Why does the lower abdomen feel tight in the early stages of pregnancy? Stomach hurts during pregnancy: when to be alarmed How long does the stomach ache in the early stages

While carrying a child, many women face various problems. Some patients complain that their lower abdomen is tight during early pregnancy, but there is no discharge. What is the cause of this condition, what is its danger to the fetus, and is it worth contacting a medical facility?

Practice shows that a wide variety of signs can indicate the onset of conception. This applies to phenomena such as breast swelling, nausea, vomiting, dizziness, headaches, increased sensitivity to odors, and even nagging pain in the lower abdomen. It often happens that in the early stages the lower abdomen feels tight, like before menstruation. At the same time, many mothers assume that menstruation will begin soon and do not pay attention to this symptom.

For many women, discomfort in the lower abdomen goes almost unnoticed, so they do not panic and lead their usual lifestyle. It also happens that the pain is quite intense and it is simply impossible not to notice it. If a girl has already taken a pregnancy test, such an unpleasant symptom makes her wonder if everything is okay with the baby.

Mild or moderate pain in the lower abdomen without discharge in the early stages of pregnancy is considered a completely normal physiological phenomenon. This symptom is explained by hormonal changes in the body. At the same time, all organs and systems of the expectant mother are susceptible to change.

Doctors distinguish between physiological and pathological reasons for the appearance of pulling sensations in the lower abdomen during pregnancy. In this case, discomfort may appear not only in the area of ​​the uterus, but also in the lumbar region, and radiate to the buttocks. Pain may occur periodically. If such a symptom is observed constantly, you should definitely consult a doctor. So, what are the physiological causes of discomfort in the first weeks of pregnancy:

• In the first week after conception, painful and aching, stabbing sensations often indicate a phenomenon such as the implantation of the fertilized egg into the wall of the uterus. Often this process is also accompanied by slight brown spotting. Many mothers do not even notice them, while others mistakenly believe that they have started menstruation, but this is not entirely true.
• Another physiological reason why a woman may experience discomfort is changes in the reproductive organ itself. Already from an early stage, the organ begins to enlarge and shift in relation to other organs. At the same time, the ligaments and tissues of the uterus itself soften, which may be accompanied by pulling sensations. In addition, blood flow in the reproductive organ increases significantly. This is necessary for nutrition and preservation of new life.

Be that as it may, physiological conditions cannot cause severe pain.

If the expectant mother feels severe, long-lasting discomfort, even without discharge, she is advised to immediately contact an antenatal clinic. This will help prevent such a dangerous phenomenon as miscarriage.

Pathological causes of pain in the early stages

It often happens that in the early stages of pregnancy pain occurs on the right or left, radiates to the lower back, and spreads to the entire abdominal region. If the discomfort is quite continuous and does not go away within a few minutes, the expectant mother should be wary. Conditions in which the pain constantly intensifies are considered especially dangerous. Even if the pain stops, but then the discomfort returns again, you should immediately go to the hospital. Every minute of delay can have the most negative impact on the health of the mother and the life of the baby.

This is a fairly common phenomenon that occurs at various stages of pregnancy. In this case, the fertilized egg, which contains the embryo, moves away from the wall of the reproductive organ. If you go to the hospital in a timely manner, you can save the baby’s life.

But at the same time, a condition may arise in which the threat of miscarriage and premature birth will persist throughout the entire period. A woman may need hospitalization and constant medical supervision.

Diseases of the genitourinary system

Sexually transmitted infections and other infectious pathologies are another reason that can provoke nagging pain in the lower abdomen in the early stages. To exclude this condition, it is recommended to plan pregnancy and early register the expectant mother. If the infection is detected in a timely manner, there is a greater chance of successfully treating it and preventing dangerous consequences for the woman and child.

According to medical statistics, fetal freezing in the early stages is a fairly common phenomenon that can provoke discomfort and pulling sensations in the lower abdomen. In this case, the fetus stops its development at a certain period.

The causes of non-developing pregnancy are very diverse. These can be chromosomal pathologies, past viral and bacterial infections, bad habits of parents and much more.

Corpus luteum cyst of the ovary

During the onset of pregnancy, a corpus luteum cyst of the ovary may form in the female body. This temporary organ is formed at the site of a burst follicle. It is temporarily responsible for the synthesis of the hormone progesterone until the placenta is formed. Sometimes, with the uncharacteristic development of this temporary organ, a woman may experience uncomfortable pulling sensations. This condition, as a rule, does not pose a threat to the life of the fetus. As soon as the placenta is formed, these unpleasant sensations should stop.

If, for example, there is a slight tug and pain on the left side, this may indicate that the cyst is located in the left ovary and vice versa.

The so-called ectopic pregnancy is considered a fairly common and dangerous phenomenon. In this case, the fertilized egg is fixed not in the uterus, but in another area, for example, in the fallopian tube. This can happen due to various reasons. Often, the pathological attachment of a fertilized egg is provoked by adhesions. A characteristic feature of this pathology is increased pain every day as the embryo grows.

Cystitis

If a pregnant woman has pain and aching in the lower abdomen, pain and frequent urination are observed, this may well indicate a condition such as inflammation of the bladder. This disease occurs in girls against the background of damage to the urinary system by various pathogenic microorganisms due to the structural features of the female genitourinary system. While carrying a baby, the expectant mother's immunity is weakened, so cystitis during this period is a fairly common occurrence. This pathology must be treated under strict medical supervision, which will help not harm the mother and baby.

So, we found out that pulling sensations in the uterine area before a delay or in the early stages of bearing a baby can have both pathological, that is, dangerous, and physiological, that is, natural causes. Reviews from mothers indicate that while carrying a baby, they experienced discomfort in the lower abdomen to one degree or another and this is a completely natural phenomenon. If your stomach hurts a little and this discomfort goes away on its own within a few minutes, there is hardly any need to worry.

In case of intense pain and increased discomfort, you should immediately consult a doctor.

It is very important for a girl carrying a baby to learn to distinguish pathological pain from physiological pain. If you have moderate or mild discomfort that goes away within a few minutes, there is no need to worry. If the pain constantly intensifies and does not go away for a long time, contacting a medical facility should be mandatory. What should a expectant mother do? In such a situation, you should call an ambulance or go to the clinic yourself.

You should go to the hospital immediately if you have the following symptoms:

• The discomfort is constantly increasing, the painful sensations are increasing in nature and do not go away even with a horizontal position of the body.
• The sensations in the lower abdomen are cramping in nature.
• Discomfort is accompanied by dyspeptic disorders - nausea, vomiting, lack of appetite.
• Bloody discharge of any intensity appears from the genital tract.
• Pain on the left or right, increasing with palpation.

Pregnancy is the time when it is better for a woman to play it safe. Pathologies in mother and fetus detected early are more treatable.

Stitching and pulling sensations in the uterine area can occur not only in the early stages. Sometimes discomfort is observed in the second and third trimester. What is this connected with? The fact is that as the fetus grows, the uterus stretches greatly. This is what causes discomfort. They can spread to the entire abdominal area, extending to the lower back and leg. This phenomenon is considered completely natural and should not cause concern. If the pain is severe and cramping, then you should be wary. This symptom may indicate the onset of premature labor.

In the third trimester, mommy may experience so-called false contractions. These are irregular contractions of the reproductive organ, which indicate the preparation of the uterus for the upcoming birth. If the contractions are irregular and pass quickly, the woman does not need to worry.

Let's sum it up

The pregnancy period prepares expectant mothers many difficulties and unpleasant surprises. At this important and responsible stage of life, a girl must take her health seriously and listen to her body. If any unpleasant symptoms occur, do not put off visiting a doctor. Often, timely seeking medical help can prevent many complications for mother and child.

All information in this article is provided for informational purposes and cannot be regarded as a call for self-medication. Take care of yourself and be happy.

Video

You can get more visual information on the topic that interests you by watching this video.

Nagging pain in the lower abdomen during pregnancy always causes fear and horror in pregnant women. Yes, losing a pregnancy, especially a long-awaited one, or getting critical complications that can impair the development of the baby is a sad prospect.

And sometimes it is very difficult even for a specialist to figure out what is the cause of such a symptom and how dangerous it is.

Therefore, pregnant women with such manifestations should definitely talk about this complaint to the gynecologist. And the doctor, in turn, must examine the patient and exclude a pathological course of pregnancy.

The doctor will purposefully interview the expectant mother about the nature of the pain, its intensity, and exact location. Be sure to clarify what the pregnant woman herself associates with the occurrence of pain.

For example, pain in the lower abdomen can occur after physical or emotional stress or strong experiences. Pain may occur even when coughing, sneezing or taking a deep breath.

Since nagging pain can also occur due to pathology of organs adjacent to the uterus, the specialist will clarify whether there is a connection between these symptoms and the functioning of the intestines or urinary system.

Causes

Above I listed an incomplete list of situations in which pregnant women may experience stomach pain. But these are not causes, but external manifestations, symptoms of these causes. The reasons themselves will be discussed below.

Among the causes of nagging pain in the lower abdomen, two groups can be distinguished - physiological and pathological.

Physiological can be called reasons that naturally arise in the body of all women without exception who are carrying a child. After all, a woman’s body undergoes a lot of changes during this period.

For example, the enlargement of the uterus itself can already cause discomfort in the lower abdomen.

This is a completely natural change. As a rule, it does not entail any negative consequences for the body of the expectant mother and baby. Although it naturally creates discomfort. Such pain goes away on its own and does not require any treatment.

Pathological causes include those changes in the body of a pregnant woman that can lead to deterioration in the health of the mother or fetus. And here it is important not to miss a dangerous situation and seek help from a specialist in time.

Yes, nagging pain in the lower abdomen, especially in the early stages, can be associated with some physiological processes in the body of a pregnant woman. But it is not at all necessary that it will appear.

Painful sensations at the beginning of pregnancy under a certain physiological situation may or may not exist. Every woman's pregnancy begins and ends differently. All processes are individual.

It is worth mentioning here about the pain threshold, the level of which is different for each person. That is, each person feels pain in their own way.

For example, women with a low pain threshold are more susceptible to any pain, discomfort and abdominal tugging. At the same time, women with a high pain threshold do not pay attention to the irregular monotonous nagging pain in the lower abdomen.

So, let's move on to the physiological changes in the body of a pregnant woman, which can provoke pain in the lower abdomen in the early stages of pregnancy.

With the onset of pregnancy, the shape of the uterus changes from pear-shaped to ovoid. The blood supply to this genital organ also increases, which can cause panting in the lower abdomen.

On the seventh day after conception, the fertilized egg (zygote), having descended through the fallopian tube into the uterine cavity, seems to be drilling a place in the uterine wall in order to fix itself there. In this case, sensitive women may experience pain similar to menstrual pain.

In some cases, this may be accompanied by scanty bloody or bloody vaginal discharge, which women may perceive as the onset of menstruation ahead of time.

During pregnancy, hormonal levels change, which helps relax muscles and ligaments, especially the pelvic muscles.

The hormone progesterone helps relax muscles. It is also called a pregnancy-preserving hormone, since it prevents excessive tonic contraction (hypertonicity) of muscles in the pregnant woman’s body. This also applies to the muscles of the main muscular organ – the uterus.

Under the influence of progesterone and another important substance, relaxin, the ligaments of the joints and the cartilage of the joints of the pelvic bones are loosened.

The pelvic bones diverge slightly, adapting to the increasing load of the weighty uterus. The volume of the pelvis increases, which ensures easier passage of the baby through the birth canal.

But at the same time, not only the muscles of the uterus relax, but also the muscular layer of the intestines. This leads to disturbances in intestinal motility in pregnant women. As a result, flatulence or unstable stool (either constipation or diarrhea) are frequent companions of pregnancy.

Such phenomena, as a rule, always make themselves felt by symptoms of distension, heaviness and stretching of the lower segment of the abdomen.

Consequently, discomfort in the lower abdominal segment in pregnant women may not always be associated with changes in the pelvic organs.

Physiological changes causing pain in later stages

The fact is that this time is characterized by the most intensive growth and high motor activity of the baby. The uterus is also growing rapidly and is greatly overstretched. Additionally, the muscle fibers of the uterus react by contracting to the motor activity of the fetus.

As a consequence of the action of all these processes in combination, rare, non-intensive stretching of the lower abdominal segment occurs in the middle of pregnancy and in the later stages.

And this occurs quite often among expectant mothers. In late pregnancy, starting from about the 37th week, short and moderate nagging pain in the lower abdomen is considered completely normal.

This is how the woman’s body is already preparing for childbirth. The uterus begins to contract periodically. So-called training contractions appear.

This stage of “training” or, in other words, “warm-up” is very important in the process of preparing for childbirth. After all, childbirth is not a spontaneous process, as it might seem at first glance. The start of labor occurs in stages and not quickly.

If the gestational age is more than 37 weeks, the pregnancy is considered full-term. Therefore, when at this stage the nagging pain increases and turns into cramping, it’s time to go to the maternity hospital.

How to distinguish the physiological causes of nagging pain in the lower abdomen?

To do this, you need to carefully listen to the nature of the pain and trace its connection with other signs of dysfunction of the internal organs (for example, the intestines).

Obviously, no two pregnancies are the same. Each stage occurs differently for everyone. But we can identify several signs of nagging pain in the lower abdomen that does not require medical intervention.

These include:

• The pain is not constant, not intense, monotonous, and not cramping or acute.
• The pain goes away after a short rest in a horizontal position.
• The pain does not increase and does not interfere with the woman’s daily activities (does not dramatically disrupt her usual way of life).
• There is no bloody or bloody discharge from the vagina.
• There are no other signs of dysfunction of internal organs. For example, there are no signs of digestive or urinary disorders (diarrhea, nausea, vomiting, general malaise, urinary disorder).
• Taking one tablet of No-shpa or another antispasmodic (if there are no contraindications) permanently relieves nagging pain in the lower abdomen.
• Apart from pain, there are no other signs of health problems.

That is, there is no decrease in blood pressure, rapid heartbeat, increased sweating or cold clammy sweat, clouding of consciousness or lightheadedness. These signs are manifestations of dangerous pathologies that require urgent medical intervention (for example, rupture of the fallopian tube during an ectopic pregnancy).

Pathological causes of nagging pain in the lower abdomen

In this section of the article we will look at the causes of so-called obstetric pain associated with miscarriage, ectopic pregnancy, etc. We will also talk about the causes of nagging pain associated with any surgical pathology of pregnancy (appendicitis, intestinal obstruction, etc.).

Obstetric pain: how to recognize and how to be examined?

A nagging pain in the lower abdomen may indicate an ectopic pregnancy. During an ectopic pregnancy, the embryo is implanted not in the uterine cavity, as usual, but in the fallopian tube itself.

Much less frequently, but there are cases when a fertilized egg can be implanted even in the abdominal cavity.

With an ectopic pregnancy, a woman in such cases is bothered by regular severe pain. Unilateral localization of pain is characteristic (from the side of the attached embryo in the fallopian tube).

The pain usually increases as the embryo grows. Often the pain intensifies with pressure or physical activity. Irradiation of pain to the lower back, anus or legs is also typical.

By the fifth to seventh weeks of pregnancy, the embryo occupies a significant part of the fallopian tube. Therefore, at this time there is a real threat of pipe rupture and massive bleeding.

Spotting bloody discharge from the vagina appears. At the same time, symptoms of general malaise are added: dizziness, headache, weakness, decreased blood pressure.

With an ectopic pregnancy, the test is positive, but the level of hCG (human chorionic gonadotropin) in the blood is reduced. Ultrasound helps in diagnosing this condition.

With early diagnosis, it is possible to save the fallopian tube by performing timely surgery. But an ectopic pregnancy, from the point of view of its continuation, is always doomed to failure.

Threat of miscarriage

When there is a threat of miscarriage, a woman is bothered by nagging pain in the lower abdomen, which does not subside even in a calm state. Any physical activity causes increased pain.

The appearance of bloody discharge of varying intensity is characteristic. The woman feels general weakness and lethargy. Darkening or “spots” in the eyes and dizziness often appear. In late pregnancy, such symptoms may be accompanied by cramping pain.

This condition requires emergency care; you must immediately contact a medical facility.

Hospitalization in case of threat of miscarriage is mandatory. Do not try to avoid it, as both the child and the mother need constant monitoring and comprehensive treatment.

The threat of miscarriage is often caused by nervous strain, physical exertion, stress, infectious diseases, and hormonal changes.

Often the threat of miscarriage is preceded by uterine hypertonicity. Women, in addition to nagging pain, feel a sharp tension in the uterus. They describe this feeling as if their stomach was turning to stone.

Such a symptom cannot be treated without due attention. After all, increased uterine tone can provoke a miscarriage.

With timely detection and proper treatment, this pathology has a favorable prognosis.

Frozen pregnancy

Another cause of nagging pain in the lower abdomen during pregnancy is frozen pregnancy. The reasons why the embryo stops developing may be failures at the gene level, hormonal imbalance, or poor parental lifestyle. There is also a high risk of “embryo failure” during artificial insemination.

There are so-called critical periods of pregnancy, when the embryo is especially vulnerable. There are several of them: first it is 3-4 weeks of pregnancy, then 8-11 weeks and 16-18 weeks of intrauterine development.

Sometimes women with a frozen pregnancy may not have any complaints at all. But more often there is some kind of discomfort or periodically a nagging pain is felt in the lower segment of the abdomen.

Diagnosis of this condition involves an ultrasound examination.

The diagnosis of a frozen pregnancy is confirmed if the baby’s heartbeat is not detected during an ultrasound.

Also, to confirm the diagnosis, the level of hCG in the venous blood of the pregnant woman is determined. During a frozen pregnancy, there is no increase in the concentration of this hormone in the blood.

Premature placental abruption

Premature placental abruption can occur at any stage of pregnancy. The causes of placental abruption can be injuries, sudden changes in blood pressure, previous infectious disease, physical activity, emotional stress, and a short umbilical cord of the fetus.

With premature placental abruption, a woman feels sharp or cramping pain in the lower abdomen. In order to somehow alleviate the condition, a woman often takes a forced position. That is, she tries to find the most comfortable position and stay in that position for a long time.

The uterus is very tense and becomes painful. A vessel ruptures inside the uterus, resulting in bleeding. Bleeding may vary in intensity. There is an increase in placental hematoma (bruising).

The main danger of placental abruption is malnutrition of the fetus (oxygen starvation). With a significant degree of detachment, there is a threat of intrauterine fetal death.

Thus, placental abruption is a reason for emergency hospitalization and, if the duration of pregnancy allows, surgical delivery by cesarean section.

Quite often, a woman experiences nagging pain in the lower abdomen that is not related to the development of the fetus. But the conditions that will be discussed further are no less dangerous for the health of the expectant mother and her baby.

Often, due to a decrease in immune defense, a pregnant woman develops various inflammatory diseases of the genitourinary system or aggravates existing chronic diseases.

Thus, some infections, including those that are sexually transmitted, worsen during pregnancy. They can also cause discomfort and pain in the lower abdomen.

To exclude acute or chronic inflammatory processes, a pregnant woman must undergo a full examination when registering at the antenatal clinic.

Pregnant women often experience various infections of the kidneys and genitourinary system. The most common infection during pregnancy, which can cause nagging pain in the lower abdomen, is acute cystitis (inflammation of the bladder).

With cystitis, in addition to pain, a woman is bothered by frequent and/or painful urination, “false” urges or urination in small portions, and a feeling of incomplete emptying of the bladder. Urine becomes cloudy due to impurities of protein, leukocytes, mucus, salts, and sometimes blood.

In this case, it is impossible to do without specific treatment. Therefore, it is necessary to consult a doctor for examination and treatment of this unpleasant disease.

Nagging pain in the lower abdomen can also cause digestive problems.

I have already written above about the relaxing effect of progesterone on the intestines. As a result, almost every woman suffers to one degree or another from disorders of the gastrointestinal tract during pregnancy (constipation, diarrhea, flatulence, heartburn, nausea).

There are drugs that help normalize intestinal motility and combat increased gas formation. But only a doctor who knows all the nuances of the ongoing pregnancy has the right to prescribe them.

But any therapy to normalize the functioning of the digestive system will give only partial results and will temporarily relieve the symptoms of the disorder. After all, the digestive problems described above cause completely natural changes in the pregnant woman’s body (hormonal levels).

Imagine what will happen if, in addition to these natural changes, errors in a pregnant woman’s diet are added! That's right, there will be more problems with pain, and they will become more acute.

I deliberately focus attention on this point, since I know from experience that almost none of the pregnant women take seriously the doctor’s recommendations about a healthy lifestyle.

Many justify themselves with the traditional stereotype that a pregnant woman should not deny herself anything. Like, the child needs it, he demands it.

Although, in fact, this is the most “proper nutrition” during pregnancy - it is not so difficult. You just need not to overeat, eat often, but in small portions, drink enough clean water, avoid fast food and harmful drinks. At the same time, no one encourages a pregnant woman to fast or limit herself to any foods.

I got a little distracted, let's get back to the topic.

Nagging pain in the lower abdomen can be caused by various surgical pathologies.

Often during pregnancy, women's appendix becomes inflamed. Moreover, due to the displacement of the internal organs and intestines by the pregnant uterus, appendicitis cannot always be easily recognized by the location of the pain.

Appendicitis is characterized by a dull, aching pain, usually in the right iliac region or slightly above. There is also an increase in temperature within 37-38 o C, nausea, and often single vomiting.

The above signs are undoubtedly a reason to call an ambulance and be hospitalized.

I hasten to reassure you that surgery for this pathology will not affect the child’s development in any way. But delaying such symptoms can lead to massive inflammation inside the abdominal cavity - peritonitis.

Quite rare, but there are cases of intestinal obstruction in pregnant women. The pain during intestinal obstruction is sharp, cramping, diffuse, with clearly repeating attacks every 10-15 minutes (as a peristaltic wave moves through the intestines).

In this case, in addition to abdominal pain, there will be retention of feces and gases. The abdomen is distended asymmetrically, appetite is reduced, and there is a feeling of weakness. Over time, more menacing signs of pathology will appear, in particular, repeated uncontrollable vomiting, which leads to rapid dehydration of the body.

In case of intestinal obstruction, emergency surgery is indicated.

On a note!

To summarize, I will highlight several critical symptoms for which you urgently need to seek medical help.

• Regular pain in the lower abdomen is sharp and increasing.
• The pain does not go away after resting in a horizontal position.
• Cramping pain in the lower abdomen, regardless of its intensity.
• Vaginal discharge (bloody, bloody, spotting).
• Disorders of the digestive system (nausea, vomiting, change in stool).
• Increasing pain when pressing on the site of painful sensations, regardless of the location of the pain.

Undoubtedly, there are many reasons why the lower abdomen feels tight during pregnancy. I probably didn’t manage to describe them all, I missed something. But it's not that important.

It is important that you draw the main conclusion from this article: in any case, you need to be attentive to yourself, listen to new sensations, so as not to miss a dangerous situation and seek medical help in time

And even if you contact the doctor monitoring your pregnancy one more time for a minor reason, you will avoid missing something serious.

The period of gestation for a woman is associated with enormous responsibility. She is now responsible not only for herself, but also for the new life that has arisen. Fears, doubts, and stress often lead to a worsening of the condition.

If the lower abdomen pulls during early pregnancy, the cause may be ordinary anxiety. Often, such discomfort becomes a signal of pathological conditions. After all, the first trimester is the most dangerous, so it is so important to understand your own feelings in order to see a doctor in time.

Physiological changes

The natural process, in which the lower abdomen can pull, occurs 7-10 days after conception. This is due to the attachment of the amniotic egg to the walls of the uterus. Accompanied by slight discomfort, spotting of blood is possible, small blood vessels of the endometrium depart. During this period, the woman has no idea about her condition; the onset of pregnancy can be shown by a basal temperature chart. And the bleeding is so small that it does not exceed a couple of drops.

During the first month, similar sensations may periodically occur due to changes in hormonal levels. With each passing week, the amount of progesterone increases rapidly, the uterus loses tone, and a woman may mistake it for the beginning of menstruation. If the expectant mother knows about her new status, and the discomfort is regular, she needs to urgently seek medical help.

The entire gestation period is associated with changes in the functioning of the digestive system. Bloating, flatulence, intestinal disorders are frequent companions in the first months. Toxicosis is often added, causing cramps in the lower abdomen. Walking, getting enough sleep and eating small meals will help ease the condition.

Frozen pregnancy

The threat of miscarriage remains throughout the first trimester. The cause may be various factors - poor lifestyle, bad habits, previous abortions, past infections, malfunctions of internal organs, in particular the endocrine system. The body rejects the embryo, the uterus begins to contract as during menstruation, and the endometrium is excreted along with the amniotic egg.

If bleeding occurs, hospitalization is necessary. If the abortion has already occurred, the doctor must make sure that there are no embryo particles left in the uterine cavity. If necessary, scraping is carried out. A woman needs to go through a recovery period and only then plan a new conception.

Ectopic pregnancy

A dangerous diagnosis for the health and life of the mother. If you ignore the signs and do not go to the hospital, the consequences can be dire. The statistics are inexorable; this is one of the main causes of disorders of the reproductive system, which leads to infertility.

After conception, the amniotic egg is not fixed in the uterus, where the embryo should form and grow. It remains in the fallopian tube and begins to gradually increase in size, leading to rupture in the future. This is associated with pulling sensations, often turning into pain. If an ectopic pregnancy is detected in time, sad scenarios can be avoided by minimizing the consequences.

Symptoms:

• it not only pulls in the lower abdomen, it also radiates in the lower back;
• sensations of pressure in the genitals, anus;
• after conception, bloody or brown discharge regularly appears;
• fainting, nausea, sudden surges in blood pressure.

The earlier the pathology is detected, the better the prognosis for the woman’s further rehabilitation. In addition to surgical intervention, today there are methods of conservative treatment.

Threat of interruption

Paying attention to your own health can only reduce the risk, but not eliminate it. The reason for the danger of pregnancy lies in the lifestyle of the expectant mother, or will not depend at all on her actions. Even if a woman is at rest for the first 10 weeks, this will not protect her from spontaneous abortion.

Causes of placental abruption:

• gene mutation of the embryo;
• pathologies of the reproductive system;
• artificial insemination;
• the presence of several embryos;
• infections and chronic diseases of internal organs.

If nagging spasms gradually turn into pain and are accompanied by bleeding, you should urgently call an ambulance. Before her arrival, you can take antispasmodics (No-shpu or its analogue Drotaverine), take a lying position while waiting for the paramedic. In some cases, the pregnancy can be maintained; additional tests and studies are carried out within the hospital walls to prescribe appropriate drug therapy.

Pathologies of the corpus luteum

Temporary duties of protecting and nourishing the embryo until the formation of the placenta are performed by the corpus luteum. Its task is to ensure normal hormonal levels to weaken female immunity, and, consequently, preserve the viability of the child. If in the early stages the lower abdomen feels a little tight during pregnancy, this may be a signal of problems with its functioning. A corpus luteum cyst usually does not cause discomfort to expectant mothers; the accumulation of fluid and increase in size do not interfere with the organ’s ability to perform its natural tasks.

• restrictions on physical activity;
• temporary cessation of sexual activity;
• gentle bed rest.

Diseases of internal organs

Pulling sensations may not necessarily be associated with the reproductive system and the formation of the child. Under the influence of hormones, chronic diseases of the excretory system worsen. Also, this is one of the signals of appendicitis that requires immediate surgical intervention. In any case, consultation with a gynecologist, therapist, and other specialists is necessary.

Pain in the lower abdomen is not a reason to panic; significant natural changes occur in the body. But it’s still worth seeking advice at the first discomfort. Only a doctor can determine the cause of the phenomenon after appropriate diagnosis and research.

The belly becomes the main focus of attention for expectant mothers. If there is a tug in the lower abdomen during pregnancy, any pregnant woman will feel uneasy.

Pain can be different - their nature, intensity, localization, and accompanying symptoms differ. They may not always be caused by pathological reasons. Conventionally, they are divided into physiological and pathological. Let's find out what they may be connected with.

For the first time, a feeling of pulling in the lower abdomen during pregnancy may appear as early as a week after conception. At this moment, the fertilized egg penetrates the endometrium of the uterus, causing microscopic damage to the vessels and mucous membrane of the organ. A woman may not even realize that pregnancy has occurred - it begins to show its presence at about 5 weeks.

You can also explain why the lower abdomen feels tight in the first days and weeks of pregnancy by hormonal changes that begin the process of stretching the uterine ligaments. And from the second trimester, from approximately the twelfth week of pregnancy, nagging pain can be caused by a change in the center of gravity of the body, intensive growth of the fetus and its pressure on nearby organs. In the third trimester, physiological pain is caused.

It should be taken into account that the nature of the pain should not be pronounced and intensifying. Otherwise, you should consult a doctor to find out why the lower abdomen feels tight during pregnancy.

Pathological pain

The reasons why the lower abdomen feels tight during pregnancy may be factors associated with pathological conditions and the development of complications:

• The lower abdomen may feel tight during pregnancy. In this case, the woman notices discomfort and cramping pain in the abdomen, often with blood, which in the later stages may indicate a miscarriage that has already begun.
• Severe abdominal pain at about 8 weeks may be a symptom. This pathological condition is accompanied by bleeding, pain, and a general deterioration in the woman’s well-being. The situation is urgent and requires immediate assistance.
• The pain may be associated with an active unborn child, which is not always the norm. Intense tremors of the baby may indicate that he is experiencing problems associated with pathological conditions such as, etc.

Not obstetric pain

Sometimes the reasons that explain why the lower abdomen pulls during a normal pregnancy are not obstetric. They are not related to gynecology, but at the same time they require no less careful attention, since they are also dangerous to the health of the mother and child.

Let's list them:

• Pathologies of the urinary system . Most expectant mothers experience frequent and extremely painful urination caused by. Inflammatory damage to the bladder can cause intrauterine infection of the fetus and premature onset of labor. To avoid these problems, you need to consult a urologist.
• Digestive complications . While carrying a baby, a woman may experience worsening of chronic diseases or the appearance of new ones, these include intestinal disorders, etc. Changes affecting a woman’s hormonal levels, as well as the growth of the uterus, can lead to constant constipation and pain in the intestines associated with excessive formation gases In this case, a woman experiences a pulling and bursting pain in the lower abdomen during pregnancy, most often on the left. With these complaints, you need to contact your doctor, who will help not only adjust your diet, but also, if necessary, select safe medications to normalize digestion.
• Surgical pathologies . No one is safe from them, including pregnant women. A feeling of pulling in the lower abdomen during pregnancy can occur at any stage, both in the first trimester, for example, at 11-12 weeks, and after 28. The problem may be intestinal obstruction or peritonitis, the pain spreads to the entire peritoneum, has acute in nature and accompanied by vomiting, lack of appetite, severe weakness and increased body temperature. Urgent surgical intervention is required.
• The abdominal muscles and ligaments are greatly stretched under the pressure of the growing uterus . The load on the ligaments that support it also increases. Against this background, a displacement of the pelvic organs occurs, which can cause minor aching pain in the lower abdomen. At the same time, a divergence of the pelvic bones occurs shortly before childbirth, which can provoke a moderate feeling of heaviness in the lower abdomen.

Nagging pain at the beginning of pregnancy

If you feel pain in your lower abdomen in the early stages of pregnancy, you need to determine the type of pain. It can be caused by physiological and pathological reasons.

Physiological pain is associated with the sensations that arise after conception - the lower abdomen can pull in the 3rd and 4th weeks of pregnancy due to implantation of the fertilized egg. Abdominal discomfort can be caused by tension in the abdominal muscles, problems with the gastrointestinal tract, or an enlarged uterus. The pain, as a rule, is mild, that is, the woman has the feeling that her stomach did not hurt, but was slightly stretched.

As noted above, pathological pain in the early stages of pregnancy can be associated with such threatening conditions as ectopic pregnancy, threatened miscarriage, placental abruption, with severe pulling and pain in the lower abdomen.

Nagging pain at the end of pregnancy

If pain appears in the later stages, this can be explained by the following reasons:

• Digestive problems associated with overeating, flatulence, pressure from the growing uterus on the intestines, etc.
• Increased pressure on the ligamentous apparatus. It increases simultaneously with the growth of the child, uterus and abdomen. Pain and a feeling of pulling in the lower abdomen, caused by sprained ligaments during pregnancy, may intensify in the later stages in a pregnant woman due to sudden movements, for example, sneezing.
• Excessive tension in the abdominal muscles.
• Gynecological diseases, infectious and inflammatory processes in the pelvic organs.
• Pathological causes - pancreatitis and intestinal obstruction. Fortunately, nagging pain that occurs in the lower abdomen during pregnancy for these reasons appears very rarely.

Pain due to ectopic pregnancy

We mentioned this reason above. Now let's look at it in more detail.

This pathological condition is caused by implantation of the embryo outside the uterine cavity. An ectopic pregnancy can be diagnosed using an ultrasound. The situation when the lower abdomen pulls appears at the very beginning of pregnancy, this is especially felt in the 5th and 6th week.

Unpleasant sensations are concentrated outside the body of the uterus and are of an acute, growing type. At this time, the embryo continues its growth and development, stretching the organ in which it is anchored - in 98% of cases this is the fallopian tube. This cannot continue indefinitely, and after a few weeks the pregnancy is terminated. This usually happens on, and the lower abdomen does not just pull on the right or left, depending on the location of the ruptured fallopian tube: the pain is sharp and cutting in nature, the woman experiences painful shock and massive bleeding.

It is important to prevent the development of this situation, since such a condition threatens the life and health of a woman, and in the future it is fraught, since the damaged pipe cannot be restored.

Dangerous causes of pain

The threat of miscarriage is always accompanied by a feeling of pulling in the lower abdomen in the first and subsequent weeks of pregnancy. This pain is often accompanied by the appearance of blood from the genitals. The expectant mother needs to be hospitalized and treated in a hospital. If you consult a doctor in a timely manner, the fetus can be saved.

Another dangerous condition is placental abruption. It is accompanied by sudden sharp pain and heavy bleeding. The condition also requires hospitalization. The causes of placental abruption can be gestosis, arterial hypertension, trauma and intense physical activity from the second trimester of pregnancy.

How to get rid of pain?

If the lower abdomen pulls at the beginning or end of pregnancy (up to 41 weeks), we are not talking about an independent disease, but about a sign of a probable pathology. Treatment is necessary if a woman’s examination reveals threats to pregnancy.

How to avoid pain in the lower abdomen?

To prevent the occurrence of pain during pregnancy, you need to follow simple recommendations:

• avoid overwork and stress;
• walk more in the fresh air;
• wear a special one;
• Take a warm, relaxing shower or bath regularly.

Small meals, the introduction of plant fiber into the diet, and sufficient fluid intake will help improve intestinal function.

Regular visits to the doctor at the antenatal clinic and scheduled visits from 12-13 weeks will help you get rid of fears about what is pulling in the lower abdomen during pregnancy - after this there will be no reason for concern.

Useful video about ectopic pregnancy as one of the causes of nagging pain in the lower abdomen

Many women experience nagging pain during menstruation. Unpleasant sensations often occur in the early stages of pregnancy, when the stomach pulls, as during menstruation.

During pregnancy, a huge number of processes occur in the female body. After ovulation, which, on average, occurs on the 14th day of the menstrual cycle, the fertilized egg must attach to the walls of the uterus.

The journey of the egg from the moment of conception to the moment of attachment in the uterus takes 6-12 days. After it reaches the uterus, the future embryo is actively attached to its cavity.

During attachment, the zygote penetrates the wall of the uterus, injuring the uterine epithelium. This process in the early stages is sometimes painful and can cause spotting.

Before a missed period, it is difficult to determine the presence of pregnancy, since the symptoms of premenstrual syndrome are similar to the first signs of pregnancy. A woman may be accompanied by nausea, drowsiness, breast enlargement and pain, frequent mood swings and other symptoms. As a rule, this condition is a physiological norm and does not pose a threat to health.

Cramping pain in the lower abdomen: normal or pathological

In addition to changes in the perception of tastes and smells, breast enlargement and appetite, the stomach pulls, as during menstruation. In the early stages of pregnancy, such symptoms, as a rule, are not dangerous, but there are a number of situations when cramping pain may indicate the presence of pathology.

Almost every pregnant woman experiences unpleasant sensations. Such pains should not cause concern, provided that they are not severe and short-lived and go away on their own.

If, in addition to nagging pain, there is bleeding, severe pain, more like contractions, you should immediately consult a doctor, regardless of the stage of pregnancy.

Aching constant pain in the abdomen and lower back

Aching pain in the abdomen and back that does not allow you to relax and does not go away during the day is a reason to consult a specialist. Such pain may indicate a malfunction of the digestive system.

Depending on the location, a number of diseases with symptoms of this kind can be identified:

Physiological causes of nagging pain in early pregnancy

From a physiological point of view, there are several types of pain; they do not pose a threat to a developing pregnancy.

Dangerous causes of nagging pain at the beginning of pregnancy

In addition to the harmless symptoms listed above, there are others that require immediate consultation with a specialist:

1. Bloody issues occurring during pregnancy in any trimester. They may be signs of ectopic pregnancy, placental abruption, threatened miscarriage and other dangerous conditions;
2. Severe, ongoing pain lower abdomen may indicate the presence of pregnancy pathology;
3. Heat coupled with nagging pain can become a marker of severe inflammation or ectopic pregnancy;

Threat of miscarriage

During pregnancy, in some cases, there is a threat of termination. The main symptoms of this condition are nagging pain in the abdomen, as during menstruation, bloody or bloody discharge from the vagina, and uterine tone.

In the early stages of pregnancy, in the presence of such symptoms, it is customary to talk about the threat of miscarriage, while from 22 to 37 weeks this condition is called a threat of premature birth. This is due to the fact that in case of birth after 22 weeks of pregnancy, the fetus has a high chance of survival.

During the threat of termination of pregnancy, the pain is localized slightly above the uterus and is very similar to menstrual pain. The uterus becomes toned, which causes some discomfort and even pain.

Many women describe a similar condition: “as if the stomach turns to stone.”

However, until the second trimester of pregnancy, tone is not felt. This is due to the fact that before this period the uterus is of insignificant size and the changes occurring in it are still difficult to feel.

The threat of termination of pregnancy is caused by various reasons. The main ones are:

All such signs indicate the need to see a doctor; treatment at home can lead to termination of pregnancy.

Frozen pregnancy

A non-developing or frozen pregnancy is a pregnancy in which, for some reason, the development of the fetus has stopped, but the embryo is still in the uterine cavity.

Frozen pregnancy can occur in women of different ages and at any stage. Symptoms of this condition will vary depending on the stage of pregnancy.

In the early stages of pregnancy, signs of toxicosis may disappear: nausea, changes in mood, taste sensations, acute reaction to odors. In addition, there may be a feeling that the stomach is pulling, as during menstruation. The basal temperature returns to normal, the mammary glands return to their normal state.

In the later stages, the woman ceases to feel the movements of the fetus in the womb. The uterus stops growing in size, and thick brownish discharge may appear from the genital tract.

In order to accurately determine the diagnosis, you need to do an ultrasound and take a blood test.

Premature placental abruption

Symptoms of premature placental abruption are:

If such symptoms occur, the pregnant woman should limit physical activity and immediately contact an ambulance. Treatment of this condition is possible only in a hospital setting.

Stomach pain at 8 weeks of pregnancy: ectopic fetal development

In the early stages of pregnancy, a condition arises that threatens the life and health of the mother and fetus. This is ectopic fetal development (ectopic pregnancy).

Main symptoms:

If signs of ectopic fetal development occur, you must immediately call an ambulance. Further treatment should be carried out in a hospital setting, under the supervision of a doctor. This condition is a direct indication for surgery.

How to distinguish the physiological causes of nagging pain in the lower abdomen

Physiological pain in the lower abdomen without medical help is difficult to separate from pathological pain.

However, mild pain that does not disrupt the usual daily routine should not cause concern if the following conditions are met:

• pain of low intensity, not changing its character, not acute;
• the pain is not cramping in nature and goes away with a change in posture, often after a short rest while lying down;
• there is no discharge with signs of pus or blood;
• health remains normal, no symptoms of inflammation are observed;
• body temperature remains within normal limits;
• there are no symptoms of inflammatory or infectious processes in the intestines and genitourinary system.
• the skin is unchanged, there are no pre-fainting states, no sudden changes in blood pressure or well-being;
• in the absence of contraindications, pain is easily relieved with antispasmodics.

False pregnancy in women

In approximately 1 out of 22 thousand cases, the pregnancy turns out to be false. The risk of such a complex of psychosomatic conditions increases in women over 35 years of age who have been planning pregnancy for a long time.

Dreams about a future child, stress and increased anxiety cause changes in the production of pituitary hormones, which leads to physiological changes similar to real pregnancy.

Symptoms of a false pregnancy are similar to a true one:

• delayed menstruation;
• nausea;
• changes in the mammary glands, up to the appearance of colostrum;
• increase in body and abdominal weight due to the growth of subcutaneous fat;
• sensations of fetal movement caused by increased intestinal motility.

A gynecologist can diagnose a false pregnancy during an examination and with the help of an ultrasound. To resolve doubts, a woman needs to contact an antenatal clinic.

When urgent medical attention is needed

It is necessary to urgently seek medical help if:

• there is severe abdominal pain of any localization;
• body temperature is above the physiological norm;
• there is bloody discharge of any nature;
• at a period of more than 22–24 weeks, there are no signs of fetal movement for more than a day.

Be sure to visit a doctor if your stomach feels tight in the early stages of pregnancy, reminiscent of a feeling like during menstruation. Also, the attention of a specialist is necessary if pre-fainting conditions, pallor of the skin, sweating and sudden changes in pressure occur.

Video about nagging pain in the lower abdomen in early pregnancy

Why does your stomach hurt in early pregnancy?

Stomach pain during pregnancy. Doctor's advice: