Written by Medicover Team and Medically Reviewed by Dr Manjusha Padamata

Causes of Chronic Abdominal Pain During Pregnancy

Pregnancy is an extraordinary journey filled with excitement and anticipation. However, it can also come with its share of discomforts and concerns. One common issue many expectant mothers face is abdominal pain. While some abdominal pain is normal, persistent or chronic lower abdominal pain during pregnancy can be a cause for concern. Understanding the reasons behind this pain and how to manage it is crucial for the health and well-being of both the mother and the baby.

In this article, we will explore the various causes of chronic lower abdominal pain during pregnancy, ways to manage it, and when to seek medical help.

Common Causes of Abdominal Pain During Pregnancy

Round Ligament Pain

One of the most common answers to “What causes lower abdominal pain during pregnancy?” is round ligament pain. The round ligaments support the uterus, and as the uterus grows, these ligaments stretch and thicken. This can cause sharp, stabbing pain on one or both sides of the abdomen. The pain often occurs when you change positions, cough, or sneeze.

Gas and Bloating

Pregnancy hormones can slow down your digestive system, leading to increased gas and bloating. This can cause discomfort and pain in the abdomen. Eating smaller, more frequent meals and avoiding gas-producing foods can help manage this type of pain.

Constipation

Constipation is another common issue during pregnancy that can lead to abdominal pain. The increased levels of progesterone slow down the digestive tract, and the growing uterus can put pressure on the intestines, making it harder for bowel movements to pass. Drinking plenty of water, eating a high-fiber diet, and exercising regularly can help alleviate constipation.

Braxton Hicks Contractions

Braxton Hicks contractions, also known as "practice contractions," can cause abdominal pain. These contractions are usually irregular and not as intense as labor contractions. They are a normal part of pregnancy and can start as early as the second trimester.

Serious Causes of Chronic Abdominal Pain During Pregnancy

While many causes of abdominal pain during pregnancy are harmless, some can be more serious and require medical attention.

Ectopic Pregnancy

An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in a fallopian tube. This can cause severe abdominal pain and is a medical emergency. Other symptoms may include vaginal bleeding, shoulder pain, and dizziness. If you suspect an ectopic pregnancy, seek medical help immediately.

Miscarriage

Miscarriage, or the loss of a pregnancy before the 20th week, can cause cramping and abdominal pain. Other symptoms may include vaginal bleeding and the passage of tissue. If you experience these symptoms, contact your healthcare provider right away.

Preterm Labor

Preterm labor occurs when labor starts before the 37th week of pregnancy. Symptoms can include regular contractions, lower back pain, and abdominal cramps. If you suspect preterm labor, seek medical attention immediately.

Placental Abruption

Placental abruption is a serious condition where the placenta detaches from the uterine wall before delivery. This can cause severe abdominal pain, vaginal bleeding, and contractions. Placental abruption is a medical emergency, and immediate medical attention is required.

Urinary Tract Infections (UTIs)

UTIs are common during pregnancy and can cause abdominal pain, along with symptoms such as a burning sensation during urination, frequent urination, and cloudy urine. If left untreated, a UTI can lead to more serious kidney infections. If you suspect a UTI, contact your healthcare provider for treatment.

Managing Abdominal Pain During Pregnancy

Rest and Hydration

Sometimes, rest and hydration are all you need to alleviate abdominal pain. Make sure to drink plenty of water throughout the day and take breaks to rest when you feel discomfort.

Proper Nutrition

Eating a balanced diet rich in fiber can help prevent constipation and reduce gas and bloating. Avoid foods that are known to cause gas, such as beans, broccoli, and carbonated drinks.

Gentle Exercise

Gentle exercises, such as walking or prenatal yoga, can help keep your digestive system moving and reduce constipation. Exercise can also help relieve stress and improve overall well-being.

Warm Compress

Applying a warm compress to your abdomen can help relax the muscles and alleviate pain. Make sure the compress is warm, not hot, to avoid burning your skin.

By prescription Medication

Some prescription medications, such as acetaminophen, can be safe to use during pregnancy to relieve pain. However, always consult your healthcare provider before taking any medication.

When to Seek Medical Help

While some abdominal pain during pregnancy is normal, it's important to know what to do if you have stomach pain during pregnancy. Contact your healthcare provider if you experience any of the following:

Special Concerns

Conclusion

Chronic abdominal pain during pregnancy can be concerning, but understanding the common causes and ways to manage it can help ease your mind. Always listen to your body and don't hesitate to contact your healthcare provider if you have any concerns.

By taking care of yourself and seeking medical advice when needed, you can ensure a healthier and more comfortable pregnancy. Remember, every pregnancy is unique, and what works for one person may not work for another. Stay informed, stay healthy, and enjoy this special time in your life.

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