I am 38 weeks pregnant and for the last week you have been cramping once or twice a day only but no tightening Is this braxton hicks?

Cramping once or twice a day without tightening is likely Braxton Hicks contractions. However, it's important to differentiate between Braxton Hicks contractions and true labor contractions as you get closer to your due date. Here's how you can tell:

1. Intensity: Braxton Hicks contractions are usually mild and don't cause significant discomfort. True labor contractions, on the other hand, can be more intense and painful.

2. Duration: Braxton Hicks contractions typically last for a few seconds or minutes, while true labor contractions usually last longer and may increase in duration as labor progresses.

3. Frequency: Braxton Hicks contractions may be sporadic and infrequent, while true labor contractions tend to become more regular and frequent as labor progresses.

4. Location: Braxton Hicks contractions may be felt in the abdomen or lower back, while true labor contractions are usually felt in the lower abdomen and may radiate to the back.

5. Effect on the cervix: Braxton Hicks contractions do not cause the cervix to dilate, while true labor contractions cause the cervix to dilate and efface (thin out).

If you're experiencing any concerns or have questions about your contractions, it's important to contact your healthcare provider. They can help determine if the contractions are Braxton Hicks or true labor contractions and provide you with guidance as needed.