True labour contractions are generally regular, start in the back, and radiate to the belly. They frequently do not lessen with rest. False labour contractions frequently diminish with rest.
As labour advances, true labour contractions get stronger, more difficult to talk through, last longer, and are closer together. These will cause changes in the cervix, causing it to thin and open while facilitating the baby's descent into the pelvis.
A kind of false labour contraction is prodromal labour. It occurs during the third trimester of pregnancy and can feel quite similar to labour. Prodromal labour contractions, unlike true labour contractions, never become stronger or closer together and do not result in cervical dilatation.
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