Is It Normal to Experience Contractions at 26 Weeks of Pregnancy?

Pregnancy Contraction at 26 Weeks: An Abnormal Sign

Experiencing contractions during the 26th week of pregnancy is not normal. At this stage, the embryonic tissue should be relatively stable, and contractions are not expected. Typically, false contractions emerge later in pregnancy, after the 30th week, due to increased sensitivity of uterine smooth muscles. These false contractions can occur 3-5 times daily, with no discernible pattern and generally weak intensity.

The presence of contractions at 26 weeks of pregnancy may indicate a risk of threatened abortion, necessitating further cervical examination to ascertain whether the cervical os is dilated. If the os remains closed, intravenous medication can be administered to inhibit contractions and support the pregnancy. For cases where the os is already dilated, medication to suppress contractions should be administered first, followed by cervical cerclage surgery, if contractions cease, to prolong the pregnancy.

Multiple factors can contribute to frequent contractions during the second trimester. The most common scenarios include fetal ischemia and hypoxia within the uterus, excessive maternal physical activity leading to uterine contractions, or intrauterine infections that may develop during pregnancy. Additionally, fatigue, abdominal wall irritation through physical effort, and emotional stress can also trigger contractions. If contractions occur at 26 weeks without accompanying abdominal pain or bleeding, it is recommended to rest adequately, preferably in bed, avoid strenuous activities, and maintain a relaxed mindset to support the pregnancy.