Abdominal pain during pregnancy can be concerning, even though many women experience dull aches, sharp pains, or pressure as part of their body's significant changes. The goal here is to provide practical help in assessing what you can do right now and when you should contact a doctor or midwife.
Stomach pain during pregnancy - common causes and what you can do
Abdominal pain can, for example, be related to the uterus growing, ligaments stretching, or changes in digestion. Many also experience more gas or constipation, which can cause cramping pains.
Practical things you can try in everyday life
- Eat smaller meals more frequently and drink water continuously, especially if you tend to suffer from constipation.
- Try gentle movement like short walks if it feels comfortable.
- Change position: some find relief by lying on their side with a pillow between their knees.
- Avoid clothes that are tight around your belly, as pressure can worsen discomfort.
Pain in the lower abdomen during pregnancy - sharp pains, stretching, and pressure
Pain in the lower abdomen can be experienced as sharp pains in the sides or a tightening sensation. This can be due to stretching of tissues and ligaments around the uterus, especially when you stand up quickly, cough, or turn over in bed.
Rule of thumb
If the pain is short-lived, occurs with movement, and subsides again with rest, many find that it aligns with the body's natural adaptation. If, however, it is increasing or persistent, it is a good idea to have it assessed.
Abdominal pain during pregnancy in the 1st trimester - what to look out for
Early in pregnancy, the stomach can react to hormonal changes, and some feel period-like dull aches. At the same time, it is also during this phase that you should be extra aware of symptoms that require quick assessment.
Contact a doctor urgently if you have
- Severe abdominal pain that does not subside
- Bleeding, especially together with pain
- Fever, chills, or a clear feeling of illness
- Dizziness, fainting, or severe discomfort
If you are in doubt, it is always okay to call once too many times. You should not be alone with the worry.
Abdominal pain during pregnancy in the 2nd and 3rd trimesters - Braxton Hicks contractions or something else
Later in pregnancy, Braxton Hicks contractions can feel like the belly becoming hard and tight for short periods. It can also feel like pressure downwards, especially after activity. Braxton Hicks contractions often come and go and can subside with rest and fluids.
Seek assessment on the same day if you experience
- Regular, increasing pain or contractions before term
- Rupture of membranes or suspicion of it
- Persistent severe abdominal pain, regardless of position
- Reduced fetal movements compared to the usual pattern
When to contact a doctor for abdominal pain during pregnancy
The most important thing is not to "guess correctly" but to react to warning signs. Rather call a doctor, out-of-hours doctor, or maternity ward if you become uneasy or if the pain changes character.
Good preparation for the conversation
Have ready: where the pain is located, when it started, if it comes in waves, and if you have bleeding, fever, vomiting, diarrhea, or stinging during urination.
Products that can provide more comfort in everyday life
If your pain mostly feels like heaviness, pulling, or soreness from the growing belly, support and less pressure on the belly and pelvis can feel comfortable for some:
- Support belts can provide relief from a feeling of heaviness. A specific choice is the Maternity Support Belt.
- Leggings can be a help if you want to avoid tight waistbands. See, for example, Seamless Maternity Support Leggings.
- Pregnancy gathers products generally designed to follow the body through pregnancy, when comfort becomes extra important.
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