Wehentätigkeit

Wehentätigkeit refers to the rhythmic contractions of the uterus, mainly occurring in late pregnancy and during labor. These contractions tighten and relax the uterine muscles and are a central mechanism in progressing toward birth by thinning and opening the cervix (cervical dilation).

There are two broad kinds of contractions commonly discussed. Braxton Hicks contractions, also called Übungswehen, are usually irregular and may be felt as tightening or discomfort. They do not consistently increase cervical dilation. True labor contractions, in contrast, are regular, increase in intensity and duration, and become more frequent over time, leading to progressive cervical changes.

Monitoring and assessment of Wehentätigkeit involve noting three characteristics: frequency (how often contractions occur), duration (how long each contraction lasts), and intensity (how strong the contraction feels). A common practical approach is to track when contractions begin and end, and to observe whether they become regular and more intense over time. If contractions become consistently frequent, strong, and last about a minute or more, and if cervical changes are suspected, medical evaluation is advised. Rupture of membranes (water breaking) or vaginal bleeding requires urgent medical attention.

Progression during labor is typically described in stages: in the latent or early phase, contractions are mild and may be irregular with gradual cervical dilation; in the active phase, contractions become stronger and more regular with faster dilation; a later transition phase leads to sustained, powerful contractions culminating in birth. Individual patterns vary, and management is guided by clinical assessment and the health of the fetus.

When in doubt or if there are any signs of complications—such as heavy bleeding, severe pain, decreased fetal movement, or rupture of membranes—consult a healthcare provider promptly.