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Pain and Cramping During Pregnancy: When to Worry | Parents

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Pain is incredibly common in pregnancy. It's not easy to carry around a growing uterus

for nine months. And most of the pain that people get in pregnancy are related to growth

spurts at the uterus and the fetus. In general, if pain is mild to moderate, it's not persistent,

it's not severe, and it goes away with rest, it's not gonna be something you need to worry

about. I would say the warning signs are probably when it's associated with fever, when it's

radiating to a different part of the body, when there is burning on urination, then these

would all be things that I think you should talk to your doctor about. A lot of patients

say that they feel abdominal cramping around the time of implantation of the pregnancy,

so very early after conception. A lot of people will say they have lower abdominal midline

cramping, almost like menstrual cramping. If you've already had an ultrasound and you're

bleeding, then we know it's not an ectopic pregnancy, but we need to make sure that the

bleeding hasn't affected the pregnancy. In the second trimester starting from about 15

weeks going up until around 22, maybe 24 weeks, the most common cause of abdominal pain is

probably around ligament pain. It's caused by the ligaments that normally hold the uterus

in the pelvis. It gets stretched under tension as the uterus grows out of the pelvis and

that pain can usually be felt on one side or the other. I would say lower abdominal

pain on one side or the other and kind of a pulling sensation. So, with round ligament

pain, we ask patients, well, when they lie down and you rest, does it get better? And

typically you will. In the third trimester, there can be new causes for abdominal pain

that you may not have felt earlier. A lot of times patients will feel an intermittent

contraction. Kind of out of the blue when they're walking they stop. They kinda have


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