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Abdominal pain during pregnancy

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Abdominal pain during pregnancy

Many women experience pain in the lower abdomen during the first weeks of pregnancy. There are many reasons for this pain. For some women, abdominal pain occasionally or occasionally occurs during pregnancy and is similar to menstrual cramps, which can simply indicate that your uterus is ready to carry the fetus during the next nine months of pregnancy.

Abdominal pain: Abdominal pain along with other symptoms, such as fever and chills, spotting, or bleeding during pregnancy can be a sign of a more serious problem. Many women experience pain attacks sometimes in the lower abdomen during pregnancy. While fear of abdominal pain during pregnancy is usually normal and this is a harmless condition, it can sometimes be a more serious problem, so consult with your doctor if you have any concerns about abdominal pain.

Assessing abdominal pain during pregnancy is similar to assessing gastric pain in non-pregnant women, but this assessment has more challenges. For example, your doctor should consider the natural changes that occur specifically in pregnancy that can cause abdominal pain, while always keeping in mind the health of your baby and your gestational age.

Abdominal pain during pregnancy is a common complaint of pregnant women and can be due to some natural pregnancy changes, such as enlargement of the womb, position or movement of the baby, Brockton-Hicks contractions (such as labor contractions), and ligament support for the uterus. They are called uterine plexus (round ligament pain). The ligaments that put the uterus in the right position can also be pulled out because of the enlargement of the uterus, causing sudden and severe pain in the lower abdomen. This pain is called circulatory ligament pain.

Abdominal pain that occurs suddenly, persistently and severely, and is associated with other problems, such as nausea, vomiting, vaginal bleeding, or contraction, indicates that the pain is not due to normal pregnancy changes, but is due to some other problems. Natural changes during pregnancy that cause abdominal pain.

The uterus exerts pressure on the back and abdomen as it grows toward the pelvis, causing pain. An enlarged uterus may also pressure the ureter (the tube between the bladder and the kidney) and make it difficult for the urine to pass through the ureter, causing intermittent and severe pain in the abdomen. This pain can be similar to pain that occurs when a kidney stone passes, or a bladder infection.

In addition, hormonal changes during pregnancy can reduce the lower esophageal sphincter (esophageal reflux) that causes symptoms of indigestion and miscarriage.

The normal increase in progesterone during pregnancy can affect many organs. Progesterone reduces bowel movement and causes constipation and pain. The gallbladder is also affected by increased pregnancy hormones. Gallbladder can not properly discharge digestive enzymes because of increasing pregnancy hormones, resulting in reduced gallbladder function, which can cause pain similar to gallstones.

All of these are just a few of the natural pregnancy changes that can lead to abdominal pain.

Causes of abdominal pain during pregnancy

Pregnancy-Related Factors That Cause Abdominal Pain:

– Miscarriage: Pain in the lower abdomen can sometimes be a sign of miscarriage. Symptoms of miscarriage typically include bleeding that can be severe or severe, and pain such as menstrual cramps that gradually increase in severity. Some women experience back pain. If you are certain that you are pregnant and experiencing spotting, bleeding, and heartache, you should contact your doctor immediately.

– Placental Separation: Placental separation from the uterine wall prematurely can cause bleeding and severe pain in the abdomen during pregnancy. Early removal of the placenta not only causes severe abdominal pain but also puts the unborn baby at risk. Immediate delivery should be done to prevent fetal death and to help the mother’s bleeding.

– Uterine Rupture: Uterine rupture can cause abdominal pain during pregnancy. Most uterine ruptures occur during postpartum cesarean delivery (post-vaginal delivery). The anterior cesarean section opens into the uterus and allows the fetal head to remain in the abdomen. Not only does the rupture of the uterus occur with abdominal pain, it also results in the risk of a fetus and severe vaginal bleeding that can lead to shock.

– Ectopic pregnancy: This is a serious problem that occurs early in pregnancy when a fertilized egg attaches to the outside of the womb. The egg is usually attached to the fallopian tube. This problem is usually diagnosed in the first few weeks of pregnancy. Ectopic pregnancy is very serious when left untreated and may lead to fallopian tubes rupture. Symptoms of ectopic pregnancy include spotting, abdominal pain and tenderness, bleeding, low back pain, shoulder pain, dizziness, and fainting. Contact your doctor if you suspect an ectopic pregnancy.

– Severe preeclampsia and HELLP syndrome: Severe preeclampsia leads to pain in the upper right abdomen. Preeclampsia refers to a syndrome characterized by high blood pressure, headaches, and protein in the urine. Severe preeclampsia causes swelling around the liver that causes pain in the upper abdomen. HELLP syndrome is the most severe form of preeclampsia, with the most common symptom being severe upper abdominal pain.

– Amniotic fluid infection: Amniotic fluid and fetal sac infection can cause fever, abdominal pain, contractions, and labor. This problem is usually characterized by premature rupture of the membrane.

– Preterm delivery: Some women experience abdominal pain or abdominal cramps late in their pregnancy. This pain may be a sign of preterm labor. Preterm delivery is usually characterized by regular abdominal contractions that begin to dilate the cervix. You may experience vaginal discharge, which is in the form of a bloody mucosa with pain or low back pain. You should contact your doctor immediately to rule out preterm labor. In many cases, preterm labor can effectively prevent mothers from carrying the fetus.

Causes of abdominal pain during pregnancy

– Acute appendicitis: Appendicitis is the most common cause of pain in the right lower quadrant of the abdomen that requires surgery during pregnancy. The most common symptoms of appendicitis are fever and pain in the right lower quadrant.

– Gallbladder Disease: Pregnancy increases the risk of gallstones. When gallstone interferes with gall bladder function, it can lead to gall bladder disease. Symptoms of poor gallbladder function are deep and annoying pain that is exacerbated intermittently. Abdominal pain occurs in the upper right quadrant and the pain may stop and recur.

– Bowel obstruction: As the uterine size increases during pregnancy, the likelihood of bowel obstruction increases. Anterior scar tissue (adhesion) is the most common cause of intestinal obstruction during pregnancy. Intestinal obstruction causes crampy abdominal pain with vomiting. Previous surgeries are one of the main causes of adhesions that lead to bowel obstruction.

– Inflammatory Bowel Disease: Abdominal pain associated with inflammatory bowel disease occurs in the lower abdominal quadrant and is usually associated with loose, bloody, and mucosal stools.

– Pancreatitis: Rarely swollen pancreas can cause persistent upper abdominal pain. The pain usually spreads directly to the waist.

– Diverticulitis: When the sac in the colon wall swells (diverticulitis), it causes pain in the abdomen. Diverticulitis is also associated with loose, bloody stools.

– Perforated Wound: Although peptic ulcer disease gets better during pregnancy, peptic ulcer sometimes will perforate. Abdominal pain will develop within the first few hours after the puncture. The pain will be very severe.

– Kidney stones: Kidney stones usually occur in the second and third trimesters of pregnancy. The pain is in the flank and then spreads to the lower abdomen. In most cases, blood is found in the urine. Kidney infection is usually associated with stones.

– Trauma: Vehicle accidents are the cause of two-thirds of the trauma that causes abdominal pain during pregnancy. Pain can be associated with either mild or severe trauma.

– Sickle Cell Crisis: The vasomotor crisis that occurs in sickle cell disease can cause severe abdominal pain. It is difficult to distinguish this pain from appendicitis or gallbladder disease.

Pneumonia: Lower lobe pneumonia usually causes abdominal pain syndromes, especially on the right side. Abdominal pain can be the only symptom of lower lobe pneumonia during pregnancy.

– Gastrointestinal edema: Severe abdominal pain can be due to diarrhea, vomiting, and inflammation of the mother’s abdominal lymph nodes (mesenteric adenitis).

– Thrombosis: Blood clots in the veins of the pelvis, liver, and abdominal cavity (mesenteric artery) can cause poor abdominal pain.


The good news is that many women experience not threatening abdominal discomfort during their pregnancy, sometimes due to uterine stretching, gas or even constipation.

If you have lower abdominal pain, remember to call your midwife or doctor immediately when you suspect something. Your doctor can help identify the cause of your abdominal pain and make you feel more relaxed.


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