Abdominal/pelvic Pain In Pregnancy And What To Do About It

Are you or have you experienced some pelvic or abdominal pains during your pregnancy?

It's scary right?

I know, but don't worry you're not alone.

Did you know that over half of women will suffer with some kind of abdominal or pelvic cramps/pain during their pregnancy? During early pregnancy it can be especially worrying as the common fear is that it is one of the first signs of miscarriage. If you are spotting as well it can be terrifying!

The good news is that usually miscarriage is NOT the reason for abdominal cramps in early pregnancy. Actually cramps can be brought on by the embryo embedding itself in the lining of the uterus.

Later on in your pregnancy, around the middle to end of the second trimester and into the third trimester you may feel a different kind of pain through the lower abdominal area, the pelvis and the groin. This pain can be a lot more severe and feel like shooting pains across your belly and into your groin.

Although this can be extremely painful, (I could hardly walk when it happened to me), it is not something you need to worry about because it is fairly easy to treat. These shooting pains across the pelvis and lower abdomen are called Round Ligament Pain.

Round Ligament Pain is caused by the amount of stretching that the ligaments have to go through to support the wieght of your enlarging uterus. The uterus is normally the size of a pear, but as it grows the extra weight and mass pulls on the ligaments so that they become long and tight like rubber bands. The ligaments then pull on nerve fibers and sensitive structures which cause pain.

The sharp shooting pains are caused by ligament spasms, usually on the right side as the uterus will normally roll over to the right.

To ease Round Ligament Pain:

- Always roll onto your side and use your arms to lift you from lying to sitting, lifting your head up last.

- Keep your legs together and avoid lunging positions which will stretch the ligaments even more. eg. when getting in and out of the car turn your back to the seat and sit down on the seat sideways. Then swing your legs in together.

- To ease acute attacks of RLP try the "hip hitch exercise". Standing next to a wall or a chair, gently shift your weight to the leg that is opposite to the side where you feel the pain. Lift your foot off the floor on the side that hurts by hitching your hip up in the air.

When To Seek Medical Help:

If you are suffering from any of the following, contact the emergency department immediately:

Fever

Chills

Difficulty walking

Pain when passing urine

If you are at all unsure then do not be scared to call for help. Your health professional would much rather check out a false alarm then miss an urgent case.