It is known that with the help of the pain syndrome, our body notifies that not everything is in order inside. It is quite natural that in this situation a person seeks to find out what caused such sensations. But pain in the early stages of pregnancy is of particular concern, because in the 1st trimester a pregnant woman and her baby are more than ever at risk of developing complications. If pain is felt in the abdomen, this can even cause panic in the expectant mother. But excessive excitement in such a delicate position is completely useless, so the first task in this case is to determine why the stomach hurts in the early stages of pregnancy.

Norm or pathology?

In the period from 1 to 12 weeks of bearing a child, a huge number of serious changes occur in the body of a pregnant woman.

Often, pains in the lower abdomen in early pregnancy appear precisely due to physiological reasons that do not pose a danger to either the pregnant woman or her baby.

But it should be borne in mind that only a certain nature of pain can indicate that nothing threatens the course of pregnancy. They should not be sharp or sharp, but a aching belly may well be one of the signs of a successful conception, since such pains sometimes occur when the embryo is introduced into the uterine wall. This is called implantation of the ovum. Sometimes soreness can be accompanied by a faint pinkish discharge - implantation bleeding.

If the expectant mother has pain in the lower abdomen, the reason for this may be:

• unstable work of the stomach and intestines. In such a situation, during early pregnancy, pain that spreads to the abdomen is accompanied by specific symptoms of digestive dysfunction - difficulty or lack of defecation, bloating and flatulence.
• hormones produced during pregnancy. During pregnancy, the amount of progesterone increases. This substance softens the ligaments and joints, contributing to the gradual formation of the birth canal and preparing the woman's body for the birth of a child. The action of progesterone does not bypass the uterine ligaments. They become more elastic and begin to undergo stretching, which causes the characteristic pain during early pregnancy.
• growth and rise of the uterus in the abdominal cavity. Toward the end of the 1st trimester - at 10-12 weeks - the uterus is already changing its size and from the small pelvis begins to rise into the abdominal cavity, therefore, during this period, pain in the abdomen may be associated with stretching of the muscle tissue of the organ and its increase.

As already mentioned, all these manifestations of pregnancy are not considered dangerous, and their duration is usually short, but experts still recommend reporting them at the next appointment with a gynecologist. If the doctor deems it necessary, he will send the expectant mother for additional examination, but as a rule this is not required if there are no other symptoms.

Abdominal pain in pregnant women

When a future woman in labor has a stomach ache during early pregnancy, this is not always associated with physiological changes in her body. Sometimes pain during pregnancy can become a manifestation of serious gynecological pathologies that threaten the life and health of the baby and his mother. Therefore, when such sensations appear, you should always pay attention to how and where the pain syndrome manifests itself.

The most common pathological source of abdominal pain in expectant mothers is uterine hypertonicity, which threatens miscarriage in the early stages. With an increased uterine tone, the lower abdomen “hardens” and hurts a lot, and the back in the lumbar region often aches. Sometimes the sensations are sharp and intense. A frequent companion of an incipient miscarriage is a symptom such as spotting from the vagina.

Sometimes a frozen pregnancy becomes a source of pain syndrome - a serious pathology, which is accompanied by signs of intoxication of the body. With an undeveloped pregnancy, the temperature often rises, the body aches, nausea and vomiting appear. In addition, shortly before the pathology is detected, a woman ceases to notice the characteristic signs of a successful conception: for example, toxicosis stops abruptly and breast sensitivity disappears.

Another reason is painful. In women with this pathology, the fetus is in the fallopian tube. When the embryo begins to grow, the pregnant woman feels aching pains at the place of its attachment. Inattention to this symptom can lead to complications: the fallopian tube ruptures, and then the pain becomes sharply pronounced. Pain in early pregnancy, developing outside the uterine space, can be closely associated with spotting.

If a woman has a stomach ache during early pregnancy, the reason for this may be an exacerbation of some chronic diseases of the female genital organs, but this is no longer as dangerous as the phenomena listed above.

However, if intense pain occurs in the lower abdomen during pregnancy, you should immediately seek help from a medical institution to find out if the pain syndrome can be associated with obstetric pathologies.

It is worth paying attention to vaginal discharge and be sure to inform the gynecologist about a change in their consistency, color or smell, since such symptoms always indicate the presence of certain problems in the state of women's health.

Are internal organs in order?

A woman should be able to recognize abdominal pain during pregnancy, they are not always associated with childbearing and gynecological problems. The stomach may ache due to disturbances in the functioning of internal organs and acute surgical pathologies. Among them, the most common are:

1. Gastritis. The stomach in pregnant women can hurt very often, especially if the inflammation of the mucous membrane has already become chronic. With exacerbation of gastritis, pain is localized mainly in the upper abdominal cavity, but can also be given to the lower part.
2. Cholecystitis. This is an acute disease of the gallbladder, accompanied by bouts of severe pain in the right abdominal region, vomiting, high fever.
3. Pyelonephritis, better known as inflammation of the kidneys, usually occurs less frequently in the early stages than in the later stages, but it is impossible to exclude the possibility of developing this pathology, because the immunity of a pregnant woman in the 1st trimester is greatly reduced. This disease is characterized by dull aching pain in the abdomen, spreading to one or both sides, and aching in the lumbar region. Blood and urine tests easily detect an inflammatory process, and edema appears on the face and limbs of the expectant mother.
4. Cystitis is a disease that affects the lining of the bladder. Painful sensations affect the area above the pubis and are accompanied by frequent and difficult urination.
5. Appendicitis. With this pathology, a long-term attack of abdominal pain is noted. The intensity of sensations increases gradually, the pain can radiate to the stomach, lower back, lower abdominal cavity. Body temperature may rise, repeated vomiting may occur.

It is impossible to independently identify the true cause of intense abdominal pain in early pregnancy, since most of the above pathologies are diagnosed only after a series of urgent studies.

What to do?

The first thing a woman should do if she is worried about pain in her stomach in the early stages is to go to the doctor. First you need to visit a gynecologist to make sure that nothing threatens the course of pregnancy.

Many pregnant women are embarrassed to once again disturb their doctor “for nothing” and do not always seek help on time.

But experts strongly advise telling the gynecologist leading the pregnancy about all your feelings, especially about unpleasant ones.

1. Firstly, it will help to identify the pathology in a timely manner, if any.
2. Secondly, it will allow the expectant mother to calm down and feel safe if the doctor does not find any deviations in the development of the child and the process of bearing it.

In addition, a woman who has noticed bloody vaginal discharge should urgently call an ambulance team, since in this situation she is in serious danger.

If the examination and examinations did not reveal pathological changes during pregnancy, then most likely the cause of abdominal pain lies in the physiological restructuring of the female body, but only on condition that the discomfort does not increase and appears only from time to time. There is no need to treat such pain: in a few weeks it will pass on its own. To avoid pain in the abdomen caused by constipation and gas formation, the expectant mother should take care of her diet.

If the examination by the gynecologist revealed no problems, and the pain in the abdominal cavity continues and begins to be accompanied by other unpleasant symptoms, you should see a therapist in the near future to determine the true cause of such sensations. In the presence of any diseases of the internal organs of a pregnant woman, proper care and safe effective treatment are required.

If abdominal pain is sharp, this may be a sign of dangerous surgical pathologies, such as appendicitis, so you should not hesitate in such a situation. Appendicitis in pregnant women is successfully treated surgically with timely detection.

Any discomfort during childbearing should be strictly controlled by the doctor observing the pregnancy, so the expectant mother should definitely inform her gynecologist about pain in the abdomen, especially if they bother her in the early stages.

If the stomach does not hurt in early pregnancy, is this normal?

For every woman, the period of pregnancy has its own differences and predilections. The reasons can be in age, and in the nature of the course of pregnancy, and in complications. Many expectant mothers are interested in the question - should the stomach hurt in the early stages of pregnancy and is it bad for the unborn child or not? It is impossible to give an unambiguous answer to this question, since many factors can influence this process, let's consider some of them.

Causes of abdominal pain in early pregnancy

Hormonal changes in the body

For any woman, the first pregnancy is a stress for the body and a novelty, to which it can react in different ways. Someone develops toxicosis, someone endures a baby without any deterioration in health at all. The very first stage that reacts to the process of fertilization of the egg is an increase in the blood of the expectant mother, the hormone progesterone. That is why the stomach can hurt, because the body is quite difficult to rebuild.

Bowel disorders

In the early stages of pregnancy, a woman can dramatically change her gastronomic habits. Constantly want something new and in uneven doses. This can cause diarrhea, indigestion, and many other gastrointestinal problems, followed by stomach pain.

Active stretching of the abdominal muscles

With each week, the size of the fetus increases, respectively - the uterus in size too. This contributes to the gradual stretching of the muscles, but sometimes, this process causes discomfort in the future woman in labor.

Urinary inflammation

This process occurs after any external factors, but during pregnancy, the pressure of the fetus on the urinary system is also sufficient. When the child begins to actively develop, he puts pressure on the internal organs and the bladder. That is why inflammation can also occur, which causes aching pain in the abdomen.

Surgical pathology

Pain can also be caused by diseases that existed before pregnancy, their exacerbation. It can be diseases of the gastrointestinal tract, pelvic organs. Therefore, when planning a pregnancy, you need to undergo a thorough medical examination to exclude the occurrence of pathologies.

Obstetric causes of abdominal pain during pregnancy

This list should include all diseases and complications that affect the pregnancy process:

1. Ectopic pregnancy;
2. Detachment of the placenta;
3. The threat of miscarriage and many other diseases.

This type of causes of abdominal pain in a pregnant woman can be complicated by bleeding, dizziness, loss of consciousness. In this case, it is better to carefully monitor the course of pregnancy and regularly visit a gynecologist who will tell you if there are problems and how to get around them.

Pain during pregnancy can be. If they are not - do not consider this a disadvantage. But it is simply impossible not to feel discomfort in this state. There are a few women who do not complain of pain, rather it is a consequence of the pathology associated with the fetus.

Video

Pregnancy is a natural physiological process that occurs in a woman's body after conception for procreation. In the fallopian tube, the male and female reproductive cells merge, resulting in the formation of the fetus.

The duration of pregnancy is 40 weeks from the end of the last menstrual cycle. The whole period is divided into three periods, called trimesters. Each stage is accompanied by its own changes in the body and symptoms. For example, during early pregnancy, a woman may feel pain in the lower abdomen.

Starting from the first days of pregnancy, the female body undergoes numerous hormonal changes. This is manifested in symptoms that appear from the first weeks.

The most important sign of pregnancy is the delay in menstruation. This is the first thing any woman pays attention to. In the first trimester, the fertilized egg begins to develop.

Associated symptoms

In the first trimester, the following signs can be distinguished:

• Breast augmentation;
• The appearance of fatigue and rapid fatigue;
• Frequent mood swings;
• Nausea in the morning;
• Aversion to certain foods, change in taste sensations;
• Weight gain or loss;
• The possibility of constipation;
• Frequent urination;
• Heartburn and headache are possible.

The nature of pain

Pain in the lower abdomen in the early stages of pregnancy occur quite often. The reasons can be both serious and completely harmless. In the first months, pain can be physiological. The stomach and lower back can hurt.

A week after conception, the fetal egg begins to take root in the endometrium. At this point, microscopic damage to the mucous membrane may occur, which results in pain.

In the first days of pregnancy, the hormonal background changes. The amount of progesterone in the blood increases - this can also cause pain. During this period, the center of gravity of the body changes, the ligaments are stretched, which causes pain in the lower abdomen.

Drawing pains

During pregnancy, a woman's body produces hormones that affect bowel function. Food begins to move more slowly, constipation may occur. A woman notes dull pains in the lower abdomen, most often on the right, there is increased gas formation.

To avoid such problems, you need to drink more fluids, consume more fiber, dairy products. A good prevention of constipation can be light physical activity.

Stitching pains

Very often, a woman can feel stabbing pains in the lower abdomen during early pregnancy in the uterus. Pulling painful sensations can turn into stabbing.

Cause:

• In increasing the tone of the uterine myometrium. It is necessary to lie down, calm down, the pain will subside;
• If the stabbing pain is accompanied by constipation, flatulence, then this is due to a violation of the functioning of the intestine;
• When filling the bladder, there are pulling pains that can turn into stitching. This may be the cause of cystitis;
• Uterine bleeding;
• Spontaneous abortion;
• Ectopic pregnancy, if a stabbing pain appears on the left lower abdomen.

Pain on the right side

Sudden pain in the right side should be taken very seriously. If the pain continues for more than half an hour, then urgent medical attention is needed.

On the right side are such organs: the liver, part of the intestine, gallbladder, part of the diaphragm. Disease of these organs can cause pain in the upper abdomen.

If you are worried about pain in the right hypochondrium, then this is probably a liver disease. Pain can be after eating fatty foods. If the pain in the right side lasts more than 12 hours, and then is localized near the navel, then most likely it is appendicitis. Also, a painful sensation in the right side is possible with an ectopic pregnancy or a sexually transmitted infection.

If it hurts on the left

Pain on the left side of the abdomen may indicate intestinal obstruction or pancreatitis. Pain may radiate to the left side.

Aching pains, as during menstruation

Such pain occurs at the moment when the egg begins to attach to the walls of the uterus. This occurs between 6 and 14 days after fertilization. A woman feels pulling pains, blood impurities may appear in the vaginal discharge.

Pain symptoms come and go within 2-3 days, this is normal and nothing to worry about. If the pain does not go away, and their intensity increases and is accompanied by other symptoms, then you need to look for the cause.

In the early stages, with pain in the lower abdomen, nausea and dizziness appear, this may be a sign of an ectopic pregnancy. The pains are sharp, strong, the woman feels weak and may lose consciousness. If the pain is accompanied by bleeding, you should immediately consult a doctor.

Perhaps the reason is the detachment of the fetal egg or the incipient miscarriage. Allocations, in this case, have shades of brown - from light to brown. Red discharge, accompanied by pain, as with menstruation, may indicate a spontaneous miscarriage that has begun.

Sharp pains in the inguinal folds

During pregnancy, a woman experiences pain not only in the abdomen, but also in the groin.

Such pain can be divided into:

1. Physiological;
2. Pathological.

In the first case, discomfort in the groin is caused by increasing physical stress on the body. They are not associated with any disease. Pain appears during the formation of a temporary gland or corpus luteum at the site of a fertilized egg. Its main function is to produce progesterone and estrogen - hormones needed by the body.

Sometimes a cyst forms in place of the corpus luteum, which can also cause pain. After the formation of the placenta, in the second half of pregnancy, the cyst resolves without leaving any consequences.

Pathological causes of groin pain:

• Ectopic pregnancy. The fertilized egg stops in the fallopian tube, begins to grow - this causes pain. Surgical intervention is necessary, in the early stages there is a possibility of saving the tube. If you do not intervene in time, the pipe may burst, and this is fraught with bleeding and a threat to the woman's life;
• Inguinal hernia. Symptoms: pain in the lower abdomen, aggravated by walking, bulge on one side of the abdomen. The growing fetus presses on the hernia, causing pain. A hernia can be removed only after childbirth, so it is recommended to wear a special bandage that supports the stomach;

• Inflammation of the lymph nodes. It can occur in the presence of infection, while there is an increase in lymph nodes, the temperature rises;
• Genitourinary infections, kidney or ureter stones;
• Genital herpes;
• Injury in the groin area;
• Aneurysm of the femoral artery.

Natural causes of pain

In the first 12 weeks of pregnancy, a woman's body undergoes various changes. The pains that appear during this period are the result of the physiological restructuring of the body. They do not threaten pregnancy.

Pain during this period should not be sharp and acute. Aching pain means the introduction of the embryo into the wall of the uterus, that is, a successful conception process.

Physiological causes

Physiological causes of abdominal pain can be:

• Malfunctions in the work of the stomach and intestines, accompanied by bloating, flatulence, constipation;

Pain in the lower abdomen during early pregnancy, which is of a physiological nature, can be caused by problems in the gastrointestinal tract, in particular, constipation

• Stretching of the uterine ligaments, under the influence of hormones produced during pregnancy;
• The growth of the uterus and the rise to the abdominal cavity causes pain in the abdomen, due to muscle strain.

All these pain symptoms are not dangerous, however, a pregnant woman should report them to a gynecologist.

Pathological causes of pain

Pain in the lower abdomen during early pregnancy is not always the result of physiological changes in the body. Sometimes they can be a symptom of a serious illness.

The most common pathological source of pain is:

• hypertonicity of the uterus, at an early stage can cause a miscarriage. With increased tone, severe pains appear in the lower abdomen, the lower back aches. The abdomen “hardens”, blood discharge may appear - this is already a sign of an incipient miscarriage;

• frozen pregnancy;
• exacerbation of gynecological diseases.

Frozen pregnancy

One of the pain symptoms can be missed pregnancy.

The main signs of a missed pregnancy:

• spotting (pink, red, brown);
• pain in the lower abdomen or back;
• suddenly stopped all the symptoms of toxicosis (nausea, vomiting, dizziness, etc.);
• the chest stops hurting;
• during the inflammatory process, the temperature rises.

All of these causes occur in the normal course of pregnancy, as well as in ectopic pregnancy. An accurate diagnosis can only be established by a doctor after additional diagnostics (ultrasound, blood test for hCG). With this diagnosis, a pregnancy test may be positive for a few more days, so this method is unreliable.

Causes of missed pregnancy:

1. Genetic - due to a problem with genes or chromosomes, even if both parents are healthy;
2. Anebryonia. The cells responsible for the development of the embryo stop dividing, and the placenta continues to form;
3. Hormonal disorders;
4. Certain types of infectious diseases;
5. Pathology of the uterus;
6. Pregnant women who drink alcohol and smoke are more likely to have miscarriages;
7. Excess or lack of body weight;
8. Taking certain hormonal, anti-inflammatory and contraceptives;
9. Intoxication with chemical fumes (necessity associated with work);
10. chronic diseases;
11. More often than not, pregnancy with more than one child results in constipation;
12. For unknown reasons, IVF is more likely to result in miscarriages.

Ectopic pregnancy

An ectopic pregnancy is when a fertilized egg stops in the fallopian tube and begins to grow. This happens during early pregnancy.

During this period, a woman feels pain in the lower abdomen, radiating to the rectum and sacrum. As a result, the tube may burst, and profuse bleeding begins. You need to see a doctor urgently.

Risk of miscarriage

The diagnosis of "threat of miscarriage" at an early stage is made due to the increased tone of the uterus, the reasons may be the following:

• Nervous excitement, stress;
• Increased physical activity, causing tension in muscle fibers;
• Low production of progesterone.

Symptoms that a woman feels:

• Pain in the lower abdomen, similar to menstruation;
• The stomach becomes "stone";
• Pain radiating to the lower back and sacrum.

Sometimes bleeding may appear. If cramping pains appear with an interval of several minutes, you should immediately consult a doctor.

Cyst of the corpus luteum

The corpus luteum is a temporary gland that produces progesterone and tarragon, hormones needed during pregnancy. The corpus luteum cyst has a benign basis, it is formed at the site of a burst follicle.

Usually the cause is poor circulation and lymph in the corpus luteum. It is often difficult to determine the true cause of a cyst. In most cases, the appearance of a cyst does not cause any symptoms.

Some women report the following symptoms:

1. The appearance of pain during sexual intercourse or physical activity;
2. Small bleeding;
3. Feeling of heaviness in the place where the cyst is located.

Usually, when a corpus luteum cyst is detected, doctors choose expectant management for 3 months. Nothing threatens either the mother or the unborn child, since in the second trimester the cyst usually resolves on its own.

Deficiency or excess of hormones

Low progesterone levels early in pregnancy can lead to miscarriage. In this case, there are pulling pains in the lower abdomen. One of the possible reasons is the lack of development of the corpus luteum, which is due to the peculiarity of development against the background of inflammation of the appendages.

The cause of hormone deficiency against the background of a favorable development of pregnancy may be:

• Improper development of the fetus;
• Violation of the formation of the placenta;
• Frozen pregnancy;
• Risk of miscarriage.

A decrease in progesterone levels is possible with an ectopic pregnancy.

The increased content of hormones is also unfavorable, the reasons are:

1. cyst of the corpus luteum;
2. Violation of the placenta;
3. Pathology of the kidneys, which delays the excretion of hormones;
4. Adrenal disease;
5. Taking certain medications.

The consequences of an increased content of hormones can be fetal pathology or abortion.

Surgical pathologies

Pain in the lower abdomen during early pregnancy may have a different nature. This may be due to disruption of the internal organs and surgical pathologies.

List of the most common:

• During exacerbation, the pains are localized in the upper part of the abdominal cavity, but can also be given down the abdomen;
• Cholecystitis;
• Cystitis. The woman feels pain in the upper part of the pubis, urination is difficult;
• Appendicitis. There is aching long-term pain that radiates to the lower back, lower abdominal cavity. Vomiting and fever may occur.

The true cause of pain in the abdominal cavity can be identified only after special examinations.

Premature placental abruption

Premature abruption of the placenta in the first period of pregnancy can cause severe bleeding. This poses a danger to the mother and fetus.

Main symptoms:

• Abundant bleeding from scarlet to dark in color, depending on the period of detachment;
• Pain in the uterus and lower abdomen;
• Tension of the uterus;
• low blood pressure, dizziness and weakness;
• Change in fetal heart rate: increase or slowdown.

There are several reasons for placental abruption during pregnancy:

• Regular increase in maternal blood pressure (above 130/90 mmHg);
• Violation of blood clotting;
• Increased pressure is accompanied by constant swelling and impaired kidney function;
• placental insufficiency;
• Nervous overload;
• Mechanical impact of the uterus.

Non-gynecological causes

Abdominal pain in a pregnant woman may be associated with chronic diseases of the kidneys, liver, gallbladder.

When to call an ambulance

In what situations is an ambulance needed for a pregnant woman?

There are several situations:

• With the appearance of heavy bleeding;
• Pain in the abdomen is accompanied by discharge, a sharp decrease in blood pressure, palpitations;

• Leakage of amniotic fluid;
• Severe headache, flies before the eyes, high blood pressure, convulsions;
• Decreased fetal activity;
• Abdominal trauma.

First aid

For pain in the abdomen you need to lie down, relax, eliminate sources of noise. With pulling pains in the abdomen, accompanied by bleeding, you can take no-shpu, papaverine or metacin to relax the tone of the uterus.

With high blood pressure, you need to take the drugs recommended by your doctor. The best recommendation: wait for a doctor and do not self-medicate.

Diagnostics

At an early stage of pregnancy, a diagnosis is made to exclude Down's syndrome, Edward's syndrome, and neural tube defects. This procedure is called biochemical screening.

Biochemical screening is carried out for:

• Threat of abortion;
• The presence of previous miscarriages;
• The presence of hereditary diseases.

A test for the analysis of two hormones is carried out at 11-13 weeks. If necessary, at 15-20 weeks, the procedure is repeated for the analysis of 3 hormones.

Ultrasound examination is performed at an early stage to confirm pregnancy, the size, shape and location of the ovum. With the help of this study, the presence or absence of defects on the part of the central nervous system, pathologies of the spine, Down syndrome, and other anomalies is determined. With the help of ultrasound, the condition of the cervix, placenta, and uterine muscles is determined.

An invasive diagnostic method makes it possible to verify the normal development of the fetus, to exclude genetic abnormalities and defects.

Treatment

In case of involuntary miscarriage, medication is prescribed, possibly in a hospital. The woman is recommended bed rest, hormonal therapy, painkillers and sedatives.

Frozen pregnancy and ectopic require surgical intervention. With gestosis, treatment in a hospital is prescribed.

Folk remedies

During pregnancy, every woman tries to think about the child first. Therefore, in the event of headaches, toothaches and other pains, he tries to avoid taking medications. There are several remedies that can help relieve or relieve some of the pain.

For example, you can independently remove the increased tone of the uterus. It is given to most pregnant women. The main reason is an active lifestyle. That's why the most important thing is to give the body a rest. There are exercises, the purpose of which is to relax the whole body, face.

Exercise 1

It is necessary to lie down in a comfortable position, completely relax the whole body, breathing should be calm, eyes closed. The muscles of the face are not tense. You need to feel how the energy of the body leaves through the hands.

Breathing should be even and calm. This exercise must be done in the morning and evening.

Exercise 2

Get on your knees, arms bent at the elbows. Lower your head and relax completely. While inhaling, gently raise your head, bending back, linger for a few seconds. As you exhale, slowly take the starting position. Do 4 times and lie down for an hour in a calm state.

Aromatherapy helps to relieve tension and stress if you are not allergic to herbs. With a headache, tea with the addition of lingonberry leaf helps. The proportion of tea / lingonberries: ½.

Prevention

To prevent unwanted complications during pregnancy, you must follow a number of rules:

• Pass a preliminary examination for infections to both spouses;
• In the presence of a chronic disease, control it, try not to exacerbate the disease;
• Exclude any diet, the food should have a sufficient amount of vitamins, minerals;
• Pregnant women must undergo a multi-stage examination.

The early pregnancy period is considered the most important. To avoid unpleasant complications, incl. pain in the lower abdomen, gynecologists advise to adhere to a number of rules.

In early pregnancy, follow these recommendations:

1. Register as soon as possible;
2. Adhere to proper nutrition;
3. To refuse from bad habits;
4. Favorable emotional background;
5. It is forbidden to take drugs.

Article formatting: Natalie Podolskaya

Video about pain in the lower abdomen during pregnancy

Video about pain in the lower abdomen during early pregnancy:

Confirmation of a planned and desired pregnancy in a future mother causes a storm of various emotions - joy, delight, excitement, pride and the desire to do everything according to the rules. The baby should be born healthy, strong and the most intelligent - it should not be otherwise.

But joy is overshadowed by incomprehensible sensations that cause anxiety and bewilderment. Do pains in the lower abdomen threaten in early pregnancy with troubles? And should I consult with my doctor?

Stomach hurts during pregnancy as during menstruation - when you should not sound the alarm

The first harbinger of the expected event - the stomach hurts during pregnancy as during menstruation. All women are well aware of these sensations, the difference can only be in their intensity. Therefore, at first, many take painful hardships as a harbinger of monthly troubles. In fact, something else is happening - a successfully fertilized egg is looking for a cozy place for itself, penetrating into the uterine mucosa. This process is important, intensive and quite lengthy - after all, you will have to stay in a new place for a long nine months. The arrangement of the future crumbs is accompanied by pulling pains in the lower abdomen, many potential mothers take them for premenstrual.

Sometimes the struggle of the egg for a comfortable and reliable living space is accompanied by meager spotting, the appearance of which is mistaken for the beginning of menstruation. At this stage, there is often an abortion, which the failed mother does not even know about. This happens when a fertilized cell fails to implant in the uterus, the body rejects it, and the process of spontaneous abortion goes like a banal menstruation.

Non-dangerous pain in the lower abdomen in early pregnancy can cause concern for other reasons. The inevitable hormonal restructuring, an increase in progesterone levels are also accompanied by pulling pain. The frequency of occurrence, short duration and quite tolerable intensity of pain should not cause concern, this is a completely natural process.

Swelling and stretching of the uterine ligaments, a change in diet, a rush of blood to the uterus - any of these reasons can cause an aching feeling in the lower back and lower abdomen. Usually, it is not so difficult to deal with emerging troubles - you just need to lie down, and after a short rest everything will return to normal. In a situation where the recommended method did not help, the intensity of the pain is gaining momentum, spotting has appeared - an urgent consultation with a doctor is necessary.

When pain in the lower abdomen during pregnancy signal danger

Unfortunately, there are plenty of reasons for an urgent appeal to a gynecologist when the stomach hurts during pregnancy. All of them have characteristic symptoms, which are best familiarized with in advance. After all, sometimes the life of a long-awaited baby, and the health of his future mother, depend on the timely help of doctors.

1. Frozen pregnancy

The cessation of fetal development and its non-viability in the early stages is considered a missed pregnancy. The tragic event most often occurs on the 8-16th week, when the vital organs of the baby are laid and formed. The disappearance of nausea and the return of the former appetite do not cause the woman due fear and are perceived by her as a happy deliverance from early toxicosis. The breasts that have become habitually soft and the pains in the lower abdomen that are usual for this period during pregnancy are also not alarming. However, the body is strenuously trying to get rid of the non-viable fetal egg, spotting is added to the pulling and intensifying pains. Inattention and ignoring the appeal to the doctor at this stage is fraught with dangerous consequences - severe intoxication and sepsis. You should not postpone a visit to the doctor if the following signs are present:

- pallor of the skin and weakness, nausea;

- temperature rise;

- quite severe pain in the lower back, groin, lower abdomen.

At a later date, the reason for contacting the doctor should also be the lack of active movement of the crumbs for four to six hours. Diagnosis of a missed pregnancy at any time is carried out using a blood test for hCG and ultrasound. When establishing the diagnosis, the uterus is cleansed of the remnants of the fetal egg.

2. Miscarriage and pain in the lower abdomen in early pregnancy

Viruses and infections, hormonal disorders, previous abortions and frequent stress can cause an unexpected termination of pregnancy. Knowing the main symptoms of a threat and taking the necessary actions, it is possible to save the baby and safely bring it to birth on time. Experts divide the process into three stages - when there is a real threat of miscarriage, the beginning of it and the expulsion of the fetus - in whole or in part. At the first two stages, it is still possible to help the expectant mother and baby, with the obligatory condition of timely contacting a medical institution. Heralds of danger:

- pulling and aching pains in the lower abdomen in the early stages of pregnancy, in case of a threat of miscarriage, spread to the lumbar region and are accompanied by heaviness in the lower abdomen. Already at this stage, the help of a doctor is needed, since the process can develop quite rapidly;

- increasing pain is accompanied by the appearance of discharge - from spotting to copious and scarlet. It's time to call an ambulance, and lie down before her arrival. All is not lost yet, most likely, the baby can be saved;

- a sharp deterioration in the general condition and the appearance of pieces of tissue in the discharge, alas, indicate a miscarriage. Confirmation is severe pain, possibly also heavy bleeding. But even the disappearance of the pain symptom cannot guarantee a successful outcome. In such cases, doctors most often perform a curettage of the uterus in order to prevent inflammation and sepsis.

The stomach hurts during pregnancy as during menstruation - is it possible for an ectopic development of the fetus

It happens that pain in the lower abdomen in the early stages of pregnancy signal the presence of an unpleasant diagnosis - an ectopic pregnancy. This is possible when a fertilized cell is mistaken in choosing a permanent location, does not reach the uterus and has chosen a completely unsuitable place to live - on the ovary, in the tube or cervix. Explanations of the future mother, how exactly the stomach hurts during pregnancy, help to suspect a sad process. The presence of spotting discharge and the absence of a fetal egg on ultrasound confirm it. Usually, the doctor advises to remove the fallopian tube and recommends that you refrain from conceiving another child for three months.

However, with an ectopic pregnancy, more unpredictable developments are possible. If you ignore the pain in the lower abdomen in the early stages of pregnancy in conjunction with the bloody discharge that has appeared and do not consult a doctor, you can get a formidable complication - rupture of the fallopian tube. Initially, the pains in the lower abdomen during pregnancy are dull and pulling, but, as the fetal egg gradually grows, they intensify and spread to the region of the appendages. With a rupture of the pipe, formidable confirmation of the diagnosis appears:

- profuse bleeding;

- unbearably sharp pain, sometimes radiating to the hypochondrium, anus, leg;

- dizziness, possible fainting;

- Severe nausea, vomiting.

An ambulance must be called immediately. It will be impossible to do without surgical intervention.

The stomach hurts during pregnancy as during menstruation, but the reasons are not gynecological

It is not at all necessary that pain in the lower abdomen during pregnancy indicates gynecological problems. Banal reason - you want salty or sweet. Peculiar taste preferences in an interesting position can cause bloating and various intestinal disorders. Normalization of digestion, planning a healthy menu, including the necessary foods in the diet will relieve flatulence, constipation or diarrhea, pain in the lower abdomen in early pregnancy.

A frequent companion of pregnancy is cystitis, due to which the expectant mother may experience discomfort. In this case, not only pain in the lower abdomen during pregnancy is disturbing, but urination becomes frequent and painful. The presence of infection threatens the health of the crumbs, so complex treatment is necessary from a urologist and gynecologist.

At first, appendicitis does not manifest itself too aggressively, and the complaints of the expectant mother come down to the fact that the stomach hurts during pregnancy as during menstruation. However, very soon fever, nausea, weakness are added to this symptom, and painful manifestations become more and more intense. If the doctor confirms the diagnosis, you should not be afraid of surgical intervention - the operation is not dangerous for either the baby or the mother.

If the stomach hurts during pregnancy as during menstruation, but in addition to this, discomfort is also observed in the kidney area, swelling appears - the cause may be kidney disease, pyelonephritis or glomerulonephritis. A visit to the doctor is necessary, it is impossible to cope with the problem on your own. An exacerbation of cholecystitis can also serve as a reason for a visit to the doctor.

Normally, pain in the lower abdomen during pregnancy should not cause much concern to the expectant mother. She can continue to do what she loves, go to work, do household chores and travel. Of course, dosing loads and not lifting weights. Pain in the lower abdomen in the early stages of pregnancy testifies only to pleasant and long-awaited changes in the body and unobtrusively reminds of the upcoming replenishment in the family. Uncomfortable sensations are easily eliminated during a short rest in a horizontal position.

But this is true only in one case - the future mother is under the constant supervision of a doctor who does not find any pathological problems in her. Any unusual manifestations, misunderstood pains in the lower abdomen during pregnancy, discharge or other frightening symptoms should be a mandatory and compelling reason to visit a gynecologist. Mom is now responsible not only for herself, but also for the life of a little man, so following the advice of girlfriends, neighbors and grandmothers at the entrance is not welcome. It is not at all necessary that pain in the lower abdomen during pregnancy indicates trouble, but only a specialist can judge this and make the required decisions if necessary. So the best way to learn more about the causes of pain in the lower abdomen in early pregnancy and successfully cope with it is to entrust your health and well-being of the baby to the doctor.

In their new "interesting" position, women often feel pains that they have not experienced before. You need to be careful about them, because in the early stages there are chances of self-abortion, if we are talking about. What else can cause pain? And how to behave when such symptoms appear? Let's figure it out.

Hormonal adjustment

Ordinary norm or signals of serious violations? Both of these can cause pain in the lower abdomen. Usually hormonal changes in early pregnancy are the explanation for the pain that occurs. In such cases, they are not very strong, they are periodic, and not protracted. As a rule, after a month or two they disappear on their own. If before pregnancy, a woman's periods were very painful, then during pregnancy she may experience pulling pains in the early stages.

Another simple cause of pain in the lower abdomen is bloating, which is typical for pregnant women. To avoid it, you should adjust your diet.

Frozen pregnancy

If the pain is also accompanied by nausea, vomiting and fever, then perhaps we are talking about self-abortion. By the way, some time before this, a pregnant woman may stop feeling and experiencing the first signs of pregnancy. For example, toxicosis disappears, the breast becomes soft, and the presence of chorionic gonadotropin is no longer diagnosed in the urine. That is, pain in this case can signal the death of the embryo. Usually such a fetus with shells comes out of the uterus after some time. But in our country it is customary to clean the uterine cavity after that to prevent inflammation. It happens that the embryo can still be saved if the woman is hospitalized as soon as possible.

Ectopic pregnancy

The main pain is in the lower abdomen in a pregnant woman. They may also be accompanied by spotting. At the same time, the ultrasound does not show the fetal egg. Traditionally, an ectopic pregnancy is treated surgically, that is, the removal of the fallopian tube with the fetal egg. After that, it is not recommended to become pregnant for 3 months.

Diseases and pathologies

Very often in pregnant women there are diseases of the urinary system. For example, inflammation of the bladder (cystitis) This is more typical of the second and third trimesters. But often cystitis is confused with frequent urination of pregnant women. Cystitis is accompanied by a feeling of a full bladder. At the same time, urination itself is painful. This disease is treated with antibiotics prescribed by a urologist. But the prevention of this common disease is the observance of intimate hygiene, the treatment of candidiasis and warm clothing for the season. Do not overcool - and cystitis does not threaten you.

It can also cause pain in the lower abdomen. In addition, it is accompanied by swelling on the face and body. Pregnant women with pyelonephritis are always at risk. He is also treated with antibiotics in the hospital. At the same time, women are advised to lie on the opposite side of the diseased kidney and drink a lot.

Banal appendicitis can also cause pain. But in this case, they occur in the right side and are localized throughout the abdomen. There is no need for urgent surgery. They do it with safe anesthesia.

Intestinal obstruction of a pregnant woman may also require surgical intervention. But with her, in addition to pain in the abdomen, the woman is sick, drawn to vomit, and there is no stool.

And during pregnancy, the center of gravity of the abdomen changes and provokes not only pain, but discomfort.

If a pregnant woman at the same time pulls her lower back and her stomach hurts, then you should consult a doctor immediately. It is very important to monitor the nature of such pains, that is, their intensity and frequency. If the pain is sharp and cramping, then immediately contact your gynecologist. But you need to do this calmly, without panic and nerves!

Health to you and optimism!

Especially for Elena TOLOCHIK