Can the lower abdomen hurt if pregnant. What do pain in the lower abdomen during pregnancy say: possible causes and methods of treatment. When and who to contact

Can the stomach hurt during pregnancy? Yes, maybe, and abdominal pain in expectant mothers often occurs. In most cases, the causes of these pains are quite physiological and not at all scary, although they are not always pleasant, and some even bring joy to the mother. What can cause abdominal pain in a pregnant woman?

Sharp pains in the groin and above the pubis

In the female body, the uterus is held between the iliac bones with the help of connective tissue ligaments. During the bearing of a child, the weight of the uterus increases significantly, and these ligaments are stretched more strongly, so expectant mothers often feel pain in the abdomen. Usually they are localized in its lower sections - in the region of the inguinal folds and above the pubis.

As a rule, pain due to a sprain occurs if a woman suddenly changes her body position (for example, when making quick turns), lifts something heavy, or even just coughs or sneezes. At this moment, the expectant mother feels a sharp, but short-term pain that goes away on its own.

Such pains can be on anyone, for some they decrease or disappear completely by the end of pregnancy, for some they do not. But in any case, these pains are not dangerous either for the expectant mother or for the baby, and they do not need to be treated.

Pain is a protective reaction that occurs when pain receptors located in organs and tissues are irritated. It gives us a signal that some changes are taking place in our body.

Drawing pains in the lower abdomen during pregnancy

During pregnancy, hormones are produced that affect the intestines: the movement of food through the intestines is slower. In this regard, overstretching of its individual sections is possible, constipation very often occurs. In such a situation, a woman may be disturbed by dull, arching pains in the lower abdomen on the sides (often on the left), as well as increased gas formation.

Unpleasant sensations in the abdomen disappear as the food is digested, but can be repeated with errors in nutrition. To avoid, you need to drink more fluids, eat sour-milk products, as well as foods rich in fiber (raw vegetables, fruits, bran bread). A good prevention of constipation and pain associated with them is moderate physical activity.

Pain in the pubic area

In the body of a pregnant woman, a special hormone relaxin is produced - it affects the cartilage, ligaments, joints of the pelvic bones. As a result, some joints of the pelvic bones soften and may diverge for a short distance. This is necessary in order to facilitate the passage of the child through the pelvic ring during childbirth.

Most often, the bones of the pubic joint diverge - then the expectant mother feels pain in the lower abdomen in the pubic area. They can be of different intensity - from minor to more pronounced. They occur when walking, changing the position of the body, sometimes it is difficult for the expectant mother to sit on a hard surface, walk up the stairs, raise her leg from a prone position.

Wearing a bandage will help alleviate discomfort in the pubic area; instead of a chair, you can use a large soft ball - a fitball. Osteopathic doctors are good at dealing with such pain.

The threshold of pain sensitivity is different for all of us, so pain of approximately the same intensity for one woman will be quite tolerable, and for another it will be too strong. Therefore, in all doubtful cases, consult your doctor.

Stomach tension

From the end, a pregnant woman may feel tension in the lower abdomen, in which the uterus becomes as if “stone” for a while. This state lasts from a few seconds to a couple of minutes and can be repeated up to 10 times a day. These are training contractions (Braxton-Higs contractions). These are not quite painful sensations, but, nevertheless, they often disturb and frighten expectant mothers. In fact, this phenomenon is quite normal: this is how the body prepares for the upcoming birth.

Pain from pushing a child

In the second trimester, the baby grows very quickly. Now he is not as spacious in the uterus as it used to be. The child moves less intensively, but the strength of his movements increases, sometimes very significantly. For a mother, pushing a baby into the hypochondrium or lower abdomen (especially if the bladder is full) may not be very pleasant, and sometimes just painful. But they should not cause concern, because they are completely natural.

When particularly strong shocks appear, you can change your posture: lean forward, stand up, lie down on your side. You need to relax, take a few deep breaths, you can stroke your stomach and talk with the baby - ask him to calm down a bit. This is enough to change his behavior.

Comment on the article "Abdominal pain during pregnancy: what does it mean and how to reduce it"

More on the topic "Why does the stomach hurt in pregnant women?":

Girls, I now went out into the street to the store .. I barely got there, and 100 meters from it. The stomach began to pull strongly to the bottom, the muscles (or ligaments?) Above the navel tightened and stretched. In general, she barely hobbled and freaked out. I have already noticed that it’s hard for me to even walk around the apartment, but so much ... I drive almost everywhere by car, and I haven’t seen this before. Is it like that for everyone? Maybe a bandage is needed?

I'm sitting now and thinking... I woke up tonight with pain in the lower abdomen, I couldn't roll over because of the pain, I even howled a little... It really was in the lower abdomen! I remember badly, but I remember the pain.

I describe. to understand with your help that it's not scary ... In the navel area with tension in the abdomen - for example, when half-tilting forward, it seems that the muscles hurt, as if a spasm. I tried to lie on my back - like to relax - where is it! the same muscles hurt only when stretched - it seems that they are stretched like strings and it hurts again :(

at a period of 29-31 weeks, maybe earlier, I began to experience pain “there” when getting up from a lying position, sometimes I can’t even turn around, move the pelvis, it hurts. When walking (not fast, of course, it is generally excluded from pain) it also hurts. Is anyone else suffering from this crap?

I had a cold during pregnancy lasted 2.5 months. nothing helped me, except for droppers with immunoglobulin. True, I have CMV. And why didn’t they ask the doctor what kind of cough syrup is possible? I remember being pregnant with a terrible cough (I thought that I ...

A week ago, the girth of the abdomen was 98 cm, now it is 97. But the uterus has risen from 34 to 35 cm. Has this happened to someone? I thought that the girth should grow and grow, but then it decreased.

I have a stomachache. But not inside, but on the surface, or under the skin. Sharp pain that gets worse in the evening. Somewhere just in the middle of the stomach from above. Sharp pain, as if the skin were tearing. The belly is big, I think it's because it hangs and pulls down. I bought a bandage. He helps the sleep, but not to this place. It hurts so much that I can't even breathe.

Yesterday I had a big fight with my husband, I was nervous, today in the morning I have a strong pull in the lower abdomen, I am 6 weeks pregnant (the doctor already had it). I try to lie down and do nothing, but tears of resentment roll down, I think if I lose the little one, I won’t forgive myself that I exploded like that yesterday. What do you advise to do? To go to the doctor? Do they save anything at all for such a period?

Girls, how can you understand that the uterus is in good shape? My stomach hurts a lot when I get up after sitting. I try to sit correctly, get up often, walk. Last week, I only went to work for the first time, before that I could say I was lying (I was inactive). The doctor will say that my pain is from sprains, adhesions (of which I have a million), and so on. I'm afraid that I can't tell stretch marks from tone. How to understand - the tone or not?

My stomach started hurting at night. So that it is practically difficult to sleep, i.e. I just began to feel it, there is no pain inside, but my stomach somehow pulls, someone hangs out in it ... very uncomfortable. Who has something like this in the near future?

Girls, tell me, where did your stomach hurt when threatened? Near the navel, in the center or on the sides? It hurts periodically to the right of the pubis, very low, almost where the pubis passes into the leg. MariaMM just wrote that if there is no pain, then you don’t have to drink noshpa and lie down.

I no longer have strength, in the afternoon the young animal presses on the perineum and anus, the bones all hurt there, the labia are swollen, somehow turned out and also hurt, it is simply impossible to sit on them, something interferes and presses in the anus area how the ball was inserted there. Sorry for the details, I felt this place for hemorrhoids, but did not find anything suspicious.

Girls, again I come to you with stupid ailments. Tell me, has anyone had the feeling that the pubic bone hurts? ... moreover, if you sit or lie down, it hurts more than when you walk. and above the pubic bone somehow everything is already "became fleshy". but the main thing is that it hurts constantly. Tell me, is it just me, or were there precedents?)) And I'm not like that.

Girls, who knows why my lower abdomen can hurt during my term? Last night, something really twisted very specifically - my stomach ached, and my lower back ached, and in general it was very bad. I drank no-shpas, then I inserted papaverine for fidelity, I rested, it seemed to have passed. And this morning, on the way to work, I again feel that something aches.

Girls! Please tell me, maybe someone had it: at 39 weeks there is (2nd day) a rather strong pulling pain in the right side, it also radiates down the abdomen. Sometimes it lasts 20 minutes and passes, sometimes periodically for 5 minutes after 10-15. Could it be training contractions or something serious and should I see a doctor? Yes, the baby is quite active.

During pregnancy, many women experience pain in the lower abdomen. The pain syndrome is quite natural for this condition, although it gives expectant mothers discomfort. However, not every pain is considered the norm, so you need to be careful about all the reactions of the body. If there is any doubt about the appearance of pain, you should immediately seek professional help. Why can pull the lower abdomen on the left and right in pregnant women?

Causes of pain in the lower abdomen at different stages of pregnancy

Pain in the lower abdomen (left or right) during pregnancy can have a different etiology:

• physiological;
• pathological.

• changes occurring in the hormonal background of a woman (an increase in the level of the hormone progesterone leads to increased blood flow in the genital organs, an increase in the secretory activity of the endometrium and the synthesis of other biologically active substances in the body);
• toxicosis (in the early stages, this condition can provoke an exacerbation of chronic diseases of the stomach and duodenum);
• stretching of the uterine ligaments (typical mainly for the second trimester, when the uterus begins to increase rapidly in size);
• an increase in the size of the fetus in the 2nd trimester;
• increased mobility of the pubic joint;
• activity of the baby (the most painful sensations if the baby lies with his legs down);
• rise of the uterine fundus in the last stages (leads to compression of the liver, stomach and pancreas);
• pressure of the baby's head on the bottom of the pelvis (typical for the end of the third trimester).

• the threat of spontaneous abortion;
• isthmic-cervical insufficiency;
• ectopic pregnancy;
• untimely separation of the placenta;
• appendicitis;
• diseases of the urinary system;
• food intoxication;
• malfunctions in the functioning of the digestive tract.

Spontaneous abortion (miscarriage)

In the early stages there is a risk of losing the baby. The first signs of a miscarriage:

• discharge from the vagina of a brownish tint with bloody patches;
• aching pain in the lumbar region and in the lower abdomen on the right or left side;
• cramping nature of the pain syndrome.

If there was a threat of spontaneous abortion before, a pregnant woman should carefully monitor her condition. In addition, regular ultrasound will help to exclude the development of possible diseases.

Ectopic pregnancy and uterine hypertonicity

In the 1st trimester, patients are often diagnosed with an ectopic pregnancy. With this complication, the zygote is fixed in the fallopian tube (oviduct), ovary or in the epithelium of the peritoneum, before reaching the uterine cavity. Such a pathological pregnancy is quite dangerous for women's health (from rupture of the fallopian tube and the occurrence of severe bleeding up to death), therefore, it requires an urgent operation. Its first symptoms usually appear by the end of the second month, when the embryo and the membranes surrounding it, increasing in size, begin to stretch the oviduct.

The main symptoms of an ectopic pregnancy include:

• sudden onset of aching pain syndrome to the left or to the right of the center of the abdomen with an increase in movement;
• when opening bleeding into the abdominal cavity, the pain may spread to the legs or the anus;
• profuse uterine bleeding, sometimes may resemble normal menstruation.

Another possible reason for the appearance of pain in the abdomen during the gestational period is uterine hypertonicity (reflex contraction of the muscles of the organ, which is accompanied by painful sensations). In the 1st trimester of gestation, uterine hypertonicity can provoke a miscarriage, and at a later date, premature delivery.

Preparing for childbirth (training contractions)

The first difference is their short duration. They can last no more than a minute, and then stop abruptly. True contractions are rhythmic and become more pronounced each time.

Constipation, intestinal colic

Malfunctions in the functioning of the digestive tract can also lead to discomfort in the lower part of the abdominal cavity during the gestational period. Often, pregnant women suffer from constipation, which occurs as a result of changes occurring in the body of the expectant mother at the hormonal level. In addition, women often have indigestion and excessive gas formation. To eliminate the occurrence of such problems, expectant mothers should monitor the menu and the regularity of defecation.

Causes of stool retention include:

• lack of physical activity;
• the synthesis of progesterone, which slows down the motility of the gastrointestinal tract;
• malnutrition and lack of fluid in the body;
• pathology of the digestive system;
• squeezing by the uterus of nearby internal organs.

Intestinal colic is another reason why pregnant women may have a stomach ache below. Many women who are expecting a baby face painful spasms in the intestines. They can be caused by severe bloating and overexertion of the colon muscles. Intestinal spasms are characteristic of the period when the zygote is implanted in the endometrium of the uterus.

Various diseases

Unpleasant sensations in the lower abdominal cavity during the gestational period can also occur in connection with various diseases. The most common are:

• viral hepatitis;
• cystitis;
• inflammation of the appendix;
• cholelithiasis;
• gastritis;
• inflammation of the pancreas;
• kidney disease of inflammatory etiology, etc.

The nature of pain

Pain in the lower abdomen (both on the left and on the right side of the abdomen) can be of a different nature (see also:). The pain may be:

• pulling;
• aching;
• stabbing;
• cramping.

A woman may not worry in the following cases:

• the stomach hurts weakly, periodically on the left and right, sometimes there is a feeling that something is pulling (such pain indicates stretching of the ligaments that hold the uterus);
• painful sensations appear abruptly, but not often, and are spasmodic in nature (this is how the body talks about the ongoing hormonal changes);
• the lower abdomen does not hurt much, there may be slight spotting (this means that the zygote has attached to the endometrium of the uterus).

You should be concerned if the pain:

• has a strong penetrating or cramping character;
• accompanied by copious bleeding up to fainting;
• pulling, gives to the lumbar region, has a spasmodic character and does not pass for more than a month (this indicates an ectopic pregnancy);
• stabbing (often a sign of diseases of the liver or pancreas, as well as appendicitis, pancreatitis, cystitis, cholecystitis or infectious pathologies).

Diagnostic methods

Pregnancy is that period in a woman's life when many examinations are completely contraindicated for her. Of the permitted research methods, ultrasound, CT or X-rays, but the latter are carried out only in especially severe cases.

If the pregnancy passes without any complications, the doctor will only need to make a diagnosis and prescribe a course of treatment:

• collect anamnesis (information about the duration of painful sensations, the place of localization and the nature of the manifestation);
• get acquainted with the conclusion of a narrow specialist who examined the patient;
• feel the belly of a pregnant woman;
• see the results of urine and blood tests.

What to do and how to alleviate the condition of a pregnant woman?

If a pregnant woman has pain in the lower abdomen, she needs:

• lie down and relax;
• in agreement with the gynecologist leading the pregnancy, take an antispasmodic drug (No-Shpa, Papaverine suppositories are allowed).

If after 60 minutes the pain has not gone away, you must re-drink the medicine. If there is no reaction to taking the drug, the pain is growing all the time, the pregnant woman should urgently consult a doctor.

In order to reduce the likelihood of a painful syndrome on the left or right side of the abdomen, pregnant women must follow simple rules:

• monitor proper nutrition, introduce as many vegetables and fruits as possible into the diet;
• observe the drinking regime;
• exclude from the menu flour, fatty, spicy, as well as coffee and strong black tea;
• do not forget about moderate physical activity (during the gestational period it is allowed to engage in swimming, walking, special gymnastics for pregnant women);
• protect yourself from stressful situations.

Threat of abortion

Aching and pulling pain syndrome, radiating to the lumbar region. Quite often it is accompanied by spotting spotting. After some time and without proper medical treatment, bleeding increases, contractions occur, the cervix shortens significantly, and preterm labor/miscarriage occurs.

This condition can be provoked by pathologies of the development of the unborn child, severe stress, powerful physical activity, etc.

Ectopic pregnancy

Pain in the lower abdomen can occur when the fetus is implanted outside the main uterine cavity. Most often, the fetal egg is localized in the tube and the miscarriage that occurs makes itself felt with sharp pain and strong contractions on the one hand, while small spotting is observed.

At a later date, an ectopic pregnancy can lead to rupture of the tube - cramping pains are replaced by severe pain with irradiation to the pelvic region, ribs, loss of consciousness, intra-abdominal bleeding.

Premature placental abruption

This negative state can form both in and during childbirth. Increase the risk of detachment of gestosis, anomalies of labor, abdominal trauma, short umbilical cord, arterial hypertension.

There is practically no discharge in this situation, but there are severe pains in the lower abdomen, the doctor detects signs of hypoxia / internal bleeding in the fetus. The uterus is in a constant tone, placental hematoma gradually increases.

Acute surgical pathologies

Pancreatitis, appendicitis, intestinal obstruction and other pathological conditions can cause. At the same time, the diagnosis of the above diseases and problems is often difficult, especially in the later stages of bearing a child. In the vast majority of cases, in addition to pain, there are accompanying symptoms in the form of weakness, malaise, fever and dyspeptic disorders.

Problems with the work of the gastrointestinal tract

Against the background of hormonal changes, malnutrition, low mobility and other negative factors, problems with the gastrointestinal tract may occur. Constipation, bloating, and other problems often provoke pain in the lower abdomen.

Stretching of the ligaments/muscles of the abdominal and pelvic bones

In the first trimester, aching pains in the lower abdomen without contractions can occur due to rapid physiological changes in the body, in particular due to softening of the tissue structures of the uterus and related organs. Their localization is not entirely clear, but, as a rule, they are diagnosed on both sides of the midline.

With the growth of the fetus, the uterus also changes in size, increasing the additional load on the ligaments of the small pelvis. Together with the displacement of individual organs, the abdominal press experiences strong pressure. Most often, such a painful aching syndrome with tingling occurs by the end of the second trimester of pregnancy and can continue until childbirth. This symptom is especially pronounced in multiple pregnancy or a very large child. Often, it may be accompanied by an umbilical hernia.

In late pregnancy, in the process of preparing the unborn baby for childbirth, the pelvic bones begin to diverge slightly, which in turn provokes the appearance of a pain syndrome of moderate intensity.

The above types of problems are related to physiological causes and do not require special medical treatment.

Any measures related to the treatment and elimination of the symptom of pain in the lower abdomen during pregnancy can be carried out only after a comprehensive comprehensive diagnosis and correct diagnosis, as well as determining the true cause of the pain syndrome.

1. With the threat of termination of pregnancy. Sedatives, antispasmodics are prescribed, which relieve the tone of the uterus, as well as general strengthening vitamin therapy. In addition, with a hormonal factor, the doctor recommends undergoing therapy with a synthetic analogue of progesterone, in some cases a special ring is placed on the cervix to prevent its premature opening.
2. With an ectopic pregnancy. The only way is to get rid of an ectopic pregnancy - abortion in the early stages, removal of the fetal egg, in some cases, partial or complete removal of the tube. At the same time, modern methods and equipment allow you to restore the reproductive function of the body.
3. With placental abruption. Depending on the extent and complexity of the detachment, bed rest, antispasmodics (Drotaverine, Magnesia), hemostatic agents (Vikasol, ascorbic acid), iron preparations, as well as tocolytic therapy (Ginipral and other drugs that relax the tone of the uterus) are prescribed. In some cases, with the rapid progression of the problem, a caesarean section is prescribed, or the amniotic bladder is pierced and the woman gives birth on her own.
4. In acute surgical pathologies. Appendicitis, pancreatitis, intestinal obstruction and other diseases / pathological conditions require special attention and care during pregnancy, because any surgical intervention can adversely affect the health of the mother and unborn child. Decisions on the appointment of drug therapy, surgery and other actions are taken by a special council of qualified doctors.
5. Physiological problems. Recommended special diets, light but regular physical activity, tonic.

Useful video

Pain in the lower abdomen in women

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

During pregnancy, women often complain of pain in the lower abdomen. It should be noted that such painful sensations can be physiological, and are associated with a complete restructuring of the body for the full bearing of the child. In some cases, such pain is a dangerous symptom and requires immediate treatment.

Important In any case, at the first signs of discomfort in the lower abdomen, you should contact an obstetrician-gynecologist for diagnostic measures and further treatment if necessary.

Reasons for the appearance

Pain in the lower abdomen during pregnancy:

1. Physiological;
2. Pathological(requires immediate treatment).

Main causes of physical pain:

1. Hormonal changes in the body. Under the influence of progesterone, blood circulation in the genitals increases, the blood vessels of the uterus and its appendages grow, which leads to aching or throbbing pains. Such pain should not be severe, occur periodically and pass after a short period of time, not be accompanied by bloody discharge from the vagina;
2. Tension of the uterine ligaments. From the second trimester, intensive growth of the uterus begins, which leads to tension in its ligaments. The appearance of pulling or stabbing pains in the lower abdomen on the right or left is characteristic. The pain may increase with sudden movements, physical exertion and disappears with a change in position;
3. Physiological discrepancy of the pubic symphysis. During pregnancy, loosening and serous impregnation of cartilage, ligaments of the pubic joint (up to 0.6 cm) occurs, which helps to increase the capacity of the pelvis during childbirth. The pain is usually not strong, pressing, and may at some point make it difficult to move. After proper rest, the pain disappears or decreases;
4. baby stirring. The pain is especially pronounced when the fetus lies with the buttocks and legs down. When pushed, there is a sharp shooting pain, often with an urge to urinate and defecate;
5. (appear after 30 weeks). The uterus periodically begins, there are aching pains in the lower abdomen, which quickly pass after rest;
6. Head pressure on the pelvic floor. Such pain is typical only in the last weeks of pregnancy before childbirth.

Information Physiological pain is a normal condition, does not pose a threat to the health and life of the mother and child, and does not require treatment.

Causes of pathological pain in the lower abdomen are divided into obstetric (caused directly by pregnancy itself) and non-obstetric (occur in diseases of other organs and systems). TO obstetric reasons include:

non-obstetric reasons are:

1. Acute surgical pathology(appendicitis);
2. Diseases of the urinary system;
3. bowel dysfunction;
4. Food poisoning.

Symptoms and treatment of diseases that cause pain in the lower abdomen during pregnancy

Ectopic pregnancy- this is the development of a fertilized egg not in the uterine cavity, but outside it (more often, in the fallopian tubes). In the early stages, a woman cannot independently recognize this pathology, because. pregnancy develops normally and does not cause a deterioration in general well-being. As a rule, termination of an ectopic pregnancy occurs by 6-7 weeks and can proceed in the form tubal abortion or fallopian tube rupture.

Typical for tubal abortion:

1. Sharp cramping pains, more often on one side;
2. Bloody issues;
3. Marked weakness.

Complete rupture of the fallopian tube the following signs are observed:

1. Severe cramping pain;
2. Profuse bleeding;
3. General weakness up to loss of consciousness.

dangerous An ectopic pregnancy is an extremely dangerous condition that threatens a woman's life and requires immediate hospitalization and surgery.

If a woman is diagnosed in advance before the onset of bleeding and pain, then it is possible to perform an operation to remove the embryo without removing the fallopian tube. If the operation is performed on an emergency basis, then the tube or part of it is removed, and the ovary on this side will no longer participate in the function of childbearing.

Threat of abortion can be at any time: up to 22 weeks of pregnancy - this is a threatening spontaneous miscarriage, from 22 weeks to 37 weeks - this is a premature birth.

Stages of development of spontaneous abortion:

1. threatened miscarriage. It is manifested only by aching pains in the lower abdomen and in the lower back;
2. Started abortion. This stage is characterized by cramping or aching pain and spotting from the genital tract;
3. Abortion in progress. Pain is greatly increased, bleeding becomes profuse;
4. incomplete abortion. The fertilized egg is partially expelled from the uterine cavity. The cervix is ​​ajar, severe pain and bleeding continue;
5. Complete abortion. The fetal egg is completely removed from the uterine cavity, may be in the vagina. Bleeding and pain stop.

They arise due to an increase in the contractile activity of the uterus in the period from to. At the initial stage, only aching pains in the lower back and lower abdomen are characteristic. With the onset of preterm labor, the pain becomes stronger and proceeds according to the type of contractions, the appearance of bloody discharge and discharge of amniotic fluid is possible.

When the first signs of a threatened abortion appear, the woman is urgently hospitalized and treatment is started to maintain the pregnancy. Pregnancy can be saved with a threatening and, with difficulty, with an abortion that has begun, with the initial stage of premature birth. In other cases, therapy does not matter, termination of pregnancy at any time is indicated.

Premature placental abruption- this is the separation of the placenta from the walls of the uterus before the birth of the child. Happens two types of detachment:

1. Partial. Slight pulling pains in the lower abdomen are characteristic, the uterus is in good shape, slight spotting is possible;
2. Complete. There are severe cramping pains, profuse bleeding.

At the first sign, you should immediately consult a doctor, as there is a real threat of intrauterine death of the fetus. With partial detachment, timely treatment begins to stop bleeding and normal development in the future of pregnancy. With complete detachment, urgent delivery is necessary, regardless of the gestational age, because. heavy bleeding threatens the woman's life.

Isthmic-cervical insufficiency (- This is a pathological condition characterized by a violation of the obturator function of the cervix. Normally, the cervix should be closed and only by the end of pregnancy can it soften and open slightly. With ICI, the cervix is ​​unable to support the weight of the growing fetus, which ultimately leads to premature termination of pregnancy and possible infection of the placenta and the baby. Most often, with this pathology, a woman complains of heaviness in the lower abdomen and periodic aching pains. For treatment use (a mechanical device to maintain the cervix). In severe cases, surgical treatment is prescribed: circular sutures are applied to the cervix.

Pregnancy increases the risk of acute surgical pathology, in particular, appendicitis. A predisposing factor is an increase in the size of the uterus, which leads to displacement and circulatory disorders in the appendix. During an attack, colicky pains, fever, nausea, and vomiting are possible. Appendicitis requires urgent hospitalization and emergency operative delivery.

From diseases of the urinary system during pregnancy, inflammation of the bladder is common (). Most often, pain in the lower abdomen occurs suddenly, is stabbing in nature. Characterized by painful frequent urination, fever. Treatment is carried out under the supervision of a urologist.

bowel dysfunction in pregnant women, it is most often manifested by constipation and bloating. The causes of disruption of the digestive system are the displacement of internal organs due to the growth of the uterus, malnutrition, and low physical activity. Treatment consists primarily of normalization of water and food regime:

1. Exclusion of spicy dishes, smoked meats, products leading to bloating: cabbage, grapes, etc.;
2. Inclusion in the daily diet enough fresh vegetables and fruits;
3. Increase in physical activity(frequent walking, gymnastic exercises for pregnant women, swimming);
4. Frequent consumption of dairy products;
5. Fractional frequent meals(5-6 times a day in small portions);
6. Sufficient reception fluids (in the absence of restrictions for edema).

If there is no effect from the normalization of nutrition, the doctor prescribes medications: for the treatment of constipation in pregnant women, Lactulose is widely used, for bloating - Espumisan (take only as directed by a doctor!).

Food poisoning often occurs during pregnancy and is associated primarily with a decrease in immunity and disruption of the digestive system. It is manifested by a sharp pain in the abdomen, bloating, nausea, vomiting,. At the first symptoms, you should consult a doctor and do not self-medicate. Prolonged poisoning can lead to dehydration, which is extremely dangerous for women and children.

During pregnancy, the resulting pain in the abdomen always causes concern in the expectant mother. Even if they are insignificant, a woman perceives them as a threat to the health of her unborn child. Unpleasant sensations of varying strength may be evidence of changes natural to pregnancy, but may also be the first symptom of an ongoing pathological process that cannot be ignored.

The pains are of a different nature: acute and sudden, aching, cramping, stabbing or constant, chronic. For diagnosis, it is important to determine the localization of discomfort and pain.

Causes of pain in the first half of pregnancy

In the early stages of pregnancy, pain localized in the lower abdomen can be divided into physiological and pathological. In the first case, unpleasant sensations are caused by natural changes in which the whole organism undergoes restructuring. Such sensations are not dangerous. In addition, they are often minor, do not increase over time and do not cause great physical inconvenience.

Very often in the first weeks of pregnancy, a woman experiences abdominal pain, as during menstruation. Often, the expectant mother does not even pay attention to them, believing that menstruation will begin in a day or two. This is especially true for those who suffer. In fact, this discomfort is caused by the introduction of the ovum into the endometrium.

There are other reasons too:

• hormonal changes in the body;
• excess of the norm of the amount of progesterone;
• stretching of ligaments;
• increased sensitivity of the mother's body to nutritional errors;
• changes in the center of gravity of the body.

There may be more serious causes of pathology:

Ectopic pregnancy

Hernia

The umbilical hernia itself does not cause pain. The danger is the risk of being crushed. This pathology can cause stabbing and cutting pains in the lower abdomen and in the navel, vomiting, nausea, heartburn. If you have these symptoms, you should consult a doctor.

Symphysite

Pain that occurs in the lower abdomen when walking can be caused by inflammation of the pubic joint (symphysitis). It is caused by softening of the pelvic bones under the influence of hormones. Because of this, discomfort in the perineum and a characteristic duck gait are noted. While walking, pain often occurs due to diseases of the organs of the musculoskeletal system, which are exacerbated due to increased pressure on them.

preterm birth

Drawing pains with localization in the lower abdomen is the main symptom (28-38 weeks of gestation).

Other signs include:

• feeling of heaviness, "stone" stomach;
• aching pain in the lower back, sacrum;
• brown or watery vaginal discharge;
• feeling of pressure on the perineum;
• leakage of amniotic fluid;
• indigestion.

The cause of pain can be a dangerous pathology - premature. The condition belongs to the most severe complications that threaten the life of the fetus and require immediate medical attention.

What are practice bouts?

Slight pulling sensations at the 38th week of pregnancy is an indicator that the body is intensively preparing for childbirth. They are called harbingers of childbirth. They also include:

• prolapse of the abdomen;
• slow fetal movements;
• increased pain in the lower back;
• stop weight gain
• mucous discharge from the vagina, sometimes with streaks of blood;
• separation of the mucous plug;
• increased fatigue, unstable emotional state.

Pain may be cramping in nature. Sometimes they are perceived by women, especially primiparas, as the beginning of labor pains. In gynecology, they are commonly called. They are less painful, non-cyclical and do not tend to grow. Training contractions should not be a cause for concern, but they mean that a woman must be mentally prepared for the onset of labor.

38-39 weeks of pregnancy is the period when the child is fully formed and viable. Tribal activity can begin at any time.

What to do?

With severe cramping attacks in the first trimester, complicated by bleeding and fainting, you should immediately seek help from a doctor, since there is a very high probability of an incipient miscarriage or.

To reduce the unpleasant symptoms caused by toxicosis, the following rules must be observed:

• adhere to fractional nutrition 5-6 times a day;
• eat light plant foods, lean meats, fruits, vegetables;
• exclude smoked meats, spicy, fried foods from the diet;
• provide a pregnant woman with plenty of fluids to protect against dehydration (unsweetened tea, dried fruit compote, chamomile decoction, rosehip infusion);
• do not lie down immediately after eating and do not eat at night.

To prevent toxicosis in the morning, before getting out of bed, you need to eat a handful of nuts, crackers or crackers. Ginger, which is used to make teas or add its root to salads or cereals, helps reduce nausea.

Every expectant mother should remember that painkillers can temporarily eliminate painful discomfort, but not cure the disease that is its cause.

Pain caused by stomach and other internal diseases will be overcome after the treatment of the disease that caused them. For accurate diagnosis, general tests, ultrasound and computed tomography are prescribed.

For minor abdominal discomfort that is not caused by chronic or acute illnesses, you can improve your condition by following these tips:

1. Take a warm bath or shower regularly. The water should not be very hot.
2. Periodically lie down to rest, listening to light music, meditating.
3. Drink plenty of fluids, especially if you are prone to edema.
4. Take leisurely walks in places where there are no crowds. Staying in the fresh air supplies the placenta and other organs with oxygen, accelerates the removal of toxins and toxins.
5. Perform, do yoga, fitball exercises.
6. Avoid stressful situations, physical and moral stress, unjustified experiences.
7. Follow a diet that supports the intestinal microflora, prevents dehydration, relieves swelling.
8. Regularly visit a gynecologist and follow all his instructions and recommendations.
9. Fight constipation: drink at least 8 glasses of water a day, eat fiber-rich foods, and exercise. Taking laxatives, especially without the advice of a doctor, is undesirable.
10. Keep an eye on blood pressure, with its sharp jumps, consult a doctor.
11. To alleviate the condition during training bouts, you can lie on your left side, placing a pillow under your stomach, take a knee-elbow position for several minutes, inhale deeply, counting to four and exhale, counting to six. The same exercises in the future will alleviate the condition during childbirth.