Throughout pregnancy, the lower abdomen aches. Can the lower abdomen be pulled due to pathology

With pregnancy, a new period in a woman's life begins. And if this is the first time for her, then many sensations will be unfamiliar. During the bearing of a child, metabolic processes and the function of various systems change. Basically, it causes discomfort in various parts of the body.

For some women, such sensations can be haunted from an early date, disappearing only after childbirth, while for others, unpleasant symptoms are less common. It all depends on the characteristics of the organism.

Abdominal pain during pregnancy

Quite often, women complain of pain in the lower abdomen. This situation can be considered as a variant of the norm in different trimesters. But we must also not forget that similar symptoms are accompanied by pathological conditions that pose a real threat to the health of the future mother and child.

Therefore, do not neglect safety considerations - it is better to consult a doctor once again to eliminate possible risks. Only a specialist will determine why the stomach hurts and what needs to be done to eliminate unpleasant symptoms.

You need to be careful about your feelings during pregnancy. If something causes concern, there is no need to postpone the decision of the issue.

Causes

When it cuts or pricks in the stomach, you need to figure out what the reason is. Pregnancy does not tolerate haste and waste of time, so you should calmly assess the possibility of a development of the situation. It is worth worrying or not - this can be said only by knowing the origin of pain.

If such a phenomenon fits within the framework of normal changes, then you just need to experience it. And when pathology is more likely, a woman should see a doctor as soon as possible. To make a correct assumption, you need to know the factors that can provoke the appearance of pain. These include the following:

• Physiological processes.
• Miscarriage.
• Placental abruption.
• Diseases of the gastrointestinal tract.
• Infectious pathology.
• Inflammatory diseases of the genital organs.
• Diseases of the urinary system.
• Diseases of the spine.
• Surgical pathology.

Given the wide range of pathological conditions, abdominal pain cannot be considered as the result of only physiological processes occurring during pregnancy. Each suggestion should be supported by the results of clinical and additional examination.

It is necessary to consider the possibility of one or another factor in the development of pain in combination with obvious symptoms.

Symptoms

Abdominal pain is just one symptom, but there can actually be too much behind it. To clarify its origin, it is necessary to detail the complaints made. First of all, you need to consider the features of the pain that occurs:

• By nature: sharp (stabbing, cutting, shooting) or blunt (pulling, aching).
• By localization: in the upper and lateral sections (right or left), in the lower abdomen.
• By duration: short-term or long-term.
• By frequency: periodic or constant.

It should also be remembered that symptoms can change under the influence of various factors: dietary errors, movements (when walking, turning or tilting), taking certain medications. In addition, in most cases, there are other signs in the clinical picture that can lead the researcher to the correct reasoning about the causes of abdominal pain.

Each disease is accompanied by characteristic symptoms. Their identification will accelerate the differential diagnosis of various conditions during childbearing.

Physiological processes

During implantation of the embryo, unexpressed pains in the lower abdomen may be observed, which are accompanied by scanty reddish discharge. Noticing this, a woman, not yet knowing about her situation, even tends to think about the beginning of menstruation. But this is quite normal at the beginning of pregnancy.

In the early stages, the content of hormones increases - estrogen, progesterone, relaxin. This helps to soften the ligaments, cartilage and muscle relaxation. The intestines also suffer, because constipation may occur due to a slowdown in its peristalsis.

Subsequently, when the uterus increases in size more and more, it begins to stretch the internal connective tissue structures of the small pelvis, leading to discomfort and pain in the abdomen. The surrounding organs are compressed: the stomach, intestines, diaphragm, bladder, as well as the nerve plexuses, as a result of which the symptoms only intensify. Therefore, very often women are worried about:

• Nausea and belching.
• Heartburn.
• Cutting when urinating.
• Dyspnea.

In addition, the load on the pelvic bones increases, and in the third trimester there is a slight discrepancy, which causes new discomfort in the lower abdomen.

When abdominal pain is the result of physiological changes, you need to be patient and get rid of unreasonable experiences.

Miscarriage

It should be remembered that pain in the lower abdomen may indicate such an obstetric pathology as miscarriage. Depending on the timing, this manifests itself in the form of spontaneous abortion or premature birth. But the accompanying symptoms in most cases are the same:

• Bloody issues.
• Feeling of pressure in the region of the sacrum and bladder.
• Frequent urge to go to the toilet.
• Hypertension of the uterus.
• Opening of the uterus.

If this process is not stopped at the stage of the threat of termination of pregnancy, then the manifestations intensify up to the loss of the fetus. When some parts of it remain in the uterus, they talk about an incomplete abortion. This threatens the appearance of other complications: bleeding and internal infection, which poses a real danger to a woman.

Placental abruption

Placental complications are another type of pregnancy pathology, which is accompanied by dull or sharp pains in the abdomen. As a rule, they will be localized at the place of detachment and accompanied by other signs:

• Bleeding of varying intensity.
• Local protrusion of the uterine wall.
• Violation of the condition of the fetus.

When the detachment goes along the central type, then there may be no discharge from the vagina at all. But their absence is not a positive phenomenon, since in this case the blood seeps into the muscles of the uterus, forming the so-called retroplacental hematoma.

If it reaches a large size, the fetus will die, and the uterus in this place will lose its contractility, which will lead to massive bleeding, insensitive to reducing agents, and DIC.

Placental abruption is a common consequence of injuries or diseases that affect a woman's vascular system.

Diseases of the gastrointestinal tract

A rather extensive group of diseases in which stabbing or cutting pains appear in the abdomen is the therapeutic pathology of the gastrointestinal tract. It includes conditions such as gastritis, peptic ulcer, cholecystitis, pancreatitis, and colitis. Each condition is accompanied by its own signs, but most of them are characterized by the following:

• Decreased appetite.
• Nausea.
• Vomit.
• Bloating.
• Loose stool or constipation.

With a peptic ulcer, the stomach or duodenum is affected, therefore, it most often cuts in the epigastric region. In the case of pancreatitis, acute pain occurs on the left under the ribs, spreading to the back and right sections of the abdomen, acquiring the character of girdle.

If the cramps are disturbing on the right, then you can think of cholecystitis. In this case, the pain often radiates to the right shoulder girdle. Colitis occurs with the appearance of foreign impurities in the feces: blood, mucus or pus. Basically, the symptoms are provoked by violations in the diet and do not change when walking.

Diseases of the stomach or other organs of the digestive system require proper treatment. So that chronic pathology does not worsen during pregnancy, you need to pay attention to preventive recommendations.

Infectious pathology

Often there are stabbing pains in the lower abdomen during pregnancy due to infectious diseases. This is facilitated by the violation of hygiene rules in the use and preparation of food.

So, a similar symptom appears with salmonellosis, food poisoning, dysentery, amoebiasis, enteroviral diarrhea or cholera. In this case, the stomach and intestines are affected, which is accompanied by characteristic signs:

• Nausea and vomiting.
• Loose stools with pathological impurities.
• Flatulence.
• Temperature increase.
• General weakness, malaise.

With significant fluid loss due to repeated vomiting and diarrhea, dehydration may develop. Often, signs of infectious-toxic shock are observed: pressure decrease, dizziness, pallor of the skin with blue fingers, fainting.

To effectively cure the disease, you must first determine the causative agent of the infection.

Inflammatory diseases of the genital organs

If the lower abdomen is pulled, then inflammation of the appendages cannot be ruled out. Although this is less common during pregnancy, it is still possible, especially given the decrease in overall immune protection. Exacerbation of chronic adnexitis occurs with the following symptoms:

• The pains are usually unilateral in nature and may be aggravated by walking.
• Temperature increase.
• Pain on palpation of the abdomen and gynecological examination.

If the inflammatory process has a specific character, then it mainly begins with the vagina, and if untimely treatment can spread to the internal genital organs. In this case, great importance is given to characteristic secretions:

• Liquid foamy with a greenish tint - with trichomoniasis.
• Mucopurulent - with gonorrhea.
• Turbid whitish color with the smell of fish - with gardnerellosis.

It is necessary to treat inflammatory diseases of the genital organs in time, as there is a danger of damage to the peritoneum and the development of peritonitis.

Diseases of the urinary system

Cutting pains in the lower abdomen are a frequent companion of cystitis. It can occur when the infection spreads in an ascending (from the kidneys) descending (through the urethra) route. During pregnancy, this disease is especially common, due to the expansion of the urethra, relaxation of the sphincters and compression from the uterus. Thus, the following manifestations develop:

• Pain in the suprapubic region.
• Cutting and burning at the end of urination.
• Frequent urge to go to the toilet.
• Change in color of urine.
• Pain on palpation in the lower abdomen.

Sometimes the body temperature may rise, but more often the intoxication syndrome occurs with pyelonephritis. Then a positive symptom of tapping in the lumbar region will be characteristic.

Damage to the bladder and kidneys also provokes pain in the abdomen. They need to be distinguished from other causes.

Diseases of the spine

Pain in the abdomen also occurs due to problems with the spine. If a woman has osteochondrosis, then the increased load on the lumbosacral region during pregnancy provokes the appearance of radicular syndrome.

Then the pain can be given to the abdomen, chest, lower limbs. It is especially important that such phenomena are aggravated by walking, prolonged standing or sitting, sharp turns or bends, severe coughing or sneezing.

Treatment

Taking into account the diversity of pathology, which is accompanied by abdominal pain during pregnancy, a strictly differentiated approach is necessary in the treatment. It is necessary to use means of diverse action on the pathological process: etiotropic, pathogenetic and symptomatic.

If the violations are not associated with surgical pathology, then conservative methods are used. In most cases, they allow you to achieve the desired result.

Diet

A pregnant woman should not forget that even normal changes in her body require a review of food preferences. To minimize discomfort in the abdomen and provide significant assistance in the treatment of pathology, it is necessary to adhere to certain dietary recommendations:

• Eat well and regularly.
• The diet should contain a variety of foods.
• Avoid eating fatty, spicy, smoked foods, carbonated drinks.
• Minimize the content of cabbage, legumes, crude vegetable fiber.
• Give preference to stews, baked and boiled dishes.
• Limit salty, pickled foods, fresh pastries.
• Eat dairy products, cereals, lean meats, fish.
• Drink enough liquid.
• Stop drinking alcohol and smoking.
• Immediately after eating, do not lie down and do not engage in physical activity.

Medical therapy

The use of drugs is a central component of conservative therapy for the vast majority of diseases. But during pregnancy, the main focus should be on the safety of medicines for the fetus.

A woman may not worry about this, since only those medicines are used that are indicated in regional and international recommendations for the treatment of diseases in obstetric practice. Therefore, it is possible to use the following groups of drugs:

• Antispasmodics.
• Tocolytics.
• Improving blood circulation.
• Means of the progesterone series.
• Adsorbents.
• Antibiotics.
• Enzymes.
• Probiotics.
• Vitamins.

The choice of drug depends on the diagnosis and characteristics of the woman's body. Doses and course of medication are prescribed by a doctor.

Physiotherapy

In some cases, physiotherapy is indicated during pregnancy. This applies to miscarriage and a certain chronic pathology in the stage of fading exacerbation. The following methods may be used:

• Electrophoresis.
• Electrorelaxation.
• Reflexology.
• Balneotherapy.

In addition, many diseases occur with a violation of the emotional background. Therefore, psychotherapeutic agents are often used. This is necessary in the normal course of pregnancy, not to mention the pathology.

To get rid of pain in the lower abdomen, you need to timely determine the origin of discomfort. Whether it is necessary to start active treatment or you can limit yourself to general recommendations - only the doctor will tell.

Many women in the position are interested in why the stomach hurts during pregnancy, especially if it happens at the bottom of the peritoneum.

Perhaps, this question is most often asked by expectant mothers, because it is precisely such pains that they consider the most dangerous.

Pain as a sign of pathology

And there is every reason for that opinion.

After all, one of the first signs of various types of pathologies that occur over 9 months is precisely the pain that covers the lower abdomen.

For example, in the case of exfoliation of the placenta, you will feel pain in the lower abdomen (the term is not decisive).

Pain in this place will appear in case or during.

How to understand what the sensations that arise in this area are talking about?

First of all, there is no need to experience panic fear when the lower abdomen begins to ache, be it at least the first month, at least the ninth.

Pain can be not only an indicator that something out of the ordinary has happened, but is also a common occurrence.

However, in any case, it is important to immediately consult a doctor if the sensation is strong, stabbing, and its intensity only increases over time.

norm or problem

Please note: the pain that occurs in the process of bearing a baby, at some point, becomes just the norm for the expectant mother.

Still - after all, they accompany a woman throughout her pregnancy, not retreating even for a week!

• first, the ligaments that support the growing uterus begin to ache;
• with an increase in the term, the back hurts more and more;
• pulls the stomach;
• at the end of the term, there is a feeling that the whole body hurts: its own weight has increased, the baby kicks, the uterus presses on the organs.

During pregnancy, the lower abdomen can hurt from the very first day, as if warning you about the fusion of the sperm and the egg.

But some will only experience them closer to birth. It all depends on the individual characteristics of each woman!

It is this type of sensation that is characterized by the fact that it informs the pregnant woman about a variety of changes that occur in her body.

It is not for nothing that doctors divide the pains that cover the lower abdomen of a pregnant woman into two groups: obstetric and non-obstetric.

• The first group includes those that warn of existing pathologies, sometimes even in the first month, (ectopic pregnancy, placental abruption) or speak of a threatened abortion.
• To the second, those that arise in connection with changes in the "pregnant" body, some of which are associated with the growth of the abdomen.

And, therefore, there are stretched ligaments, increased weight or characteristic changes in the gastrointestinal tract.

This also includes pain in the lower peritoneum caused by various diseases that can be eliminated surgically (for example, appendicitis).

Causes of pain in the 1st trimester

The first months is a period in which you need to carefully monitor your body, paying special attention to pain that occurs in the lower abdomen.

The fact is that most miscarriages occur at this time. And the reasons could be:

• most often in the first month, the stomach (its bottom) hurts simply because the body is preparing for pregnancy and hormonal changes occur.

In this case, sometimes the lower back also hurts.

• already in the first month, the uterus grows, because the ligaments, which are unaccustomed to even such a load, begin to whine.

The time will come when they will become thicker, and the stomach will be very large - cramps will cover its bottom at the end of the day with excessive activity of the pregnant woman

• a woman may begin rejection of an embryo or fetal egg, which will end in a miscarriage.

In this case, spasms may be accompanied by bleeding. Sometimes the process, if the deadline is very early, can go unnoticed at all.

The stomach will simply ache or there will be periodic spasms at the bottom of the peritoneum as during menstruation, or it can be confused with the onset of menstruation

• with an ectopic pregnancy, severe abdominal pain will occur, but not in the first month of an interesting position, but in the second.

It is important to see a doctor on time, otherwise there is a threat of rupture of one of the fallopian tubes. When the stomach was seized by a piercing sharp pain that cannot be tolerated, perhaps the process is in full swing.

Features of the first 3 months

It is worth noting: in the first (second) month, the spasms that “hit” the lower abdomen, during which bleeding occurs, do not always indicate that a pregnant woman has a miscarriage.

Almost every fourth woman in the position has something similar, being a feature of the course of pregnancy, which can continue safely.

But during an involuntary abortion, the pain in the lower abdomen does not stop, and there will be so much blood that you cannot do without a pad.

It happens that shortly before the rejection of the fetal egg, other "charms" of pregnancy also disappear.

By the way, each stage of the process is characterized by its own pain. If you try to distinguish between them, then by contacting the doctor at the right time, you can save the pregnancy. They are accompanied by heaviness in the lower abdomen and discomfort in the sacrum.

No need to immediately run to the hospital yourself, even when the term is not long, and the stomach hurts not so much that it could keep you at home.

Pain in the 2nd and 3rd trimester

Why does the stomach hurt if the gestational age has already "passed" for 7 months?

• Most often this is due to digestive problems, which are sure to occur in almost everyone.

And they are caused by the pressure of the uterus on the intestines and the menu, which combines antagonist products.

Also affect the gastrointestinal tract overeating, eating large portions.

Bottom line: a woman in position has gases, even colic.

Naturally, sometimes they can cause very unpleasant sensations in the lower abdomen - this is what distinguishes the period of 5-9 months.

• The ligaments that hold the uterus are in constant tension.

If a pregnant woman happens to walk a lot, lie in one position, she feels pulling pains in the lower abdomen, which disappear when changing position or resting.

Such sensations are aggravated by sneezing or laughing: at this moment, the stomach below seems to be pierced by an electric discharge. The pain can even be sharp, but the time during which it will be felt strongly is minimal.

• Late term is a time when a woman gets tired incredibly quickly, especially when.
• It happens that the stomach hurts for a very banal reason - overstrain of the abdominal muscles (especially after 5 months, you know this).

In this case, it is better to lie down and everything will pass. You need to reduce the load, reduce the speed when walking.

• The stomach, or rather its bottom, hurts if the baby (people say about this phenomenon “the stomach has dropped”)

For you, this is a signal: getting closer.

In this case, the pressure on this area increases, sometimes discomfort is interspersed with swelling of this area, pain in the legs, which are also similar to weak discharges of electric current.

What to look out for

There are other reasons why the stomach hurts. And they require the mandatory intervention of a doctor.

• For example, sometimes during pregnancy there is an exacerbation of such chronic diseases as pancreatitis, intestinal obstruction occurs.

In the first month of an interesting situation, this does not happen, more often this happens when at least half the term has passed. Such a disaster will be indicated not only by a aching stomach, but also by nausea, fever, dizziness. In such cases, it is imperative to call an ambulance.

Pain in the abdomen during pregnancy worries every woman, literally drives her into a panic. But gynecologists assure that there are many physiological factors that can provoke pain in the abdomen during pregnancy. Doctors differentiate pain according to the duration of pregnancy - in the first or second trimester and in the later stages.

Abdominal pain during early pregnancy

The lower abdomen during pregnancy hurts most often in the early stages, while obstetric and non-obstetric pains are distinguished. In the first case, the syndrome under consideration can be caused by the physiological characteristics of the body, ectopic pregnancy, premature detachment of the placenta, spontaneous abortion. Non-obstetric pains are those that are the result of pathologies that develop in organs that are not related to the reproductive system.

A woman should not worry if, in the early stages of pregnancy, the lower abdomen hurts as follows:

1. Pulling, non-intense, recurring pain in the lower abdomen, localized either on one side, or captures the entire abdomen - this indicates a sprain that holds the uterus.
2. The pains are spasmodic in nature, they are characterized by constancy and lack of intensity - this is due to hormonal changes in the body.
3. Spasms of very low intensity with the release of a minimal amount of blood from the vagina - this usually occurs on the 10-15th day after conception and only means that the fertilized egg has attached to the wall of the uterus, and the embryo is already beginning to develop. note: spasms can be only on the left or only on the right side of the abdomen, the localization of pain depends on which wall of the uterus the fetal egg is attached to.

If a woman has an ectopic pregnancy, then the pain syndrome will have characteristic features:

• pain stabbing, piercing the entire abdominal cavity;
• attacks of pain appear according to the principle of contractions - they are strong and frequent;
• there is bleeding or brown spots on the underwear - it depends on whether the uterine (fallopian) tube has ruptured or is limited to an anguish.

note: with an ectopic pregnancy, some women, in addition to abdominal pain, experience severe cramps in the lower back. The pain can last for several days, up to a month, but an ectopic pregnancy always ends with the death of the ovum, rupture of the fallopian tube and surgery.

In the early stages of pregnancy, abdominal pain may appear due to disturbances in the functioning of the intestines - due to hormonal changes in the body, it begins to function “sluggishly”, waste products move slowly through the intestines, hardening and provoking constipation. In addition, a woman may be disturbed by increased gas formation and, as a result, bloating of the intestine - this also causes pain.

Pregnancy is a rather serious “test” for the body, and in the case of previously diagnosed inflammatory processes of a chronic nature of the internal organs, abdominal pain will certainly occur. With adnexitis (inflammation of the ovaries), pyelonephritis (pathology of the kidneys), cystitis (inflammatory process in the bladder), the pain syndrome will be characterized as unstable, pulling and undulating. note: abdominal pain during pregnancy due to chronic inflammatory diseases is never accompanied by bleeding.

Diagnosis of abdominal pain in early pregnancy

With the appearance of pain in the abdomen, even of a non-intense nature in the early stages of pregnancy, a woman should immediately consult a doctor for examination, consultation and treatment, if necessary. The gynecologist will definitely refer the patient with such complaints for a deep examination:

• ultrasound examination of the pelvic organs - will help identify pathological changes in the structure of the uterus, detect neoplasms (for example, fibroids) and ectopic pregnancy;
• computed tomography is a more accurate diagnostic method that not only gives an idea of ​​the clinical picture, but also differentiates pathologies, determines the benign / malignant nature of tumors;
• laboratory analysis of blood and urine - it is possible to identify inflammatory processes outside the reproductive system.

Naturally, at the first appointment, the gynecologist collects data on the woman's sexual development (when the first menstruation went, whether there were menstrual irregularities) and on previously diagnosed diseases. Of no small importance in the diagnosis of abdominal pain during pregnancy are data on previously performed instrumental and / or vacuum abortions, spontaneous miscarriages and surgical interventions for ectopic pregnancy.

Treatment

If abdominal pain during pregnancy in its first or second trimester has an exclusively physiological etiology, then the gynecologist will not prescribe any treatment. But dynamic monitoring of a woman's health should be mandatory - any pain syndrome can result in bleeding and miscarriage / spontaneous abortion.

In case of detection of chronic inflammatory or infectious diseases, therapy will be prescribed that will not affect the intrauterine development of the fetus.

When diagnosing an ectopic pregnancy, surgical treatment and a long course of rehabilitation with the use of hormonal drugs, the passage of spa treatment are indicated.

In case of pain due to bloating or constipation, a woman will be advised to adjust her diet, replacing fatty, “heavy” foods with more easily digestible ones.

Abdominal pain in late pregnancy

If the stomach hurts during pregnancy in the later stages, then this may indicate some physiological reasons:

1. Constipation, increased gas formation, violations of the diet and meal schedule. The intestines are already under pressure during pregnancy from the growing and increasing weight of the uterus, and if a woman neglects the simple rules of nutrition, then the pain will be constant. A characteristic feature of the pain syndrome with intestinal dysfunction is short-term spasms that appear 20-30 minutes after eating and disappear after the end of the digestion process (maximum hour).
2. Stretching of the ligaments that support the uterus in the desired position. At the very beginning of pregnancy, the ligaments are just beginning to stretch, but in the later stages they experience more severe pressure. For such pains, there is a certain characteristic: aching, radiating to the lower back, aggravated by sudden movements and coughing / sneezing.
3. Too much tension in the abdominal muscles. This is also due to the growing uterus and the increased weight of the fetus.

But often the pain syndrome that appears in late pregnancy can signal the development of pathological conditions:

1. There is an exacerbation of chronic inflammatory processes in the pancreas (pancreatitis), kidneys (pyelonephritis), bladder (cystitis). But in this case, the pains will be sharp, prolonged and pressing, they are always accompanied by hyperthermia (fever), signs of intoxication of the body (nausea, dizziness, vomiting, weakness) may appear.
2. Premature birth begins. A similar development of events is possible at any stage of pregnancy, but if in the first trimester a miscarriage is first manifested by blood discharge, then in the third trimester it all starts with abdominal pain. It will be pulling, aching and girdle (goes to the lumbar region). Immediately after the onset of pain, a woman also notes vaginal discharge, which can have a different structure and shade - from pink-transparent to scarlet, viscous or watery.
3. Premature detachment of the placenta. In the process, the placenta separates from the wall of the uterus - the vessels are torn, which causes severe pain and bleeding. Early placental abruption can occur due to abdominal trauma, after excessive physical overstrain, with diagnosed late toxicosis or persistently high blood pressure.
4. There was a stagnation of bile in the gallbladder. This pathology develops due to increased production of the hormone progesterone - it is responsible for relaxing the uterus, preventing miscarriage or premature birth. But one of the "side effects" of such exposure is the relaxation of the smooth muscles of nearby organs - the gallbladder suffers most often. The muscles of this organ are relaxed, the release of the required amount of bile when food enters the stomach does not occur, and the result is stagnation of bile, pain in the abdomen with localization on the right. The pain syndrome is unstable, has a spasmodic character, is accompanied by nausea and a bitter taste in the mouth.
5. Rupture of the uterus. This can happen with an existing scar on a hollow organ - for example, an abdominal operation was previously performed or a previous birth ended with a caesarean section.

Diagnostics

If in late pregnancy a woman experiences abdominal pain, then this is a reason to visit a gynecologist outside the schedule of examinations. The doctor begins the diagnosis with a deep study of the history of the life and diseases of a woman - for example, if there are chronic pathologies in the anamnesis, then it is worth immediately conducting a profile examination. The next step is an ultrasound examination of the uterus and fallopian tubes. The doctor will be able to detect problems in the uterus, with timely treatment, it will be possible to diagnose the onset of untimely placental abruption or the onset of premature birth.

In the event of an emergency (a woman is in severe pain, there is blood discharge, the patient's condition deteriorates sharply, she loses consciousness), a pregnant woman is shown a surgical intervention without a preliminary examination. By performing a caesarean section, it becomes possible to save the life of the fetus and the health of the mother.

Treatment

note: in case of sharp, intense pain in the abdomen during pregnancy, accompanied by bloody discharge from the vagina, you should immediately seek professional help. You should not go to the gynecological clinic or maternity hospital on your own - from the first minutes of this condition, medical support is necessary.

If the stomach hurts for physiological reasons, then the following measures can be taken:

• adjust the diet, eliminating too fatty, spicy dishes, giving up spices, sauces;
• set a clear meal schedule - snacking, eating cookies / cakes / chips in front of the TV or reading a book should be excluded;
• get rid of constipation - eat prunes, dried apricots, drink fat-free kefir at night;
• lead an active lifestyle - passivity in late pregnancy leads to stagnation of bile.

Abdominal pain during pregnancy should not lead to panic - just calm down, visit a gynecologist to find out the cause of the syndrome and follow all the recommendations and appointments of specialists. According to statistics, the stomach hurts more often during pregnancy due to physiological changes in the body that are not a pathology and do not threaten the life of the fetus and woman.

You can get more information about abdominal pain during pregnancy by watching this video review:

Tsygankova Yana Alexandrovna, medical observer, therapist of the highest qualification category.

Pain in the lower abdomen during pregnancy worries almost every expectant mother.

Basically, it is natural in nature and does not threaten the health of the woman or the condition of the fetus.

However, in some cases, the appearance of such a symptom should alert, especially if it causes severe discomfort, is acute, unbearable and is accompanied by additional alarm signals.

Causes of pain in the lower abdomen during pregnancy

There are many quite understandable natural causes of pain in the lower abdomen during pregnancy, while depending on the duration of pregnancy, they can be very diverse.

Pain in the lower abdomen as a sign of pregnancy

A few days after fertilization, the embryo enters the uterus and is introduced into its mucous membrane. This process is not always, but quite often accompanied by pulling pains, which disappear by themselves after 2-3 days. In rare cases, pain may be accompanied by scanty, spotting, lasting for 1-2 days.

A tubal or ovarian pregnancy can also cause discomfort. However, in this case, the symptom does not go away, pain sensations progress.

At the decisive moment, a tubal abortion or rupture of the fallopian tube occurs, accompanied by acute pain, a sharp deterioration in well-being. This condition is extremely dangerous for a woman's life and requires immediate surgical intervention.

In order to prevent complications and not to miss the development of an ectopic pregnancy, it is important to register on time and undergo all the necessary examinations confirming the normal location of the pregnancy.

Pain in the lower abdomen in the first trimester

At the very beginning of pregnancy, the level of sex hormones naturally increases in the body of the expectant mother. One of them - progesterone, affects the digestive system: it reduces the rate of digestion of food.

All this is necessary so that the fetus gets more useful nutrients. However, in the same period, the woman's food habits change, appetite increases, toxicosis begins - All of this together easily leads to indigestion., which is often manifested by frequent bloating, constipation and, of course, pain in the lower and central part of the abdomen.

If the lower abdomen hurts in the second trimester

As the fetus grows, the enlarged uterus constantly shifts the organs of the small abdominal cavity, which also causes abdominal pain during pregnancy.

In this case, the main burden in the second trimester falls on the intestines.

The uterus squeezes its departments, prevents the normal passage of food.

As a result, the normal process of digestion in the intestines is disturbed, constipation appears, and sometimes bloating. All of this can cause pain.

In addition, in the first half of pregnancy, pulling pains can occur due to the rapid growth of the fetus and the enlargement of the uterus: the muscles of the uterus itself are stretched, the ligaments that hold it in its normal position.

Pain in the lower abdomen in the third trimester

At the end of pregnancy, the uterus reaches a significant size. Its heaviness is felt, every movement of the fetus can cause discomfort in the abdomen.

At the same time, the uterus itself compresses the bladder, which stimulates frequent urination, and with sufficient fullness, stabbing pain can occur, as well as pulling, sharp, radiating to the perineum and passing after emptying the bladder.

Note that in late pregnancy, a sharp pain in the lower abdomen, accompanied by a feeling of heaviness, a “stone stomach”, may occur due to overstrain of the abdominal muscles or uterine hypertonicity.

To get rid of it, you need to rest for a few minutes. However, it is important not to confuse such a symptom with contractions and the onset of labor: if the pain resumes at any frequency, you should urgently consult with your doctor or go directly to the hospital.

Pathologies that cause pain during pregnancy

In some cases, both in late and early pregnancy, pain in the lower abdomen may be a symptom of the presence of a pathology of the internal organs.

In the iliac and inguinal region, pain that occurs in diseases of the gastrointestinal tract, urinary tract, organs of the reproductive system, pancreas, blood vessels and musculoskeletal system, as well as the threat of termination of pregnancy, can be localized or reflected.

It's a dull pain

Unpleasant, exhausting, aching pain in the lower abdominal cavity during pregnancy can occur for various reasons. The first and most frequent of them is the exacerbation of chronic gynecological diseases.

It can be salpingitis, salpingoophoritis, adnexitis, that is, inflammation of the uterine appendages. In addition, a similar symptom can be caused by a cyst or ovarian cystoma, uterine fibroids and other pathological formations of the reproductive system organs growing against the background of hormonal changes.

Aching pain during pregnancy may also indicate the presence of a threat of pregnancy, improper location of the placenta or its premature detachment, abortion that has begun.

All these conditions are a serious threat to the life of the fetus and the health of the expectant mother, so the appearance of such a symptom should in no case be ignored.

Cutting pains

Most often, such pains occur against the background of a natural slowdown in the processes of digestion and the appearance of constipation.

However, during pregnancy, the risk of the onset or exacerbation of various diseases associated with the digestion of organs increases significantly: dysbacteriosis, appendicitis, intestinal obstruction, pancreatitis.

All these pathologies can cause acute, rather severe cutting or stabbing pain in the lower abdomen and almost never go away on their own, without the intervention of a doctor.

Sharp cutting pains in the middle to end of pregnancy can talk about the appearance of an inguinal hernia- a condition in which the abdominal muscles diverge or tear. In this case, the pain is acute, manifested by any tension or movement of the fetus. The condition is dangerous and requires mandatory treatment.

The second article from the same category, but the information in it is about pain in the abdomen on the left side,

Also, we hope you will be interested in how to properly treat teeth for pregnant girls, full information is available at this link

Pain in the lower abdomen on the right

This area often gives pain associated with problems of intestinal digestion, acute or exacerbated chronic appendicitis, as well as diseases of the right uterine appendages. Much less often in the right inguinal region there are pains associated with compression or pathologies of the right ureter.

Pain in the lower abdomen on the left

Pain in the groin on the left during pregnancy often becomes one of the manifestations of eternal constipation and flatulence. Inflammation or formations on the right uterine appendages also often cause unpleasant pulling, and sometimes sharp pains in this area.

In some cases, pain associated with varicose veins of the small pelvis and acute infection of the reproductive system organs radiate to the left inguinal region.

Treatment of pain in the lower abdomen during pregnancy

Pain is not a pathology, but only its consequence. That is why no doctor recommends getting rid of it on your own..

And this is especially true for pregnant women: having taken an anesthetic pill and thus getting rid of unpleasant symptoms, they may not pay attention to the presence of a serious deviation that can lead to disastrous consequences not only for the woman herself, but also for her unborn child.

Therefore, any ailments, incomprehensible symptoms, and especially pain during pregnancy should be an obligatory reason for an early trip to the gynecologist.

The state of a woman during pregnancy changes in an unpredictable way. Girls in position can experience a lot of unusual sensations, and quite often the lower abdomen hurts in pregnant women. Do not be afraid and panic, this will only aggravate the condition of the expectant mother and baby.

It is worth remembering that in most cases this condition is physiological in nature and does not pose a danger. But sometimes such pain can warn of the development of pathologies during pregnancy, so a young mother should know all the subtleties of this unpleasant sensation. And it is very important not to hide this condition from the specialist who leads the pregnancy, since it can indicate very serious violations and even indicate the possibility of losing a child.

Firstly, there are different types of pain, and secondly, the week of pregnancy in which the girl encountered this sensation is important. This is what the doctor evaluates during consultation in cases of such complaints.

When pain in the lower abdomen is a safe symptom

Since from the very beginning of the conception of a baby in the body of a woman there are many changes that are imperceptible at first glance, pain can be observed, which should not be considered a pathology at all.

Thus, the body simply signals an unusual state.

Harmless causes of pain may include:

1. In the early stages, this sensation may be a sign that a fertilized egg is being introduced into the tissues of the uterus. This process is called implantation of the fetal egg, and after a few days the pain disappears.
2. Unstable functioning of the digestive system that occurs due to pregnancy. In this case, the girl often experiences a feeling of bloating in the abdomen and difficulty defecation (constipation). The consistency and color of the stool also change. These symptoms also go away without treatment after the body gets used to the presence of the embryo.
3. At the end of the first trimester, the uterus becomes larger and changes its position. This is what causes pain. Stretching of the muscle tissue can cause this condition.
4. Increased production of the hormone progesterone, which helps form the birth canal during pregnancy, can also cause abdominal pain because it makes the ligaments and joints more elastic. The action of the hormone extends to the uterus, which causes characteristic pain.
5. At a later stage of pregnancy, somewhere in the third trimester, the cause of this phenomenon may be the impact of the baby's legs or arms. When the baby has grown up, his movements can cause pain if he sharply pressed on any internal organ. This happens especially often when the mother's bladder is full.

Only a specialist after examination and examinations can affirmatively say that the cause is harmless. A woman should not wait and hope that everything will pass by itself. If you remain silent at the first sign of violations, you can provoke a lot of complications that are unsafe for the health of the mother and child. Therefore, it is better to immediately tell the doctor about the discomfort than to ignore the problems and bring the situation to a critical one.

Abdominal pain as a signal of the development of pathologies during pregnancy

Carrying a baby is a rather long and difficult process for the body of any woman. And, unfortunately, not everyone goes through it without pain and various deviations. If a pregnant woman has a pain in the lower abdomen, then you should immediately assess the possibility of the presence of such disorders as:

1. Hypertension of the uterus is the most common cause. This condition is quite dangerous, it requires monitoring by doctors and treatment. The uterus becomes inelastic, which makes it difficult for the baby to fit properly in the womb and can lead to miscarriage. Pain in the abdomen in this case is also accompanied by a pulling pain in the lumbar region.
2. Frozen pregnancy, when the baby loses viability in the womb. Often in this case, there is an increase in body temperature, nausea and vomiting, and the symptoms that accompany pregnancy disappear.
3. An ectopic pregnancy is also accompanied by pain in the lower abdomen. This means that the embryo does not develop within the uterus and in the tubes. If you do not see a doctor in a timely manner, this can lead to rupture of the tubes, which has quite serious consequences for the woman's body and can greatly complicate further attempts to become pregnant.

Such conditions are often accompanied by smearing discharge of various colors and consistency, this is a sure sign that you need to immediately contact a specialist. Such conditions can lead to irreversible consequences, so you can not hesitate, you must immediately fix the problem under the strict supervision of doctors.

Exacerbation of chronic diseases

In the first stages of pregnancy, a woman's immunity decreases so that the body does not reject the embryo. This can lead to an exacerbation of chronic diseases. Also, this phenomenon may occur as a result of an increased load on all organs and systems, since during this period a woman needs to cope with ensuring the vital activity of two organisms.

In this case, the intensity and type of pain can be very diverse. Despite the fact that these conditions do not directly affect the girl’s ability to bear a child, they can indirectly cause a violation of the development of the baby or a sharp deterioration in the mother’s condition and her inability to fully spend the period of pregnancy and childbirth.

Conditions that can cause abdominal pain include:

1. Cholecystitis is a disease of the gallbladder, which is accompanied by sharp pains in the right side of the abdomen. Also, the girl's body temperature rises sharply and vomiting appears. In addition, bitterness in the mouth may occur.
2. Gastritis can also worsen during pregnancy, since squeezing the stomach during the birth of a new life in the uterus can make it difficult to remove gastric juice, which provokes a relapse of the disease. In this case, in most situations, the pain spreads to the upper abdomen, and only sometimes it is transferred to its lower part.
3. Pyelonephritis, inflammation in the kidneys, often occurs due to the fact that the excretion of metabolic products from the organs is difficult. The condition is characterized by aching pains, as during menstruation, which are given to the lower back. Inflammation can pass without an increase in temperature, but simple tests will immediately show the presence of this pathology.
4. Cystitis is a disease of the bladder, dangerous for the spread of infection through the reproductive tract, which can lead harmful microorganisms directly to the child. This disease is accompanied by painful and frequent urination. Blood impurities in the urine may also be observed.
5. Acute appendicitis. The situation occurs when the organ is inflamed, and this requires emergency medical attention, often surgery. In a woman, such an ailment is accompanied by a prolonged attack of pain, which changes intensity, while the temperature rises and vomiting begins.

All these diseases are considered severe and dangerous for both the mother and the baby. They need serious attentive therapy, which is mainly carried out in a hospital. Often doctors have to use drugs that are strong enough to keep a woman's ability to bear a baby. But it is not worth hoping that it will be possible to recover from these diseases on your own.

Without the attention of a doctor, ailments will develop and provoke new deviations.

At the time of bearing a baby, the proper functioning of each organ is important, so it is necessary to monitor the general state of health. In preparation for pregnancy, a woman needs to be examined qualitatively and, if possible, solve health problems.

These tips can only be used after consulting a doctor and a clear understanding that there are no pathologies and chronic diseases, since if there are any, the doctor prescribes a certain treatment and gives specific recommendations on nutrition and lifestyle. In some cases, for example, it is necessary to minimize movements throughout the pregnancy and follow a strict diet in order not to provoke an exacerbation of diseases.

But if abdominal pain appeared due to non-dangerous physiological causes, then several important recommendations should be remembered:

1. You shouldn't overeat.
2. You need to spend at least 4 hours a day outside.
3. It is important not to forget about measured walking in the morning and evening.
4. It is necessary to eat light foods that reduce the burden on the digestive organs, kidneys and liver.
5. No need to take any drugs, even vitamin complexes, without a doctor's prescription.

All this will help strengthen the body and give it the resources to cope with such a difficult task as bearing a child. If there are no pathological factors at the heart of the pain, then it will pass within a few weeks.

After giving birth, a woman can completely forget about these unpleasant sensations. The main thing is to carefully monitor your health and changes in the body. It is worth listening to your body, and it will tell you what violations it has. Modern gynecology and obstetrics, in turn, have a large arsenal of tools to make pregnancy as comfortable and painless as possible.