Abdominal pain during re-pregnancy after. Stomach ache after pregnancy

Pregnancy is a special time in the life of every woman. Every day is filled with exciting moments that will be remembered for a lifetime. And any pain is perceived in panic because of the fear of losing the baby.

It is worth understanding in which cases abdominal pain is a signal of a serious disorder in the body, and in which cases it is a variant of the physiological norm.

Why does my stomach hurt during pregnancy?

Why a pregnant woman’s stomach hurts or feels tight, gynecologists explain as follows:

Natural pain associated with changes in a woman’s body.
Obstetric, resulting from placental abruption, ectopic or frozen pregnancy.
Non-obstetric pain is pain due to diseases of the stomach or intestines.

In the first trimester

The first trimester is characterized by great changes and adaptation of the body to a new regime. The fertilized egg is perceived by the uterus as a foreign body, and it may try to push it out.

Characteristic signs of this phenomenon:

increased tone of the uterus, which is expressed by the hardness of the abdomen;
pain in the lower abdomen, in the navel area;
bloody issues.

The cause of painful manifestations at 1, 2, 3 months is a hormonal imbalance, expressed in elevated level prolactin.

In the second trimester

The period of the second trimester is safer for a pregnant woman. The body has already rebuilt itself and become accustomed to the fetus. As the uterus grows, it puts pressure on the ligaments and muscles, thereby causing aching pain in the lower abdomen or on one side of the torso during sudden movements. This symptom in the second trimester usually occurs as a result of nervous stress or physical overload. Painful sensations also develop due to dysfunction of the stomach and intestines. Poor nutrition causes spasms of the digestive organs.

In the third trimester

The reasons why the stomach may hurt in the third semester of pregnancy are mainly related to the activity of the fetus. The already practically developed child moves, pushes off with his legs and arms, causing discomfort to the mother. But, as a rule, symptoms appear only when the baby moves. Prolonged and sharp pain indicates more serious pathologies - in particular, placental abruption, very dangerous phenomenon for a woman's condition.

If such signs appear, you should visit a gynecologist. Only a doctor can reassure a woman, or confirm her fears and prescribe treatment. In some cases, the woman is placed on preservation and prescribed complete bed rest.

Abdominal pain as a symptom of serious illnesses

While carrying a child, as at any other time, a woman is susceptible to diseases, the symptoms of which are pain in the upper, lower abdomen, above the navel, on the right or left.

Appendicitis

Inflammation of the appendix, which is what the appendix is called, requires surgical intervention. It is difficult for a pregnant woman, especially in the later stages, to recognize this disease, since she experiences discomfort regularly. Therefore, it is very easy to confuse the signs of appendicitis with the characteristic sensations during pregnancy.

Oddly enough, pregnancy is a provoking factor for the development of appendicitis. The fact is that inflammation of the appendix occurs due to a disruption in its blood supply. The enlarged uterus puts pressure on the appendix, causing blood to flow into it slowly.

Signs of appendicitis during pregnancy:

sharp pain in the upper abdomen, gradually moving to the lower right side;
bloating;
vomiting, nausea, upset stomach;
temperature increase.

Symptoms manifest differently and depend on individual characteristics body: some have strong symptoms, some have mild ones. Therefore, if you experience persistent pain symptoms, you should consult a doctor immediately. A specialist will quickly identify the disease using blood and urine tests or ultrasound.

Removal of the appendix can only be performed surgically. If it is cut out in the initial catarrhal period, the woman and child are not in danger. Destructive appendicitis is dangerous when the appendix is filled with pus and bursts. Pus penetrates into the abdominal cavity, causing peritonitis, which is life-threatening for the woman and baby. Necessary complete removal pus.

Cystitis

Cystitis is a very common disease among pregnant women.

Inflammation of the walls Bladder has two origins:

Infectious cystitis. The disease is caused by pathogens in the form of chlamydia bacteria, Trichomonas vaginalis, streptococci, staphylococci, and E. coli.
Non-infectious cystitis. It occurs as a result of a weakening of the body's defense system, hypothermia, and irritation of the mucous membrane of the bladder with medications.

Cystitis is often the first sign of pregnancy, and a girl learns about her condition at an appointment with a doctor, whom she consulted precisely because of this disease.

Symptoms of cystitis:

aching pain in the lower abdomen;
pain when urinating;
frequent urge to go to the toilet;
difficulty urinating;
blood in urine;
heat.

The danger of cystitis is that if it is not treated promptly, it can develop into pyelonephritis - inflammation of the kidneys.

Cystitis is treated with medications. Modern medicine allows the use of medications without harming the health of the mother and unborn child, but after drug treatment it is necessary to undergo a course of rehabilitation therapy.

Cholecystitis

Inflammation of the gallbladder is caused by stagnation of bile and infections.

There are several reasons why this disease occurs:

Metabolic disease;
Poor nutrition and, as a result, disruption of the stomach and intestines;
Infections that enter the gallbladder from the intestines.

Characteristic manifestations of cholecystitis:

bitterness in the mouth;
diarrhea;
nausea;
pain in the abdomen or right precostal area.

During pregnancy, due to the enlargement of the uterus, all the internal organs of a woman are somewhat displaced. Therefore, it can be difficult to understand exactly where it hurts.

The main treatment is taking medicines and diet. You need to give up spicy, sweet, fatty, salty and smoked foods.

Chronic gastritis

Inflammation of the inner mucous membrane of the stomach is associated primarily with poor nutrition. Also among the causes of this disease are mechanical damage to the stomach, burns from hot food, poisoning, and the appearance of bacteria.

Main features:

the stomach hurts and feels heavy;
no appetite;
nausea and vomiting;
weakness and dizziness;
diarrhea;
the temperature rises (not always).

Often girls do not notice the symptoms of gastritis, mistaking them for toxicosis. Some people think that their toxicosis lasts throughout pregnancy. As a result, when future mothers fall ill, they cannot eat properly, which has a negative impact on the development of the child.

It is important to remember that toxicosis lasts on average up to 14-15 weeks, and its manifestation is most often observed in the morning. Most of the time, a woman should feel good and eat right.

If symptoms appear, you should consult a doctor who, using the necessary tests, will identify the disease and prescribe treatment.

Pancreatitis

Inflammation of the pancreas is one of the common diseases among pregnant women. The symptoms are the same as for other diseases of the gastrointestinal tract: pain symptoms - either on the left side or in the epigastrium, nausea, vomiting.

For pancreatitis, a prerequisite is a diet on the following conditions:

During the first trimester, only steamed foods are allowed.
The juice of fresh fruits, berries and vegetables has a negative effect on the pancreas, so even they need to be heat treated.
Salty, sour, spicy, fried and smoked are strictly prohibited!
You need to eat food every three to four hours in small quantities.

Monitoring the pregnancy of a woman with pancreatitis is performed by a gynecologist together with a gastroenterologist.

How to recognize an ectopic pregnancy and the threat of spontaneous abortion by the nature of the pain

An ectopic pregnancy will never lead to the birth of a child, because the egg is not implanted in the uterus, but in the fallopian tubes, appendages, abdominal cavity. But at the same time, the condition is accompanied by all the signs of a normal pregnancy. The danger of an ectopic pregnancy is that as the egg grows, it can lead to rupture of the tubes or appendages. Therefore, it is important to diagnose the pathology at early stages.

It can be determined by the nature of the symptoms:

periodic cramps in the lower abdomen;
pain intensifies with movement, arises and subsides suddenly;
as a rule, painful sensations are concentrated in one place – the location of the egg;
there is bleeding - from spotting to heavy.

The threat of spontaneous abortion occurs for various reasons. It is important to recognize its symptoms in time in order to provide first aid before the ambulance arrives. In addition to bleeding, weakness and fever, the nature of the pain will tell you about a threatened abortion - it is pulling, moving to the lower back. Contractions may occur at intervals of 5 to 20 minutes. If these symptoms occur, seek medical help immediately.

What to do if your stomach hurts during pregnancy - doctor's recommendations

Gynecologists say that pain, similar in nature to symptoms before menstruation, occurs in every woman. Long-term symptoms are dangerous, with attacks of spasms, accompanied by bleeding, weakness, fever, and pressure surges.

In other cases, symptoms should not cause panic; if they appear, you need to lie down and relax or take a warm shower. A light massage of the lower back will help relieve symptoms.

Prevention of aching abdominal pain during pregnancy

There are many reasons why abdominal pain may occur. Competent prevention can prevent them.

Diet

Proper nutrition is the key to good health and full development of the baby. Food should be balanced, healthy and easily digestible. Vegetables and fruits, dairy products, nuts, boiled meat and fish are foods that will provide the right amount of fats, carbohydrates and proteins throughout the day.

Physical activity

During pregnancy it is useful to walk a lot fresh air, do light gymnastics, fitness (special complexes for pregnant women), swimming. Yoga will bring great benefits for physical and spiritual development.

However, excessive physical activity and heavy lifting are contraindicated. If a pregnant girl’s work involves physical activity, then by law she must be transferred to light labor.

Lack of stress and negative emotions

Expectant mothers should try to avoid situations that will bring negative emotions. There is no need to watch news or heavy films; it is better to give preference to light romantic comedies or reading books. Visiting exhibitions, museums, communicating with interesting people will have a beneficial effect on the emotional state of a woman. You need to devote more time to your family - close people are the most powerful support in such a situation. important period life.

A bit more useful information in this video:

Conclusion

The pregnancy period in the life of every woman should be associated with positive emotions. Even if you have pain in the lower abdomen, you don’t need to immediately panic. Modern medicine is developed enough to ensure the bearing of a healthy baby, which is why timely consultation with a doctor is so important.

In the early stages of pregnancy, women often experience various pain sensations - the lower back and abdomen may hurt.

Such symptoms should be treated with special attention, since the threat of miscarriage increases directly in the first trimester of pregnancy.

Painful discomfort near the abdomen occurs due to an increase in progesterone.

To find out whether your stomach hurts during pregnancy due to physiological factors or due to a dangerous pathology, you need to find out the recommendations of a specialist.

Abdominal pain during early pregnancy

All pregnant women want the period of bearing a child to proceed without complications and not give cause for concern. But the most common complaint among pregnant women is nagging or aching pain in the lower abdomen.

The complaint is extremely popular, so you need to understand when such discomfort during pregnancy is a pathology and requires immediate medical intervention, and in what situations it will be physiological in nature and will only require following general instructions.

Of course, pain in the lower abdomen appears at various stages of pregnancy, but most often women note their formation in the early stages of this period.

Painful discomfort in the abdomen can be varied both in personal perception and in its location and strength of manifestation.

Painful sensations appear in calm state and after various physical activities. Pain can form in one place or radiate to other places.

Symptoms

In many situations, the stomach hurts in the early stages of pregnancy due to the fact that the expectant mother’s body is going through various changes in order to prepare itself for the further period of gestation and the birth itself.

Usually, such pains are not very strong - many women compare them with stretching during pregnancy.

But in a situation where the stomach hurts very badly or the discomfort is associated with the following symptoms, you need to consult a doctor:

painful sensations in the lower abdomen are not dull, but sharp and growing, and do not go away after taking a lying position;
discomfort in the form of contractions of varying intensity;
nausea and gag reflex, disturbances in the functioning of the gastrointestinal tract, loss of appetite;
various bloody discharges;
concentration of pain in various parts abdomen, which become more intense during the process of pressing.

This, of course, is not a physiologically normal state and in any situation is a harbinger of dangerous pathological processes inside the human body.

In this case, you should consult a gynecologist as soon as possible.

And if bloody discharge appears, a pregnant woman should immediately take a horizontal position - she is forbidden to go to specialists herself. You should immediately call an ambulance.

Causes

When your stomach hurts in the early stages of pregnancy, this is a dangerous signal for any woman, which should force her to listen to her own feelings.

Based on strength and location, it is possible to determine whether there is a risk to the health of the expectant mother or fetus.

Properly administered therapy helps prevent possible adverse effects, although in general it is enough to just calm down and give the body a rest.

There are many provoking factors for the formation of painful discomfort in the lower abdomen in early pregnancy.

Physiological nature of pain

Mostly, the stomach hurts in early pregnancy due to physiological reasons.

Such painful sensations, usually, are not capable of causing much discomfort, are practically unnoticeable, and are not characterized by a tendency to intensify. At certain points, not only the stomach hurts, but also the lumbar region.

Many women in a similar position ask the question, why does the stomach hurt in the early stages of pregnancy?

Initial discomfort may appear several days after conception, when the expectant mother has no idea about her situation.

At this stage, the embryo penetrates the endometrium. The smallest lesions of the mucous membrane, and in some situations, blood vessels, can cause discomfort or even minor bleeding.

Women rarely focus on this kind of pain, since they are extremely similar to ordinary premenstrual syndrome.

In the first weeks of pregnancy, the stomach hurts due to the following circumstances:

Hormonal changes. Demotion certain functions in the functioning of the gastrointestinal tract due to muscle relaxation during the growth of hormones. This becomes a provoking factor in the formation of pain. Discomfort of this origin in the lower abdomen is typical during pregnancy and only requires prevention to eliminate it.
Consequences of toxicosis. The stomach in particular hurts during the gag reflex and refusal to eat. In the current situation, all possible measures are aimed at eliminating the toxic state. The menu and methods for preventing toxicosis depend on the personal characteristics of the female body. In the process of constant vomiting, you should seek advice from a doctor who prescribes hospital treatment.
Unbalanced diet. A pregnant woman should normalize her diet and exclude from the menu products that upset the stomach.
Stressful situations and psycho-emotional shocks. The stomach hurts until the source of nervous feelings is eliminated. Valerian (in tablets or drops) can be taken as a preventive measure.
Food intoxication. Associated with fever, gag reflex and stool disorder. Therapy in this situation is needed without delay, since poisoning can harm not only the woman, but also the fetus.
Gastrointestinal diseases. This group of diseases can manifest itself as various digestive disorders, disturbances in stool and general tone of the pregnant woman. The risk group may include women who suffered from diseases associated with the gastrointestinal tract before pregnancy. Strict dietary nutrition and proper therapy will be the key to eliminating painful discomfort in the abdomen.

When your stomach hurts in the early stages of pregnancy, it is advisable to visit a specialist, because in more dangerous situations the syndrome can be extremely similar to the above symptoms.

Pathological nature of pain

Often, in addition to the physiological reasons that influence the appearance of pain in the early stages of pregnancy, there are factors of a pathological nature.

Each of them is dangerous and requires proper attention. Otherwise, the consequences may be severe.

Frozen pregnancy

In certain situations, due to various provoking factors, the formation of the fetus is stopped and it dies.

Of course, in such a case, the body will begin to reject it, which will provoke uterine contractions, and, as a result, painful discomfort in the lower abdomen. They can be acute, may intensify, and are often associated with bleeding.

Ectopic pregnancy

A diagnosis such as ectopic pregnancy is no less dangerous for the expectant mother and fetus. In certain situations, the fetus is not able to reach the uterus, but is fixed in one of its tubes.

Soon he will reach certain sizes, which will exceed the diameter of the fallopian tube, and it will begin to burst it. Such a process provokes unpleasant sensations.

For this phenomenon There are a large number of signs: discomfort is concentrated in a certain place, during the process of organ rupture, intense bleeding occurs, acute pain, nausea, gag reflex, dizziness, and fainting occur.

It should not be allowed to rupture, since repair of the fallopian tube will most likely be impossible.

Risk of miscarriage

The stomach hurts in the early stages of pregnancy and when there is a risk of miscarriage. This process involves detachment ovum. Depending on the intensity with which it occurs, different symptoms are likely.

It includes acute pain that does not allow you to concentrate on anything else, which can intensify in the lower abdomen, as well as bleeding (from spotting pink discharge to intense purple).

Discomfort and bleeding can be independent or combined signs.

In the process of identifying such symptoms, you should immediately call an ambulance. Then you need to take a horizontal position and, at rest, wait for the doctors to arrive.

You shouldn't panic. Timely initiation of therapy will usually make it possible to maintain pregnancy. It is acceptable to take 2 tablets of No-shpa.

Corpus luteum cyst

The corpus luteum is considered one of the temporary organs formed inside the female body in order to maintain pregnancy. It is formed at the site of follicle rupture.

Its main task will be the production of progesterone in the early stages of pregnancy - until the formation of the placenta is completed.

In certain situations, this organ is not formed properly, fluid accumulates inside it and it reaches uncharacteristic dimensions.

In this case, we can talk about a corpus luteum cyst. Usually, it rarely poses a threat to the pregnancy itself and effectively copes with its purpose.

This condition can manifest itself as an unpleasant pulling sensation in the lower abdomen. Mostly, pain discomfort is localized to a specific area.

This pathology generally does not require any intervention, however, a thorough diagnosis will not be superfluous, since there are certain prescriptions for women who have been diagnosed with a similar disease.

Non-gynecological factors

Abdominal pain is sometimes not at all associated with gynecological problems. Diseases such as pyelonephritis, appendicitis and others often become provoking factors of unpleasant sensations.

They can develop on their own, or they can form directly during pregnancy.

Also, the root causes of pain in the lower abdomen include ordinary bloating. In the early stages, gastrointestinal upset is a very common cause.

In this situation, you just need to balance your own diet and saturate it with vitamins.

If you experience stomach discomfort in early pregnancy, you should not panic. You need to calm down, determine exactly where the pain is located and visit a doctor as soon as possible.

If the sensations are not intense, there is no bleeding or other unpleasant symptoms, then it is possible to get to a medical facility on your own or optimally call doctors and not put your life and the life of the fetus at risk.

Prevention

Measures to prevent painful discomfort in the lower stomach in the early stages of pregnancy include:

Revising menus that promote proper digestion and absorption within the body.
Fractional meals.
Fasting is prohibited.
Drinking water in the right amount.
Exception stressful situations.
Regular walks outside.
Timely treatment of gastrointestinal diseases.
Timely consultation with a specialist.

Prevention helps to provide assistance in many situations of a physiological nature, however, for prolonged pain, it is optimal to find out the recommendations of a doctor.

Painful discomfort in the lower stomach in early pregnancy is an extremely popular phenomenon. Provoking factors are different.

Some of them do not cause adverse consequences for life, others can provoke serious complications. Therefore, if there is the slightest suspicion and discomfort, you need to visit a gynecologist.

Useful video

During pregnancy, almost every woman experiences abdominal pain. They arise for various reasons and can cause significant discomfort. Some of them are associated with natural changes in the body, and some can lead to adverse effects.

Why does your stomach hurt during pregnancy?

During this period, from time to time the woman feels pain or discomfort in various parts of the body. As a rule, they indicate changes in hormonal levels or are associated with abdominal growth. But sometimes abdominal pain indicates an exacerbation of previously dormant diseases or the emergence of other problems.

The abdomen does not belong to a single organ; pain in this area may be associated with pathologies in various systems body. If you experience any unpleasant painful sensations, it is best to consult a doctor.

Types of abdominal pain and causes of their occurrence

Abdominal pain during pregnancy is conventionally divided into obstetric and non-obstetric. Obstetric pain includes pain that is directly related to bearing a child and, as a rule, does not require medical intervention. Non-obstetric pain can occur in all people and be a symptom of disease.

The most common obstetric non-threatening pains include the following:

At 2-3 weeks of pregnancy, the fertilized egg is implanted into the wall of the uterus. This may be accompanied by a slight nagging pain.
Moderate abdominal pain in the 1st trimester of pregnancy. It is caused by physical changes in the body associated with softening of tissues to support the uterus, as well as stretching of muscles. Pregnant women who have previously had painful menstruation often face this problem. The pain is sharp, but short-lived in the lower abdomen. They intensify with sudden movements and when lifting heavy objects. There is no need to treat them, the woman should just lie down and rest.
In later stages, abdominal pain may occur due to the baby moving. Also in the 3rd trimester, nagging pain is associated with the growth of the uterus and tension of its muscles
Digestive problems associated with pregnancy. Due to hormonal changes, a woman may suffer from dysbacteriosis and bloating, accompanied by painful sensations. The pain is nagging or aching and is accompanied by belching, nausea, vomiting or heartburn
This problem usually appears in the second half of pregnancy and requires nutritional adjustments.
Before childbirth, the pelvic bones diverge, which may be accompanied by slight aching pain in the abdomen
Training contractions appear in the 3rd trimester of pregnancy. In this way, the body prepares for the upcoming birth. They do not cause a woman much discomfort and are harmless

It is important not to confuse false contractions with premature birth. If regular contractions occur, especially severely painful ones, you should urgently call an ambulance.

But there are also dangerous obstetric pains that arise from the following problems in the body:

Threat of miscarriage. At the same time, there is aching and pulling in the lower abdomen and lumbar region. Bloody discharge is also added to the pain. You can avoid an unfavorable outcome only by seeking medical help in a timely manner. If no measures are taken, the pain becomes cramping, bleeding increases and spontaneous miscarriage occurs.
, in which the fertilized egg is implanted not in the uterus, but in fallopian tube. In this case, sharp abdominal pain occurs, accompanied by dizziness. Define ectopic pregnancy Possibly by ultrasound. Most often, its characteristic symptoms appear at 5-7 weeks.
Premature placental abruption. It can be provoked by injuries in the abdominal area, a short umbilical cord and other pathologies. In this case, the pain in the abdomen is very severe, internal bleeding may occur without external discharge. In this case, only forced delivery and stopping the bleeding can save the woman and child.
dangerous at any stage of pregnancy, since it is harmful to the fetus nutrients and oxygen. It is often accompanied by sharp pain in the lower abdomen of a cramping nature. In this case, the stomach and uterus become hard, and over time they relax again.

Among non-obstetric abdominal pains during pregnancy, surgical pathologies or certain diseases most often occur:

Appendicitis is quite rare. With this pathology, severe pain appears in the navel, right side and right hypochondrium. Accompanied by pain, nausea, vomiting and fever. In the 2nd trimester of pregnancy, there are cases of acute appendicitis, which requires urgent surgical intervention. Abdominal pain appears suddenly and is paroxysmal in nature, after some time turning into a constant aching sensation.
Pancreatitis is characterized by acute pain in the upper abdomen. It is accompanied by vomiting and bowel dysfunction.
manifests itself as nagging painful sensations and a feeling of heaviness in the abdomen. They intensify when the bladder is full, becoming cutting. At the same time, urination becomes more frequent and becomes painful.
Exacerbation of chronic cholecystitis or chronic gastritis is also manifested by painful sensations in the abdomen. In the first case, they appear in the right hypochondrium, in the second - in the upper abdomen. The pain is aching in nature.
In case of intestinal infection or poisoning during pregnancy, pain in the navel and indigestion occur.

The danger of intestinal infections during pregnancy is that, together with intestinal tone, they cause uterine tone.

What measures to take for abdominal pain during pregnancy

As you can see, abdominal pain during pregnancy can occur for various reasons. Some of them can threaten the health of both the expectant mother and the child. During the normal course of pregnancy, there may be minor pain in the abdomen without dynamics. In this case, the body simply adapts to a new physical state.

You should not self-medicate abdominal pain during pregnancy, as you can harm yourself and your baby. It is best to consult your doctor first.

Physiological pain during pregnancy can be relieved by staying in the knee-elbow position for 10 minutes several times during the day. Acceptance will also help. warm shower, chamomile tea or aromatic relaxing oils (rose, mint, jasmine, lavender). After your doctor's permission, you can drink a glass of mint infusion or lemon balm decoction at night. The product will help you relax, eliminate pain and fall asleep quickly.

For pain caused by digestive problems, normalizing your diet and including a large amount of food in your diet will help. fresh vegetables, fruits and dairy products. You need to try to stick to the regime and eat food at the same time every day. It is important to avoid fatty, fried and spicy foods.

In case of inflammatory processes in the body that cause abdominal pain, the woman is prescribed pregnancy-compatible antibiotics, as well as acceptable antispasmodics. If there is a threat of miscarriage, uterine hypertonicity and initial placental abruption, bed rest and sedatives are indicated. Antispasmodics, which also reduce the tone of the uterus, help relieve pain in the abdomen.

If surgical intervention is necessary, they try to postpone it until the end of pregnancy, relieving the symptoms of the pathology. In emergency cases, they try to resort to laparoscopy rather than strip surgery.

Prevention of abdominal pain during pregnancy

The following recommendations will help reduce physiological pain during pregnancy:

The bandage should only be worn while lying down and should not be tightened too much.

Provoke risk various pathologies can infectious diseases, stressful situations, injuries and sudden movements, so it is better to avoid them. Timely consultation with a doctor, as well as compliance with all his recommendations, will help reduce the risk of atypical abdominal pain during pregnancy.

Stomach hurts during pregnancy - Video:

During pregnancy, abdominal pain always causes concern for the expectant mother. Even if they are insignificant, the 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 they may also be the first symptom of an ongoing pathological process that cannot be ignored.

The pain can be of different types: acute and sudden, aching, cramping, stabbing or constant, chronic. For diagnosis, it is important to determine the location 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 during which the entire body undergoes restructuring. Such sensations are not dangerous. In addition, they are often minor, do not get worse over time and do not cause great physical discomfort.

Very often, in the first weeks of pregnancy, a woman experiences abdominal pain, as during menstruation. Often future mom doesn’t 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 implantation of the fertilized egg into the endometrium.

There are other reasons:

hormonal changes in the body;
excess progesterone levels;
ligament sprain;
increased sensitivity of the mother's body to errors in nutrition;
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 pinching. This pathology can cause stabbing and cutting pain in the lower abdomen and in the navel area, vomiting, nausea, and heartburn. If you have such symptoms, you should consult a doctor.

Symphysitis

Painful sensations that occur in the lower abdomen when walking can be caused by inflammation of the symphysis pubis (symphysitis). It is caused by softening of the pelvic bones under the influence of hormones. Because of this, discomfort in the perineal area and a characteristic duck gait are noted. While walking, pain often occurs due to diseases of the musculoskeletal system, which are aggravated due to increased pressure on them.

Premature birth

Nagging pain localized 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 is one of the most severe complications that threaten the life of the fetus and require immediate medical attention.

What are training contractions?

Mild tugging sensations at 38 weeks of pregnancy are an indicator that the body is intensively preparing for childbirth. They are called harbingers of childbirth. These also include:

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

Painful sensations may be cramping in nature. Sometimes they are perceived by women, especially first-time mothers, as the beginning of labor pains. In gynecology they are usually called. They are less painful, non-cyclical and do not tend to increase. Training contractions should not be a cause for concern, but they do mean that a woman should be mentally prepared for the start of labor.

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

What to do?

In case of 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 unpleasant symptoms caused by toxicosis, the following rules must be followed:

stick to fractional meals 5-6 times a day;
eat light plant foods, lean meats, fruits, vegetables;
exclude smoked, spicy, fried foods from the diet;
provide the pregnant woman with plenty of fluids to protect against dehydration (unsweetened tea, dried fruit compote, chamomile infusion, 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, from which teas are prepared or its root added to salads or cereals, helps reduce attacks of nausea.

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

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

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

Take regularly warm bath or shower. The water should not be very hot.
Periodically go to bed to rest, listening to light music, meditating.
Drink plenty of fluids, especially if you are prone to swelling.
Take leisurely walks in places where there are no crowds of people. Staying in the fresh air supplies the placenta and other organs with oxygen and accelerates the elimination of waste and toxins.
Do yoga, fitball exercises.
Avoid stressful situations, physical and moral tension, and unjustified worries.
Follow a diet that supports intestinal microflora, prevents dehydration, and relieves swelling.
Visit your gynecologist regularly and follow all his instructions and recommendations.
Fight constipation: drink at least 8 glasses of water a day, eat foods rich in fiber, exercise physical exercise. Taking laxatives, especially without consulting a doctor, is not advisable.
Monitor your blood pressure and consult a doctor if it spikes.
To ease the condition during training contractions, you can lie on your left side, placing a pillow under your stomach, take a knee-elbow position for a few minutes, inhale deeply, counting to four, and exhale, counting to six. The same exercises in the future will alleviate the condition during childbirth.

During pregnancy, a woman occasionally feels discomfort or pain in the different parts bodies. This is due to hormonal changes in the body, and to the exacerbation of diseases that were in a “dormant” state in a non-pregnant body. Most of all, the mother is in alarm if discomfort or pain occurs in the abdomen, an organ directly related to the child. The stomach, unlike the heart or liver, is not a single organ. In his “department” there are many different organs, tissues, structures, etc. If something is sick, then you are unlikely to be able to independently determine what exactly it is. Therefore, consult a doctor immediately. We suggest you familiarize yourself with what pain that occurs in the abdomen can be and what they can signal.

The sensations that arise in the abdomen during pregnancy can be divided into obstetric and non-obstetric. What does it mean? When they say “obstetric,” they mean the sensations and feelings that arise in the body precisely because of pregnancy. For example, fetal movements in the later stages or mild, fleeting pain in the sides. These symptoms are considered harmless and do not require intervention from medical professionals. In the first trimester, moderate pain is not an alarm signal, but is caused by physiological changes: softening of the tissues that form the supporting apparatus of the uterus occurs, as well as their stretching and displacement due to the growth of this organ. Often such pains bother women who had painful menstruation before pregnancy. But, remember: if a pregnant woman feels a pulling or cramping pain in the lower abdomen, if she “aches” in the area, consult a doctor immediately. This may indicate the onset of a spontaneous miscarriage. The likelihood of an induced abortion increases if the pain is accompanied by discharge. If you take action in time, you can avoid misfortune.

In addition, hormonal changes in a pregnant woman's body cause the intestines to work more slowly, which, in turn, leads to stagnation of its contents. A favorable environment is created for the proliferation of pathogenic bacteria. To alleviate the condition, it is recommended not to overload the intestines: eat right (balanced, 4-5 times a day in small portions). Pain can also be caused by stretching of the intestine, compressed by an enlarged uterus.

A decrease in immune defense and changes in blood circulation in the small vessels of internal organs also lead to conditions that contribute to the development of inflammation. Due to the displacement, the greater omentum, designed to limit the inflammatory process in the abdominal cavity, is pushed aside by the uterus and has poor contact with the internal organs. This leads to the fact that the inflammatory process quickly spreads to nearby organs and the peritoneum, causing their inflammation.

In the second case, when talking about non-obstetric sensations, they mean those that are inherent to any person, regardless of gender and age. So, abdominal pain can be a symptom of a variety of diseases. Let's list the main ones.

Appendicitis during pregnancy

It is extremely rare in pregnant women and causes severe pain in the navel area, as well as in the right hypochondrium and right side. At the same time, nausea and vomiting appear. In the second trimester, acute cases occur that require urgent intervention from doctors. In this case, the pain appears suddenly and manifests itself in sharp, severe attacks, and after a while it acquires a constant aching character. Pain, as with simple appendicitis, may be accompanied by nausea and vomiting, and fever.

Cystitis during pregnancy

Diseases of the duodenum during pregnancy

The occurrence of an intestinal infection is indicated by pain in the navel, loose stools, nausea, vomiting, and sometimes a rise in temperature is possible. During pregnancy, this is also dangerous because it provokes intestinal tone. In addition, an increase in the number of pathogenic bacteria can lead to the threat of miscarriage.

Under the influence of hormones, intestinal motility may be impaired, leading to. In this case, the woman experiences periodic discomfort in the lower lateral parts of the abdomen. To avoid it, it is necessary to carry out a number of measures to force the large intestine to work. For example, eat vegetables and fruits, wholemeal bread and wheat bran. Physical activity will be useful.

Foodborne illnesses during pregnancy

It happens that abdominal pain is caused by poisoning, or rather, toxic food infections. This happens when microorganisms enter the gastrointestinal tract, causing intoxication of the body. The most likely causes of infection are: dirty water, food or unwashed hands. If infection occurs, a person experiences nagging or cramping pain in the navel area, frequent loose stools, nausea, and in some cases vomiting. Possible increase in body temperature. In particular severe cases weakness, pallor, cold sweat, decreased blood pressure and increase in frequency. In this case, the person is sent to a hospital for treatment.

As you can see, the cause of pain in the lower abdomen can be a variety of diseases, so if such symptoms occur, it is very important to seek medical help as quickly as possible. If you experience pain that you have never had to deal with before, it is better to immediately call an ambulance team. Sometimes the illness can be dealt with at home, and sometimes additional tests, consultations with specialists and treatment within medical institutions may be required.

Especially for- Elena Kichak