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2. Normal Discomforts of Pregnancy
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b. Braxton Hicks Contractions
1) Definition: Uterine contractions not associated with labor, felt in the second and third trimesters. They are usually infrequent and irregular in timing.

2) Physiological basis: The exact mechanism is unknown but is thought to be related to hormonal preparation of the uterus for labor.

3) Management

(a) Determine the frequency and duration of the contractions.   (b) Expectant mothers are encourage to rest on their side.   (c) Deep, relaxing breathing. 4) Indicators to refer the client to your OB care provider. (a) Contractions coming with any regular frequency or occurring within 20 minutes of each other should be reported.   (b) Severe pain should be referred to your OB care provider.   (c) Any gush or leaking of fluid from the vagina is an indication that your OB care provider should be called.   (d) Blood showing in vaginal secretions should be referred to your OB care provider.  
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(e) Burning or pain during urination need to be discussed as well.
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