Abdominal pain in the early stages of pregnancy. When nagging pain can signal serious problems

It's no secret that the time when a woman is expecting a child is the most wonderful time in her life. During this period, the body of the fair sex undergoes enormous changes. That is why the sensations in the stomach in the early stages can be completely different. Some ladies have no signs of conception at all and no complaints about a special condition.

Conception and pregnancy

To begin with, it is worth saying how conception occurs. About in the middle female cycle the woman releases a cell from the follicle. After this, the egg, born and ready for fertilization, begins to move along the fallopian tubes towards the reproductive organ. This is where she can meet the sperm. After the fusion of these two components, continuous cell division begins.

When new organism reaches the uterine muscle, cells are introduced into its inner layer. From this moment, conception can be considered successful.

How is the pregnancy period divided?

There are different stages of pregnancy. There are three of them in total. These time periods are called trimesters and last on average from 8 to 12 weeks.

At each stage of pregnancy, the doctor prescribes appropriate tests for the woman. These may include an ultrasound examination, a vaginal smear, a blood test for possible pathologies fetus Also in the third trimester, the gynecologist examines the pregnancy using a CTG machine. During the procedure, the baby's heart rate is measured.

The third period of gestation ends with childbirth. After this, the fetus becomes a human and can already breathe, hear and see on its own, but it still needs its mother.

Feelings in the abdomen in early pregnancy

Many women experience new sensations during this period. To begin with, it is worth saying which stages of pregnancy are early and which are late. Short term pregnancy is diagnosed before 8 weeks, which is approximately the first two months from the date of the last menstruation. It is during this period of time that the expectant mother may notice new sensations in her stomach. A woman’s well-being can change greatly. Let's consider the most common sensations that a woman experiences.

During ovulation

During this period of time, a representative of the fair sex may say that she feels bursting or pressing pain on the left or right. This is explained by the growth of the follicle and, of course, pregnancy has not yet occurred at this time, but if the result is positive, this time period will be included in the gestation period of the child.

Directly during the rupture of the follicle, the lady may notice a sharp cutting pain on one side. After this, some women note the appearance of bloody discharge from the genital tract.

During the fertilization period

Some representatives of the fair sex claim that sensations in the stomach in the early stages of pregnancy began precisely from the moment the egg was fertilized. Most likely, this is simply self-hypnosis, since no one can say for sure, up to a fraction of a second, when exactly the fusion of two cells occurred.

Usually this process is not accompanied by any special feelings. Human cells are so small that their initial division does not produce any symptoms or signs.

Implantation period

After the male cell meets the female cell, the pregnancy begins to develop and progress day by day. Every day, colossal changes and transformations occur with a new organism.

When it reaches the reproductive organ, it penetrates the endometrium and remains in its place for all subsequent periods of its development. At this moment, a woman may feel that something is happening in her body. Also, this process can go completely unnoticed.

Statistics say that especially those women who planned conception and were waiting for it experience special sensations during this period. Such representatives of the fair sex say that they feel slight tugging painful sensations. Other women admit that they felt similar to the period of ovulation, at this moment the lady may notice slight spotting bloody issues from the vagina. They are explained by the fact that during the implantation of cells into the wall of the uterus, damage occurs to the smallest blood vessels and capillaries.

Lower pain during pregnancy

Many women around the world complain of various pain sensations during pregnancy. Most of them occur in the early stages. As the embryo grows day by day, the uterus stretches. This is precisely one of the reasons for such complaints. However, it is necessary to know all the reasons why the stomach feels tight during pregnancy (early stages). Similar complaints may also occur in the middle of fetal development or before birth.

Threat of interruption of embryo development

It's no secret that most miscarriages and embryo failures occur in the early stages. This is due to the fact that so-called natural selection occurs during this time period. If the fetus has any abnormalities in genetics or receives the wrong set of chromosomes, then it simply stops its development.

This condition may be accompanied by unpleasant painful sensations that jeopardize pregnancy. The back during this period can also remind itself. During contraction of the reproductive organ, a woman feels heaviness in the lower back.

Deficiency or excess of certain hormones

The pregnancy (hormone) table indicates how much of a particular substance should be contained in a woman’s blood at different periods carrying a baby. With some deviations from the norm, a representative of the fair sex may experience painful sensations in the lower abdomen and back.

In most cases, expectant mothers face a lack of progesterone. This hormone is produced by the corpus luteum, which is formed in the ovary after the rupture of the follicle. The secreted substance maintains the normal tone of the reproductive organ and prevents it from contracting and rejecting the fertilized egg. At small quantity This hormone causes involuntary contraction of the uterine muscle and detachment of the fertilized egg.

If measures are not taken in time and necessary treatment, then spontaneous abortion may occur. That is why, if such symptoms appear, it is necessary to take a necessary tests and find out the content of certain hormones in the blood of the expectant mother.

A table of pregnancy and hormone levels will tell you how much of the substance should be in a woman’s blood at certain period pregnancy.

Growth of the reproductive organ

Sometimes pain in the lower abdominal cavity can be caused by the growth of the uterus. It is worth saying that during fertilization she is quite small. Pregnancy causes this organ to grow and stretch, changing its usual position.

As the uterine muscles increase, they shift neighboring organs: ovaries, fallopian tubes and intestines. At a later date, some more structures shift human body: kidneys, stomach, liver and spleen.

This process may be accompanied by nagging pain. It is worth noting that this condition is not a pathology and does not require any treatment.

Also, women who have undergone inflammatory diseases of the pelvic organs or any surgical interventions may suffer from pain in the lower abdomen. In most cases, such pathologies do not go away without leaving a trace and cause the formation of an adhesive process. As the uterus grows, the thin films stretch and tear. This leads to quite strong and sharp pain. They can be pulling, pressing or cutting. In this case, the woman is not prescribed any treatment other than rest and taking sedatives.

Ectopic pregnancy

In the early stages (about 4 weeks), it is almost impossible to diagnose pregnancy using ultrasound. However, during this period a woman may complain about nagging pain on one side or the other of the abdomen. In some cases, this may indicate the development ectopic pregnancy. If such a pathology is detected, it must be eliminated as soon as possible, since the consequences can be irreparable and lead to death.

How to diagnose an ectopic pregnancy in the early stages? Quite often, a blood test to determine the hormone hCG helps to find out about this pathology. Also, if a woman does not have severe pain, the doctor may choose a wait-and-see approach. If the sensations increase and the woman feels worse, she undergoes emergency surgery, during which the pathological pregnancy, trying to preserve all reproductive organs. An ectopic pregnancy can develop in the ovary, fallopian tubes, or abdomen.

Pathological processes

In some cases, unpleasant painful sensations in the lower abdomen during pregnancy can be a symptom of various pathologies that have nothing to do with the woman being in an interesting position.

Intestinal problems

While carrying a baby, a woman relaxes all the abdominal muscles. This is necessary in order to avoid spontaneous interruption pregnancy. Since the intestine is also a muscle, its peristalsis can be significantly reduced. This leads to constipation and gas accumulation. This condition causes a woman not only discomfort, but also nagging pain in the lower abdomen.

This condition can be easily corrected. The woman is prescribed a suitable diet and a mild laxative, the use of which is allowed during pregnancy.

Inflammatory diseases

During pregnancy, a woman's immunity decreases. This happens mainly in the very early stages. Nature did this so that the woman’s body does not perceive the fetus as a foreign body and does not reject it.

During this period, the lady may feel nagging pain in the lower abdomen, which is a symptom of the development of inflammation Bladder, ovaries or uterus. This pathology must be cured, as it can have a negative impact on the growth and development of the embryo.

Pathology requiring surgical intervention

Sometimes during pregnancy a woman may develop diseases that require surgery. They can also give symptoms such as nagging or aching pain in the back and lower abdominal segment.

It may encounter the formation of a large cyst or torsion of its pedicle. A woman can also be affected by appendicitis or peritonitis. All these pathologies are quite rare, especially in the early stages of pregnancy, but they are not excluded.

If a decision is made to carry out surgical intervention, then the most gentle method is selected. In most cases, the Doctor performs the operation as carefully as possible, trying not to affect reproductive organ and maintain the pregnancy.

Pain in late pregnancy

If you are quite close to your due date, then nagging pain in the lower abdomen may indicate that you will soon become a mother. If the fetus is already full term, then there is no reason to worry, but it is worth calling your doctor and letting him know how you are feeling.

If the baby is not yet full-term, then it is necessary to urgently call ambulance and go to the hospital. Especially if the pain intensifies and becomes cramping in nature. You may need to be hospitalized for some time until you feel better. All this is necessary in order to maintain pregnancy and carry the baby to term.

Conclusion

If you are in an interesting position and experience pain in the lower abdomen, then you need to visit a specialist managing your pregnancy as soon as possible. It may be that your pregnancy and your health are at risk. It may also become clear that your pain is physiological and does not pose any threat to you and your unborn baby.

Take special care of your health during pregnancy. Visit a specialist regularly and discuss with him all the issues that concern you. Feel free to ask the doctor about anything that interests you. Be healthy and have an easy birth!

Abdominal pain during pregnancy bothers every woman and literally drives her into panic. But gynecologists assure that there are many physiological factors that can provoke abdominal pain during pregnancy. Doctors differentiate pain according to the stage of pregnancy - in the first and second trimester and in the later stages.

Abdominal pain during early pregnancy

During pregnancy, the lower abdomen hurts most often in the early stages, and a distinction is made between obstetric and non-obstetric pain. In the first case, the syndrome in question can be caused by physiological characteristics body, ectopic pregnancy, premature placental abruption, spontaneous abortion. Non-obstetric pains are those that are the result of pathologies developing in organs other than the reproductive system.

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

1. A nagging, low-intensity, periodically occurring pain in the lower abdomen, localized either on one side or affecting the entire abdomen - this indicates a sprain of the ligaments that support the uterus.
2. The pain is spasmodic in nature, characterized by constancy and lack of intensity - this is due to hormonal changes in organism.
3. Spasms of very low intensity with the release of a minimal amount of blood from the vagina - this usually occurs 10-15 days 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 abdomen, the localization of pain depends on which wall of the uterus the fertilized egg is attached to.

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

• stitching pain piercing the entire abdominal cavity;
• attacks of pain appear according to the principle of contractions - they are strong and frequent;
• bleeding or brown spots appear on the underwear - this depends on whether the uterine (fallopian) tube has ruptured or is limited to a tear.

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 in the death of the fetal egg, rupture fallopian tube and surgical intervention.

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 through the intestines slowly, hardening and causing constipation. In addition, a woman may be bothered increased gas formation and, as a result, intestinal bloating - this also causes pain.

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

Diagnosis of abdominal pain in early pregnancy

When pain syndrome in the abdomen, even of a mild 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 the following complaints for a thorough examination:

• ultrasonography 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 clinical picture, but also differentiates pathologies, determines the benign/malignant nature of tumors;
• laboratory testing 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 did the first menstruation begin, were there any violations menstrual cycle) and previously diagnosed diseases. Of no small importance when diagnosing 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 the first or second trimester has an exclusively physiological etiology, then the gynecologist will not prescribe any treatment. But dynamic monitoring of the woman’s health must be carried out - 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 intrauterine development fetus

When diagnosing an ectopic pregnancy, it is indicated surgery and a long course of rehabilitation using hormonal drugs, undergoing sanatorium-resort treatment.

If there is 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 your stomach hurts during late pregnancy, this may indicate some physiological reasons Oh:

1. Constipation, increased gas formation, disturbances in diet and meal schedule. During pregnancy, the intestines are already exposed to pressure from the growing and increasing weight of the uterus, and if a woman neglects simple rules nutrition, the pain will be constant. Feature pain syndrome due to intestinal dysfunction - 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 pain 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 muscle tissue. This also occurs due to the growing uterus and the increasing weight of the fetus.

But often 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), and bladder (cystitis). But in this case, the pain will be sharp, prolonged and pressing, they are always accompanied by hyperthermia (increased body temperature), signs of intoxication of the body may appear (nausea, dizziness, vomiting, weakness).
2. Begin premature birth. A similar development of events is possible at any stage of pregnancy, but if in the first trimester the miscarriage first appears bloody discharge, then in the third trimester it all starts with abdominal pain. It will be pulling, aching and encircling (passes to the lumbar region). Immediately after the onset of pain, the woman also notices vaginal discharge, which can have a different structure and shade - from pink-transparent to scarlet, viscous or watery.
3. Premature placental abruption. In the process, the placenta is separated from the wall of the uterus - blood vessels are torn, which causes severe pain and bleeding. Early detachment placenta may occur due to abdominal trauma, after excessive physical strain, when diagnosed late toxicosis or persistently elevated blood pressure.
4. Stagnation of bile has formed 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» such an effect is the relaxation of the smooth muscles of nearby organs - 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, abdominal pain localized to the right. The pain syndrome is unstable, spasmodic in nature, accompanied by nausea and a bitter taste in the mouth.
5. Uterine rupture. This can happen if there is an existing scar on a hollow organ - for example, abdominal surgery was previously performed or a previous birth ended in a caesarean section.

Diagnostics

If in the late stages of pregnancy a woman experiences abdominal pain, then this is a reason to visit a gynecologist outside of the examination schedule. The doctor begins the diagnosis with a deep study of the woman’s life history and illnesses - for example, if there are chronic pathologies, then you should immediately conduct a profile examination. The next stage 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 labor.

When emergency situation(the woman experiences severe pain, there is bleeding, the patient’s condition deteriorates sharply, she loses consciousness) the pregnant woman is indicated for surgical intervention without prior examination. By conducting 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 abdominal pain during pregnancy, accompanied by bloody discharge from the vagina, you should immediately seek help professional help. You should not go to a gynecological clinic on your own or maternity hospital– from the first minutes of this condition, medical support is necessary.

If your stomach hurts for physiological reasons, you can take the following measures:

• adjust your diet by eliminating too fatty, spicy foods, giving up spices and sauces;
• establish a clear schedule for eating - 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 low-fat kefir at night;
• lead active image life - 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 prescriptions of specialists. According to statistics, stomach pain is more common during pregnancy due to physiological changes in the body, which are not pathological and do not threaten the life of the fetus and woman.

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

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

Why does the stomach and lower abdomen hurt, ache, tingle during pregnancy? Why do pregnant women have a stomach ache like during menstruation?

Pregnancy is, in any case, stressful for female body. His reaction is difficult to predict. Some people tolerate their new condition well, while others may experience various problems, including pain in the abdominal area.
The reasons for the appearance of such pain in expectant mothers are different, and if they arise, you should, of course, consult a specialist who will help determine their true cause.

The first month of pregnancy and in the early stages, stomach pain as during menstruation: reasons

From the moment the egg is fertilized and right up to the birth itself, processes occur in the body of the expectant mother that can cause painful sensations. And although these sensations are not very pleasant for the expectant mother, neither she herself nor the baby are in danger.

1. The fertilized egg moves towards the uterus and settles in it. The fertilized egg, penetrating into the endometrium, irritates or slightly damages the mucous membrane of the uterus or even a small blood vessel. This causes minor pain sensations, similar to those that occur before the onset of her menstruation
2. Later, in the first month of pregnancy, the hormonal background women. In particular, progesterone is actively synthesized, which is responsible, among other things, for preparing the endometrial layer so that the fertilized egg is fixed in it and the pregnancy is carried to term normally. It may also cause some pain in the uterine area
3. During the same period, the woman’s ligaments gradually stretch while waiting, and the condition of the spine changes, as changes occur in the center of gravity of the body. After all, the uterus, together with the embryo located in it, not only becomes larger, but also changes its position within the body. Its bottom rises higher relative to the organs, and accordingly, the ligaments holding the uterus are stretched

Ectopic pregnancy

If a woman in the early stages constantly has pain under the navel, the pain increases in intensity, radiating to the leg, hypochondrium, rectum, the gynecologist, first of all, will send her for an ultrasound to make sure that the fertilized egg is where it is supposed to be, in uterine cavity.

Necessary rule out ectopic pregnancy, which happens if the fertilized egg has not completed its passage to the uterus, but has attached itself outside its cavity - in one of the fallopian tubes, cervix, etc. The fertilized egg grows and develops, expanding the fallopian tube. Pain syndrome develops. Ultimately, if this process is not stopped at the start, the enlarged fertilized egg, exceeding the diameter of the fallopian tube, can rupture it.

Ectopic pregnancy is a serious obstetric and gynecological problem and threatens a woman’s health with organ rupture and internal bleeding.

Threat of miscarriage

IMPORTANT: An expectant mother may have pain in the lower abdomen due to the threat of miscarriage

1. The tone of the uterus increases, which provokes detachment of the fertilized egg and its expulsion
2. At the same time, a pregnant woman has aching and pulling above the pubic bone, radiating to the lower back. She begins to experience spotting - from slight, pinkish to bright red-scarlet
3. If there is a suspicion of a threat spontaneous abortion, the only solution here is an ambulance and hospitalization. The woman should remain at rest while waiting for the ambulance to arrive.

Corpus luteum cyst

Pain in the area of ​​the internal genital organs in a pregnant woman may occur due to a corpus luteum cyst.

The corpus luteum is a temporary organ that produces progesterone, its function is to maintain pregnancy and form the placenta.
Sometimes it happens that the corpus luteum grows and its size does not correspond to the norm.

This condition is called a corpus luteum cyst. A corpus luteum cyst does not pose a particular threat to a pregnant woman, but it can produce pain that is not strong or sharp, but localized in one place. If a pregnant woman has a corpus luteum cyst, rest and some behavioral changes are recommended, which the gynecologist will tell her about.

Relapses of chronic diseases

There is a tendency that during the period of bearing a child, expectant mothers experience an aggravation of those diseases that they chronically suffered from before pregnancy, and from which the lower abdomen hurts.

For example, if before she became pregnant, a woman had gastrointestinal diseases or genitourinary system, then they may worsen during pregnancy or due to violations of the regime.

Appendicitis

IMPORTANT: Appendicitis is another possible reason abdominal pain in a woman expecting a baby

Poor nutrition

Uncomfortable sensations are not necessarily associated with “ interesting situation" Everyone knows the whims of expectant mothers in food, when they want a cake, and after that - half a jar of pickles, then sweets, and then shrimp. Such sudden changes in nutrition provoke impaired intestinal motility, flatulence, and pain. For the discomfort to go away, a woman needs to more or less balance her diet.

VIDEO: Why does my stomach hurt in the early stages of pregnancy?

Why does my stomach hurt at night during pregnancy, like during menstruation?

If the expectant mother does not have chronic diseases and has not developed any pathologies associated with bearing a child, in principle she should not have pain, especially such aching and cramping pain as during menstruation.

Pain can occur due to the reasons described above, or due to:

However, there is real reason Call an ambulance or at least call your doctor if:

• a woman painfully feels a squeezing, pulling and aching lump in the lower abdomen
• if discomfort increases both at rest (at night) and after physical overload

The cause of such sensations may be cramping contractions of the uterus during impending or spontaneous termination of pregnancy.

IMPORTANT: If the uterus is hypertonic, it is tense and painful, regardless of the time of day. Women often experience similar sensations in the first days of menstruation. Starting from the second half of pregnancy, such a pathological preliminary state must also be monitored by a doctor.

Why does the lower abdomen hurt during pregnancy?

Discomfort in the lower abdomen in a woman who is expecting a baby often occurs when:

• the uterus grows along with the embryo in it
• abdominal muscles become overstrained
• the growing uterus changes its position relative to other internal organs - the muscles and ligaments that support it can stretch
  violations and changes in the diet of a pregnant woman
• the functioning of the gastrointestinal tract is disrupted, constipation occurs
• there is a risk of spontaneous abortion or premature birth
• the embryo implants outside the uterus
• extragenetic inflammation occurs

Why does the left stomach hurt during pregnancy?

In the abdominal cavity and pelvic area of ​​a woman there are a large number of internal organs held in place by a corset of muscles and ligaments. This explains the fact that if pain occurs, it can not only spread throughout the abdomen, but also be localized in one place or another.

If it hurts on the left, then it is most likely caused by one of the overstretched ligaments that support the grown uterus. Often resting or changing your body position is enough to feel good.

There is a possibility of pain due to inflammation of organs in the pelvis and abdominal cavity:

• left ovary
• left appendage
• Bladder
• left kidney

If the embryo inside the uterus attaches to the left, this sometimes leads to some pain discomfort in the woman due to cramping.

IMPORTANT: In any case, it is best to ask your doctor about your specific individual cause of such pain

Why does the right stomach hurt during pregnancy?

Pain on the right side of the abdomen during pregnancy should be taken more seriously.
The reasons may be:

1. The fertilized egg has implanted in the uterus on the right side, which causes painful cramps in the pregnant woman.
2. Overstretching or pinching of the muscles and ligaments that support the gravid uterus
3. The baby moves in the uterus on the right side, his pushes for the mother can sometimes be painful for her
4. The fertilized egg implanted in the right fallopian tube (some symptoms of this: pain in the right abdomen, bleeding, weakness of the woman)
5. Appendicitis
6. Pinched muscles and ligaments, adhesions
7. Cyst rupture on the right
8. Inflammatory processes in internal organs

Why does my stomach hurt like during menstruation during pregnancy at 15-16 weeks?

At 15–16 weeks from conception, toxicosis, if there was any, goes away. The fruit is actively developing. A pregnant woman, in the absence of pathologies, may have pain in lumbar region spine due to the increased load on it. A natural cause of pain similar to menstrual pain may be the growth of the uterus and the restructuring of the muscular-ligamentous apparatus associated with it.

Why does my stomach hurt during pregnancy in the 2nd trimester at 20-21 weeks?

In the middle of pregnancy, the expectant mother's stomach may hurt, again due to natural causes. But it can also signal varying degrees of serious problems with bearing a baby.

Physiology can explain if a woman’s lower abdomen is slightly sick and hurts:

• occasionally
• when changing body position
• with overstrain in the abdomen, back or legs

There may be a threat of placental abruption or spontaneous abortion if:

• pain syndrome will increase
• the pain doesn't go away for a long time
• it radiates to the lower back
• discharge appeared

Why does my stomach hurt during pregnancy at 30-31 weeks?

At 30–31 weeks of pregnancy, the weight of both the baby in the womb and, accordingly, the woman increases. The load on her spine, organs and joints also increases.
During this period, the stomach should not hurt, unless the woman ate something wrong and irritated the intestines, causing flatulence.

Why does my stomach hurt like menstruation during pregnancy at 33 weeks?

Perhaps the uterus has begun to contract and there is a risk of premature birth.
Also, training contractions may cause some pain. To make sure that everything is fine, it is better to contact the gynecologist who is in charge of the pregnancy, or call an ambulance.

Why does my stomach hurt during pregnancy at 35-36 weeks?

If during this period the stomach not only hurts, but there is also a feeling of petrification, it means that the tone of the uterus increases, which can lead to premature birth.

Why does my stomach hurt during pregnancy at 37-38 weeks?

At 37–38 weeks, the expectant mother’s stomach may hurt for obvious reasons. Her body is preparing for childbirth, the cervix begins to gradually open. This process is accompanied by cramping, aching pain. At this moment you need to relax, take a comfortable position or take a shower.

Nagging pain in the lower abdomen at 38 weeks means that the uterus is preparing for childbirth, becoming toned and relaxing.

Why does my stomach hurt during pregnancy at 40-41 weeks?

The pregnancy period has come to an end, and if a woman has a stomach ache, she may be going into labor. Contractions may be minor at first, with significant periods of time between them. Then they become more frequent, and the period of time between them decreases. Childbirth is coming soon!

VIDEO: Signs of the onset of labor. When is it time to go to the maternity hospital?

A woman's condition during pregnancy changes in unpredictable ways. Pregnant girls may experience many unusual sensations, and quite often pregnant women experience pain in the lower abdomen. Do not be scared or panic, this will only worsen 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 intricacies of this unpleasant sensation. And it is very important not to hide this state from a specialist who is managing the pregnancy, since it can indicate very serious disorders and even indicate the possibility of losing the 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 lower abdominal pain is a safe symptom

Since from the very beginning of conceiving a baby, many changes that are imperceptible at first glance occur in a woman’s body, painful sensations may be observed, which should not be considered a pathology.

Thus, the body simply signals an unusual state.

Harmless causes of pain may include the following:

1. In the early stages this feeling may be a sign that a fertilized egg is implanting into the uterine tissue. This process is called implantation of the fertilized egg, and after a few days the pain goes away.
2. Unstable operation digestive system arising due to pregnancy. In this case, the girl often experiences a feeling of bloating in the abdomen and difficulty defecating (constipation). The consistency and color of the stool also changes. 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 location. This provokes pain. Stretching of muscle tissue can cause this condition.
4. Increased production of the hormone progesterone, which helps in the formation birth canal during pregnancy, it can also cause abdominal pain because it makes ligaments and joints more elastic. The action of the hormone also extends to the uterus, which causes characteristic pain.
5. For more later pregnancy, somewhere in the third trimester, the cause of this phenomenon may be the baby’s kicks or arms. When the baby has grown up, his movements can cause pain if he sharply presses on any internal organ. This happens especially often when the mother’s bladder is full.

Only a specialist, after examination and examination, can affirmatively say that the cause is harmless. A woman should not wait and hope that everything will go away by itself. By remaining silent at the first signs of violations, you can provoke a lot of complications that are unsafe for the health of mother and child. Therefore, it is better to immediately tell the doctor about the unpleasant sensations 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 any woman’s body. And, unfortunately, not everyone goes through it without pain and various abnormalities. If a pregnant woman has pain in the lower abdomen, then you should immediately evaluate the possibility of such disorders as:

1. Uterine hypertonicity is the most common cause. This condition is quite dangerous and requires medical monitoring and treatment. The uterus becomes inelastic, which makes it difficult for the baby to fit properly in the womb and can lead to miscarriage. Abdominal pain in this case is also accompanied by nagging pain in the lumbar region.
2. Frozen pregnancy, when the baby loses viability while still 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 consult a doctor in a timely manner, this can lead to pipe rupture, which has quite a serious consequences for a woman’s body and can greatly complicate further attempts to become pregnant.

Such conditions are often accompanied by spotting discharge different colors and consistency, it is sure sign that you need to immediately contact a specialist. Such conditions can lead to irreversible consequences, so you should not hesitate, you must immediately eliminate 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 cause exacerbation of chronic diseases. Also this phenomenon may arise as a result of increased load on all organs and systems, since during this period a woman needs to cope with the vital functions of two organisms.

However, the intensity and type of pain can be very diverse. Despite the fact that these conditions do not directly affect a girl’s ability to bear a child, they can indirectly cause developmental problems in the baby or sharp deterioration 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 pain in the right side of the abdomen. The girl’s body temperature also rises sharply and vomits. In addition, bitterness in the mouth may occur.
2. Gastritis can also worsen during pregnancy, since compression of 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 in the upper part of the abdomen, and only sometimes it is transferred to the lower part.
3. Pyelonephritis, inflammation in the kidneys, often occurs due to the fact that it is difficult to remove metabolic products from the organs. The condition is characterized by aching pain, like during menstruation, which radiates to the lower back. Inflammation can go away 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 due to the spread of infection along the reproductive tract, which can lead to harmful microorganisms straight to the child. This disease is accompanied by painful and frequent urination. There may also be blood in the urine.
5. Acute appendicitis. The situation arises when the organ is inflamed, and it requires urgent Care doctors, often surgical intervention. In a woman, such an illness is accompanied by a prolonged attack of pain, which changes in intensity, while the temperature rises and vomiting begins.

All these diseases are considered serious and dangerous for both the mother and the baby. They require serious, attentive therapy, which is mainly carried out in a hospital. Doctors often have to use quite potent drugs to preserve a woman’s ability to bear a baby. But you should not hope that you will be able to recover from these diseases on your own.

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

When carrying a baby, the proper functioning of each organ is important, so it is necessary to monitor general condition health. When preparing for pregnancy, a woman needs to undergo a quality examination and, if possible, solve health problems.

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

But if abdominal pain appears due to non-dangerous physiological reasons, then you should remember several important recommendations:

1. Don'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. You need to eat light foods that reduce the load on the digestive organs, kidneys and liver.
5. You don't need to take any medications, 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 underlying the pain, it will go away within a few weeks.

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

Many expectant mothers during pregnancy and in the early stages note that they often have pain in their lower abdomen. Symptoms such as: normal development pregnancy, and signal that there is a pathology and urgent measures need to be taken.

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careful consultation for you

Many people are interested in the question: why does the stomach hurt during pregnancy, and what to do about it? To answer this question you need to understand the reasons. All the reasons why pain may occur are divided into several groups - obstetric (pain associated directly with your condition), non-obstetric (pain associated with exacerbation of chronic or unrelated to pregnancy or other diseases).

Reasons that are related to pregnancy (obstetric).

1. Ectopic pregnancy. A similar situation occurs when the fertilized egg attaches outside the uterus, on fallopian tubes, on the ovaries, cervix or abdominal organs. This serious reason, which often causes pain in the lower abdomen, such a pregnancy threatens the woman’s health and life. In the early stages, the abdomen begins to pull or ache, gradually the pain becomes intensified and is felt only on one side.
2. If there is a threat of miscarriage. The tone of the uterus increases, the pain is aching, and a feeling of heaviness appears, which can radiate to the lower back. When taking pills, the pain may go away for a while, but then everything starts again. Over time, the pain will become cramping and bleeding may appear.
3. Non-developing pregnancy.
4. When everything proceeds without complications, pain can be caused by disruption of the digestive tract.
5. Sprain of the abdominal ligaments. This occurs due to the fact that the uterus begins to increase in volume and pull all the ligaments along with it. This leads to unpleasant sensations in the lower abdomen.
6. Surgical pathologies.

First, during pregnancy, the body begins to completely rebuild itself in order to accept and take care of a new life. Therefore, pain is a completely normal condition.

The stomach often hurts during pregnancy due to a change in diet. When your diet changes, large amounts of salty, sour, sweet or other unusual foods can all lead to bloating. Intestinal motility is impaired, gastritis worsens - all these are causes of abdominal pain.

Changing your diet can affect your health

Reasons not related to position.

1. Cystitis. The immune system decreases during pregnancy. The pressure of the uterus on the bladder increases due to hypothermia and the use of inappropriate underwear. All this can provoke the appearance of cystitis, that is, inflammation of the bladder. Pain in the lower abdomen has a cutting and stabbing sensation, and frequent urination occurs. This occurs in early pregnancy.
2. Appendicitis may also develop.
3. Intestinal obstruction.
4. Cholecystitis.

All these diseases can be accompanied not only by pain in the lower abdomen, but also general deterioration condition. The temperature may rise, and some may begin to vomit.

The lower abdomen may ache

For similar symptoms and acute pain it is necessary to seek medical help.

Woman's lifestyle

Pregnancy is not a disease - it is a normal physiological state for a woman. But in any case, it carries with it a strong physical and emotional burden.

What should a pregnant woman do to avoid abdominal pain and other unpleasant consequences:

• it is necessary to strictly follow the doctor’s recommendations;
• you need to take all necessary tests on time;
• avoid stressful situations;
• undergo an ultrasound scan to monitor the child’s development process;
• control your weight; if you gain weight too slowly or, conversely, too quickly, you need to consult a gynecologist;
• it is necessary to create a pleasant atmosphere, spend more time in nature, and not think about the bad.

• overheat (you can’t sunbathe, go to the steam room, etc.);
• supercool;
• stay in stuffy rooms for a long time.

For women during pregnancy, especially in the early stages, it is important healthy sleep, which must last at least nine hours. In order to avoid digestive problems and prevent stomach or stomach pain, it is necessary to normalize your food intake.

Getting enough sleep is essential

1. You should diversify your diet. Include foods that contain vitamins and microelements in your diet. Proteins, fats, carbohydrates, vegetables, fruits - all this should make up at least 50% of the diet.
2. Experts often recommend switching to four meals a day (in the first trimester). Try to consume more foods such as fish, meat, dairy products (natural), cereals, legumes, etc.
3. In order for a woman to feel better during this period, the body needs much more calcium, iodine, vitamins, iron, and zinc.

Products that are prohibited:

• hot spices, seasonings: taking them leads to swelling of the limbs and internal organs;
• any types of canned food, preserves: they contain a lot of vinegar, preservatives - they can suppress protein synthesis;
• carbonated drinks, sauces: they contain a lot of dyes, preservatives, thickeners and flavoring additives;
• fast food;
• coffee, black tea, chocolate.

Common causes of pain are presented in the table.

Complex condition/caption]

Appeal to traditional medicine

When a woman is pregnant and abdominal pain is not associated with pathology of the child’s development, there are no sharp pains or heavy bleeding If bloating occurs due to poor nutrition, you can soothe the pain with herbal infusions.

Required ingredients:

• coriander 1 tsp;
• boiling water.

Mode of application.

1. Take one spoon of coriander seeds and chop.
2. Pour a glass of hot water.
3. Boil for a few minutes.
4. Then strain and drink every time before meals.

Another recipe that will help you avoid pulling sensations lower abdomen in early pregnancy. Required ingredients:

• watch leaves;
• boiling water.

If you have gastritis and low acidity or constipation, then you need to take this infusion several times a day.

Mode of application.

1. Pour two tablespoons of crushed watch leaves with hot water.
2. Leave for at least an hour.
3. After straining, you can drink.

Application of preventive measures

Depending on why the lower abdomen hurts in the early stages of pregnancy, you need to decide on preventive measures. If it is a slightly uncomfortable sensation caused by unlimited food intake, or you notice that after a certain food your stomach does not express delight, you should stop eating such food. You should discuss your diet with a specialist.

If you know what you have chronic diseases symptoms that worsen during pregnancy, you must consult your doctor in advance and determine the preventive measures that you will take.

It is worth clarifying whether you are at risk of an ectopic pregnancy or any other unpleasant consequences. If you have previously had an abortion, you should plan a repeat pregnancy with your doctor. It is also necessary to maintain healthy image life.