I found this helpful to read:: and so many women ask about the difference

It can be hard to tell false labor from the early stages of true labor. Here's some helpful information for telling the difference:

False labor contractions are unpredictable. They usually come at irregular intervals and vary in length and intensity. Although true labor contractions may be irregular at first, over time they start coming at regular and shorter intervals, become increasingly more intense, and last longer.

With false labor, the pain from the contractions is more likely to be centered in your lower abdomen. With true labor, the pain may start in your lower back and wrap around to your abdomen.

False labor contractions may subside on their own, when you start or stop an activity, or when you change position. True labor contractions persist and progress no matter what you do.

Sometimes the only way to tell for sure is to have a vaginal exam. Your provider can check to see if your cervix is changing in preparation for labor.