Abdominal pain during pregnancy – when to take it seriously?

Know when it is just a nagging ache in the stomach and when you need to reach out to a doctor.

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Written By: Debjani Arora | Published : July 19, 2016 5:32 PM IST

Abdominal pain during pregnancy can be a sign of concern. It could mean something as simple as acidity and indigestion or as grave as ectopic pregnancy or miscarriage. However, abdominal pain could also be just a symptom of pregnancy and be harmless. Here Dr Meghana Sarvaiya, Consultant Gynaecologist and Obstetrician, Cloudnine Hospital, Mumbai says what it might mean to have abdominal pain during the first, second and third trimester of your pregnancy.

Abdominal pain during the first trimester

During the first trimester, abdominal pain is very common and it happens for some reasons, as the uterus grows it displace the bowels, leads to constipation, bloating that can lead to abdominal pains. Sometimes pain in the upper abdomen could also be a sign of acidity or GERD. While the uterus is not visibly big during the first trimester, you could also experience pain in the lower abdomen due to the stretching of the round ligament and the pain can travel to the groin area. Towards the end of your pregnancy, this pain can be sharp shooting when you move or turn around, or it could be dull and achy.

Abdominal pain during second and third trimesters

During the later stages of pregnancy any sign that causes discomfort should be taken seriously, especially if it is abdominal pain. However, more than abdominal pain what one can suffer from is Braxton Hicks contractions or false contractions that can cause abdominal discomfort. Mostly it is loosening and tightening of lower abdominal muscles that happen spontaneously and go on its own. These are more common during the third trimester. Pain in the upper abdomen along with heartburn and GERD could indicate acidity which can get severe during the end of your pregnancy. However, too much acidity can be a sign of high blood pressure or preeclampsia too. It is better to keep a check on your blood pressure if you suffer from upper abdominal pain due to acidity too often.

When should you worry

  • If you suffer from abdominal pain which is more like menstrual-like cramping, rhythmic along with spotting or bleeding it could be a miscarriage.
  • If abdominal pain is associated with frequent urination with a burning sensation and itching it could be a UTI.
  • If you suffer from contractions before your 37th week along with a dull abdominal ache and persistent backache, it could also mean preterm labour.
  • If abdominal pain is constant, severe and worsens with time, it could also mean placental abruption where the placenta tears from the uterine wall.
  • If you have intense abdominal pain with bleeding between your 6th to 10th weeks of pregnancy, it could also mean an ectopic pregnancy.

If you experience any such symptoms along with abdominal pain it is better you call your doctor or make an appointment as soon as possible.

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