) the last month or two of my pregnancy, that I constantly felt like I was in early labor. My baby was "sunny side up" that time too, so more of the pain was in my back. My mother and mother-in-law had told me they never knew when they were having contractions, just felt the pressure of pushing at the end. That astonished me. My mom literally never knew when she was having contractions, just knew that she 'felt funny.'"

-Brittany

"I am an old woman, and my kids are 14 1/2 and almost 11, so it is hard to remember the details of the sensation of contractions. I had a c-section after pushing non medicated for 5 hours with my fat, 9lb 37 week direct OP baby (occiput posterior -- baby who is facing up instead of back), and a non-medicated VBAC with my second, so feel like I really got a sense of what things felt like. They started as menstrual cramps, and an ache in my lower back, moving around and increasing in intensity deep in my pelvis. I did not have back labor with either, even the OP babe. I have to say that I did not think they were that bad, I mean, intense, yes, requiring deep focus and coping, yes, but the worst pain I ever felt? No! It was very freeing to surrender to the contractions, doing whatever felt good, no matter how crazy or silly it seemed. From my two datapoints, I seem to take forever to labor/dilate to 3 cm, and then go from 3-10 really fast! Labors last about 36 hours each, in both labors, I immersed myself in the tub, completely, except for my nose, when I had the intense contractions, removing all the sensory stimulation, ears underwater, eyes closed, remaining really loose. Alternately, I did a lot of deep vocalization. As I said, hard, yes, intense, yes, all encompassing, yes, body wracking, yes, but incredibly painful -- no. If I could, I would labor and birth once a year! No pregnancy, no baby to keep, just a big ole labor and birth! It was the hardest, most intense, but doable work I have ever done!"

-Sharon