During pregnancy, the intensity of the pain is more important than its nature. If the pains are not intense and not constant, but arise simply from time to time, then most likely they are not dangerous. However, to be sure of this, you need to appear as an obstetrician-gynecologist.
Stitching pain in the lower abdomen – is it scary or not?
From the very beginning of pregnancy a woman may be disturbed by the different nature of lower abdominal pain. Most often – this is one of the options for the normal course of pregnancy. Many women do not feel such pain at all (for example, with a low sensitivity to pain), others give them too much importance and panic.
Why, during normal pregnancy, can stitching pains occur in the lower abdomen? In the first trimester (first 12 weeks) of pregnancy, such pain occurs most often also because the woman constantly listens to her new condition, is afraid of losing the child, is worried.
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But there are also objective reasons for the appearance of a small intensity of stabbing pains that periodically occur in the lower abdomen. First of all, it is the growing uterus, in which the number and volume of muscle fibers increases significantly, ligaments swell and stretch – all these processes can cause different in nature and intensity, but irregular pains. Stitching pains can also occur against the background of some disorder of the innervation of the pelvic organs that occurs during hormonal adjustment. As a result, a continuous stream of information flows from the uterus to the cerebral cortex, and the response can affect not only the uterus, but also other nearby organs – the bladder. The bladder – the structure and functions and intestines associated with it by a single innervation. This often leads to impaired urination and stabbing pains along the intestines to the right or left.
The gastrointestinal tract also contributes to pain – its motility during pregnancy significantly decreases due to hormonal changes, which leads to stagnation of feces, constipation, flatulence and stitching pains in the most affected areas of the intestines.
The ligaments and joints that support the uterus during pregnancy can also respond with pain signals as they stretch in preparation for future loads.
Nevertheless, it is also impossible to write off all pain sensations to physiological processes, because pathological processes can also proceed at first with minimal sensations. The task of a pregnant woman is to promptly consult a doctor with such minimal manifestations of pregnancy complications – it is at this stage that they are best treated.
Therefore, do not hesitate to tell the doctor about all, even the most insignificant sensations – he will either calm the woman or prescribe the necessary treatment.
And you always need to remember that extra worries are no less harmful than any other complications. That is why any suspicion of pregnancy complications should be checked immediately, with the result that minor stabbing pain will not cause unnecessary stress in a woman.
What you should pay attention to
First of all, you need to pay attention to the intensity of pain – severe pain, of course, require the advice of a doctor. The significance and constancy of pain – persistent, or pain arising after a certain period of time should also cause alertness. If pains occur periodically, haphazardly, they are not too intense (just tingling something), then this is most likely non-dangerous pain.
Pay attention not only to pain, but also to their combination with other symptoms, such as secretions from the genital tract. Fear should cause a combination of any kind of intensity and duration of pain with bloody discharge. Bloody discharge – it is important to eliminate the pathology. The general condition of a woman is also important, for example, in the event of high water, there can be pains in the lower abdomen of a different nature (including stabbing) in combination with general weakness, malaise, and poor appetite.
Pain can also occur when uterus muscle tone increases. In most cases, this condition is not felt in a pregnant woman, but it can also manifest itself in the form of stabbing pains in the lower abdomen. Abdominal pains: when to sound the alarm ?. A small hypertonus of the uterus occurs quite often, it is treated on an outpatient basis. This should be done, since hypertonus hypertonus: a sign of the disease can compress the blood vessels of the umbilical cord and the fetus will suffer from a lack of nutrients and oxygen.
All complications of pregnancy can be identified in the antenatal clinic, and timely assistance will be provided to the woman. This is very important for the proper course of pregnancy, the birth of a healthy baby and the prevention of complications in the pregnant woman herself.
Stitching pains in the abdomen during pregnancy
As soon as a woman becomes pregnant, everything changes in her life, she feels the world differently, her taste sensations change. Moreover, the main changes occur from within. In her body will begin a global restructuring, which will help the female body make and give birth to a healthy child. And most often such a restructuring is accompanied by pain, and they, in this “position” are considered the norm.
During the natural physiological process, a woman in a position will go through a lot, and most often a joyful mood can be overshadowed by pain. Most women feel lower abdominal pain – these are typical symptoms throughout pregnancy. However, in each trimester, the pain can be varied, depending on the condition of the woman and the child. It should be noted that the pain and tingling in the lower abdomen of a pregnant woman can be removed in various ways, depending on the reasons for their occurrence.
Pain in the first trimester of pregnancy
A woman may feel a slight tingling in the area of the uterus a week after conception. But, as a rule, such pains are missed by many women, because at that time they do not even know about their pregnancy. Absence of regular menstruation, chest pain, drowsiness, nervousness, nausea and vomiting in the morning can be called symptoms of pregnancy. And from this moment the pregnant woman begins to react sensitively to any tingling in the lower abdomen. We hasten to reassure you, painful tingling sensations in the abdomen – this is normal for the first trimester. After all, your uterus is increasing rapidly. Other physiological changes that do not appear externally occur. If you feel a slight stabbing pain in the lower abdomen during pregnancy, then there is nothing dangerous about it.
Such stitching pains in the lower abdomen can appear in a pregnant woman with sudden movements and even with sneezing. If the stabbing pain in the lower abdomen gives you discomfort, talk to your doctor, she will probably advise you some easier, harmless remedy.
When tingling in the lower abdomen, pregnant women are often advised to do special gymnastics, which can relieve pain, and keep internal organs in good shape, especially the abdominal part.
Stitching pain in the second trimester of pregnancy
In the second trimester, stabbing pains in the lower abdomen may be caused by other reasons. We all know that from the fourth month of pregnancy, the uterus begins to increase in size at a rapid pace. As a result, will begin to put pressure on neighboring organs, which can cause disruption of the digestive process. During this period, problems with the gastrointestinal tract can cause stabbing pains in the lower abdomen. Doctors believe that this is a normal phenomenon, and tingling can be eliminated by adhering to proper nutrition and daily routine.
Pregnant women need to make their diet, excluding from the list of products that causes gas. Basically, gases are formed after using such products as fresh white bread, cabbage, legumes and grapes. If you follow this diet, pregnant women will not be bothered by stabbing pains in the lower abdomen. To prevent intestinal stasis, physicians advise pregnant women to do light exercise.
Stitching pain in the lower abdomen during pregnancy in the third trimester
In the third trimester, a pregnant woman may experience stitching pains in the lower abdomen, as the female body will be prepared for the upcoming labor activity. Some women from 35 weeks begin to suffer from training fights, manifested in the form of tingling, but they do not cause much discomfort for the pregnant woman. Sometimes the tingling sensation may be sharp and accompanied by pulling pains extending into the groin or lower back. In this case, the woman is already time to gather in the maternity hospital, as the contractions can begin from minute to minute.
Stitching pains in the abdomen during pregnancy
There is hardly any woman giving birth who can say for sure that during all the 9 months of pregnancy she has never hurt anything or at least did not cause discomfort. This is not surprising: with the advent of a small puzozhitel, the body undergoes significant changes (muscle fibers stretch, ligaments swell and stretch, organs of the small pelvis “diverge”). In most cases, this explains the pulling or tingling pain in the lower abdomen, often tested by a woman in the first trimester of pregnancy. It is noticed that such pains are more often disturbed by those women who had painful periods before pregnancy.
But sometimes it happens that the future mother is really afraid of stabbing pains appearing here and there. But most of all, cause a true panic, if these pains are localized in the abdomen.
However, a pregnant woman should know that in the period of carrying a baby should pay attention not so much to the nature of the pain, but to its intensity. Nevertheless, if some sensations really alarm, it is better to consult a doctor. But we can describe some of the phenomena and their causes right now.
For example, stabbing (but more often – pulling) pain may occur with the so-called hypertonia of the uterus. If the pain is minor – just lie down, relax and calm down. If intense, and even accompanied by secretions, urgently seek medical help!
Read also abdominal pain during pregnancy
However, stitching pains may occur in other organs during pregnancy. For example, the motility of the gastrointestinal tract during pregnancy decreases. This leads to stagnation of fecal masses, flatulence, constipation and, as a consequence, stitching pains in the intestine.
Sometimes acute stabbing pain indicates acute appendicitis. If stabbing pains are felt in the right hypochondrium, it may be cholecystitis (inflammation of the gallbladder). "Get injured" during pregnancy can and pancreas. Pancreatitis, an inflammation of this organ, is manifested by sharp pains in the upper abdomen. Often, during pregnancy, women complain of pains of a pulling nature, which, as the bladder fills, become more intense and become piercing. Especially strong pain – at the time of urination. This is cystitis – inflammation of the bladder. Often, “colic” are a consequence of the presence of infectious diseases, sexually transmitted diseases.
Some women complain of stabbing pains in the tailbone when carrying a baby. In addition to stabbing pain can be dull, they can be localized, and can give in the crotch, lower abdomen, buttocks and thigh. The causes of this phenomenon are extremely many, ranging from hormonal changes, psychoemotional stress and ending with the threat of premature termination of pregnancy.
Separately, it is necessary to single out such a pathological condition as isthmic-cervical insufficiency. It develops as a result of injuries to the isthmus and cervix. The cause of trauma is often abortion, childbirth (if the child is large), and use of obstetric forceps. As a result, the cervix opens and cannot hold the fertilized egg and therefore it goes down. In this case, the woman feels stabbing pain in the vagina. It is dangerous because it can cause spontaneous abortion. Most often this happens in the 16th week of pregnancy.
Stitching pains in the abdomen during pregnancy
During pregnancy, each woman is faced with new changes in her body, pain and discomfort. Such changes in the state of the body are completely natural. Since the birth of the child leads to dramatic changes in the female body – lead to swelling and sprain, stretching of muscle fibers, “divergence” of the pelvic organs. It is these changes that usually cause the tingling or pulling pain in the lower abdomen, which often occur during the first trimester of pregnancy. Statistics confirm that women with painful menstruation before pregnancy usually experience similar pain.
However, sometimes a situation where the appearance of stabbing pains in various parts of your body makes a woman truly worry. But more often, women are stabbing with a localization in the abdominal region to a real panic.
What to consider when the appearance of piercing pain in the lower abdomen during pregnancy?
A pregnant woman should take into account that when carrying a child, special attention should be paid not so much to the nature of her pain, but mainly to intensity. But in any case, when certain sensations in the lower abdomen are really alarming, consultation with a specialist is recommended. But certain feelings and the reasons for their occurrence can be considered in our article.
In particular, hypertonicity of the uterus becomes the cause of stitching (but usually pulling) pains. With minor pain it will be enough to lie down, calm down and relax. With intense pain, which is still supplemented with secretions, it is necessary to urgently receive medical assistance.
It should be borne in mind that during pregnancy the appearance of stabbing pains is also possible in other organs. In particular, there is a decrease in the motility of the gastrointestinal tract during pregnancy. The result of such changes are stagnation of feces, constipation, flatulence, resulting in stitching pains in the intestine.
Lower abdominal pain in early pregnancy
Possible causes of piercing pain in the lower abdomen during pregnancy
Sometimes acute stabbing pain becomes a sign of acute appendicitis. With the appearance of stabbing pains in the right hypochondrium, the cause may be inflammation of the gallbladder – cholecystitis. There may be some effects on the pancreas during pregnancy. In particular, inflammation of the pancreas, pancreatitis, manifests itself in the form of acute pain in the upper abdomen. During pregnancy, often there are nagging pains that, when filling the bladder, become piercing and more intense. The appearance of particular severe pain is characteristic of urination. Such a sign indicates inflammation of the bladder – cystitis. The appearance of “colic” often makes you think about infectious diseases that are sexually transmitted.
The appearance of pain in the tailbone during pregnancy
During pregnancy, the appearance of pain and a pricking character in the tailbone is possible. Pain can be not only stabbing, but also dull, they are localized, or given to the lower abdomen, perineum, thigh, buttocks. Such changes can actually be caused by a very large number of factors, from psycho-emotional stress, hormonal changes to the threat of premature termination of pregnancy.
Cervical insufficiency during pregnancy
Cervical insufficiency deserves special attention. The cause of the development of this pathology is the injury of the cervix and isthmus. The birth of a large child, abortion, and the use of obstetric forceps can often lead to injuries. As a result, the cervix is opened, without the ability to hold the ovum, which descends. The woman will feel the pain of the pricking character in the vagina. Such a situation is dangerous threat of spontaneous abortion. Most often, this condition is characteristic of the 16th week of carrying a child.
Lower abdominal pain during pregnancy
Stitching pains in the abdomen to the right during pregnancy
The appearance of such pain may indicate ectopic pregnancy – when fetal development occurs outside the uterus. In this case, there is a need for urgent medical care. The development of the ovum in this case usually occurs in the fallopian tubes. Around 5-6 weeks of gestation, a pipe rupture or tube abortion occurs. With the defeat of the right fallopian tube is characterized by the appearance of severe pain piercing nature with localization in the lower right abdomen. In acute, cramping pain, there is a sign of a tube abortion. When a pipe ruptures, the pain syndrome will be very high, which makes it extremely difficult to distinguish it from signs of acute appendicitis.
However, it should be understood that there are certain differences: the pain during ectopic pregnancy will be given to the rectum, groin, external genitals. The diagnosis is made according to certain indicators: bleeding from the genitals, delayed menstruation, low blood pressure, rapid pulse, dizziness (increased when changing position), pallor of the skin. If an ectopic pregnancy is suspected, a woman should immediately go to the hospital to perform the operation. If appropriate measures are not taken in a timely manner, a large blood loss can lead to the risk of death.
According to its characteristics, ovarian apoplexy is similar to an interrupted ectopic pregnancy – a heart attack or rupture of the ovary, characterized by a violation of its integrity, a manifestation of such changes is bleeding into the abdominal cavity. But it should be borne in mind that this situation is considered an extremely rare pathology. However, there is a certain danger in this regard – because of the rarity of this pathology, its diagnosis is complicated. Typically, the violation is characteristic of the right ovary, often observed after operations for ectopic pregnancy or acute appendicitis.
It should be noted the difficulty of distinguishing apoplexy from ectopic pregnancy. Since the picture is almost always the same: localization, the characteristics of pain are similar, abundant blood loss, etc. Since pregnancy implies a delay of menstruation, an ovary ruptures in the middle of the menstrual cycle – during or after ovulation. In such a situation there is a need for urgent specialist assistance. In the absence of abundant blood loss, without increasing anemia, suitable and conservative methods of treatment. Otherwise, you will need to resort to the urgent execution of the operation.
A frequent occurrence in young girls is torsion of the cyst legs. It is a tumor of the ovary, probably a change in its size, the result is a torsion. Among the possible causes can be noted a sharp increase in physical activity, the onset of pregnancy, changes in intra-abdominal pressure, a sharp change in body weight and other factors. Appears below the right abdomen so stabbing, sharp and strong pain, which may result in loss of consciousness. The pain is accompanied by nausea, vomiting, fever, pressure, increased heartbeat, the appearance of cold sweat on the skin. Pain during movement increases. There is also the possibility of bleeding. Twisting the legs of the cyst becomes the basis for performing an urgent operation.
Pulsation of the lower abdomen during pregnancy
Stitches in the lower abdomen to the left during pregnancy
The cases considered by us mainly lead to the appearance of pain in the lower abdomen on the right, except for ectopic pregnancy (the side of localization of pain in this case depends on the place of implantation of the fertilized egg). However, inflammation of the appendages can also be the cause of pain on the right and left. The appearance of unpleasant sensations in the initial stage is characteristic of the lower abdomen, then there is a shift towards the center of inflammation. An infection can lead to the development of inflammation in the internal genital organs as a result of performing hiteroscopy, curettage of the uterus, or in the event of complications after spontaneous abortion. The pain in this case is less than the cases discussed above.
Among the characteristic signs of inflammation of the appendages should be noted purulent discharge. Compared with torsion of the cyst stem, which can be caused by physical exertion, hypothermia can lead to an increase in inflammatory processes. Among the characteristic symptoms are fever, irritability, drowsiness, increased fatigue, lack of appetite, signs of intoxication – including cold sweat, sallow complexion, decrease in blood pressure. If timely measures are not taken to treat the problem, there is a risk of serious consequences, including sepsis, purulent fusion of the appendages or peritonitis.
On this list of possible pathologies or diseases that lead to pain in the lower abdomen, is not limited. We focused on women’s diseases — problems that every woman should be aware of.
Can I take medicine against lower abdominal pain during pregnancy?
When abdominal pains before consultation with a specialist can be used antispasmodics – the effect of these drugs is aimed at relaxing the smooth muscles of internal organs. Including can be used No-spa or candles with papaverine. Also at this time, rest and relaxation are strongly recommended. If the pain persists for more than an hour, you can resort to re-use of the drug. But with the increase, long-term preservation of pain, despite the action of antispasmodics, with the appearance of other symptoms, it is necessary to seek the help of a specialist.
It is not recommended to resort to self-treatment using anti-inflammatory and pain-relieving drugs. Since the action of these drugs leads to changes in the clinical manifestations of the disease, hiding it, leading to the appearance of improvement. Also, when referring to a specialist, certain signs may be absent as a result of the action of painkillers. And in any case, it is necessary to refuse self-treatment with the help of antibacterial drugs – many suggest a negative impact on the fetus, also lead to a distortion of the picture of laboratory research and manifestations of diseases.