That is why attention and sensitivity to the state of your body is so necessary, which will in every possible way send signals that the pregnancy is not going the way you want.

Threatened miscarriage is accompanied by:

• aching or pulling pains in the lower abdomen;
• aching or drawing pains in the small of the back or sacrum.
• bloody discharge from the genital tract.

If you have pain in the lower abdomen, you need to see a doctor, because a threatened miscarriage, if medical assistance is not provided, can turn into an abortion that has begun, the treatment of which is much more difficult, if not completely useless. nine0003

An ambulance should be called if:

• pain in the lower abdomen gets worse;
• pains begin to radiate to other areas;
• painful sensations do not go away for a long time;
• bloody discharge from the genital tract appeared.

Increased pain

If the pulling pains in the lower abdomen are weak, do not increase and do not radiate to other areas, then you can come to the antenatal clinic in the daytime on your own. This will not threaten serious complications of your condition. nine0003

If the pain becomes more intense, does not go away at rest, you should not self-medicate, take drugs without a doctor's prescription.

Do not put anything on the stomach. Both hot and cold application can contribute to the onset of a miscarriage. In addition, with the threat of termination of pregnancy, this manipulation will not remove the pain.

Localized pain

When a threatened miscarriage occurs, pain of a pulling or aching nature disturbs the pregnant woman in the lower abdomen. nine0003

If the pains have a clear localization in a certain place, most often on the right or left, then a mandatory consultation with a specialist is necessary, since an ectopic pregnancy or surgical pathology, such as appendicitis, may develop.

Bloody discharge from the genital tract

If bloody discharge from the genital tract has joined the pulling pain in the lower abdomen, urgent medical attention is needed. This phenomenon may indicate a miscarriage that has begun. nine0003

The discharge may be scanty, spotting or copious, dark or bright. In any case, you can not do without consulting an obstetrician-gynecologist.

There are situations when there is no pain, but there is bloody discharge from the genital tract. This case also requires specialist advice.

Any bloody discharge from the genital tract may indicate a miscarriage. Only timely treatment can contribute to the preservation and prolongation of pregnancy. nine0003

In some cases, the appearance of bloody discharge from the genital tract may be a manifestation of a miscarriage, which requires immediate medical attention.

Miscarriage

The fertilized egg does not always develop correctly. In some cases, there is a cessation of its division and death. Most often, missed pregnancy occurs due to any mutations. At the same time, the woman does not suspect that the pregnancy has stopped.

However, the dead fetal egg begins to be rejected on its own. At the same time, there are pulling pains in the lower abdomen, which are soon joined by bloody discharge from the genital tract.

When a miscarriage is diagnosed, curettage of the uterine cavity may be indicated. Conservative management is also possible, but this can only be determined by a specialist after consultation.

Ectopic pregnancy

Ectopic pregnancy most often occurs as a tubal pregnancy, when the fertilized egg does not reach the uterus, and the implantation process occurs in the fallopian tube. At the same time, the development of the fetal egg can continue for a long time without any manifestations, up to 12 weeks of pregnancy. However, most often such a pregnancy is interrupted at 6 to 8 weeks. nine0003

The fertilized egg develops and grows, which causes pain in the right or left side of the lower abdomen. The pains are unilateral, are obsessive, tend to increase.

In addition to pain in the lower abdomen, bloody discharge from the genital tract appears, and the pain begins to radiate to the leg from the side of the pain. There may be unpleasant sensations of pressure on the rectum. Medical surgery is the only way to save a woman's life. Preservation of pregnancy is impossible. nine0003

"Non-obstetric" causes of pain in the lower abdomen

Inflammatory processes

Among the "non-obstetric" causes of pain in the lower abdomen, the most common are inflammatory processes of the pelvic organs. If earlier it was believed that there could be no inflammation in pregnant women, now it has been proven that a decrease in the immunity of a pregnant woman awakens all pathological processes in her body.

Pain in inflammatory processes of the pelvic organs differ in their intensity. At the same time, they occur in the lower abdomen and most often have a pulling or aching character. nine0003

Pathology of the digestive system

Very often, pulling pains in the lower abdomen can occur in a pregnant woman due to problems with the digestive tract. During pregnancy, there is a decrease in intestinal contractility. In addition, there are significant changes in the hormonal background of a woman. Therefore, very often pregnancy is accompanied by constipation and bloating. To normalize digestion, a change in diet is recommended and mild laxatives can be taken. nine0003

Surgical pathology

Of the surgical pathologies that may be accompanied by pulling pains in the lower abdomen during pregnancy, acute appendicitis is the most common.

In the early stages of pregnancy, it is obligatory to differentiate obstetric and gynecological diseases from appendicitis, since it has similar symptoms. There are pains in the lower abdomen, which most often occur in the navel or stomach, and then descend to the right iliac region. Nausea, vomiting, fever joins. The only treatment is surgery. In this case, the pregnancy is preserved. nine0003

Diseases of other organs or systems

In addition to obstetric and surgical causes, which can cause pulling pains in the lower abdomen in early pregnancy, other body systems may also be involved in the pathological process. The most common lesion is the urinary tract.

Cystitis

Due to the anatomical features of a woman, cystitis can occur at any time and in any condition, so pregnant women are just as susceptible to it as non-pregnant women. nine0003

The bladder, located in the lower third of the abdomen, may give false symptoms of threatened miscarriage.

Cystitis, in addition to pulling or aching pains in the lower abdomen, is accompanied by pain during urination, pain at the end of the act of urination. In addition, with cystitis, the urine may be stained with blood, and it is difficult to distinguish this from bloody discharge during a miscarriage.

In any case, it is necessary to consult an obstetrician-gynecologist, pass a general urine test, and then consult a urologist and treat the infection. Any infection can adversely affect the condition of the fetus, so timely treatment is the key to the normal development of your child. nine0003

Make an appointment with a gynecologist

For more details, consult a qualified specialist at the Semeynaya clinic.

To clarify the prices for a gynecologist's appointment or other questions, follow the link below:

Treatment of abdominal pain - OSTEOMED clinic network Pain in the abdomen during pregnancy can be of different localization and in most cases they do not conceal anything threatening.

Quite often, pain in the lower abdomen is felt during pregnancy in the early stages. If they do not bring much discomfort, there is no spotting, as well as other symptoms of a possible pathology or disease, then treatment is not required. At the beginning of pregnancy, such pains can be associated with hormonal changes, in the middle - with the rapid growth of the uterus, and at the end - with the preparation of the uterus for childbirth.

If the stomach hurts during early pregnancy, then this does not always indicate some kind of pathology. With mild, rarely occurring and quickly passing pains, you should not worry. But for greater certainty, as soon as the test showed two strips, it is worth contacting a gynecologist as soon as possible. This will not only relieve the hassle, but also morally set you up for the upcoming event. With frequent aching, intense and cramping pains, it is urgent to find time and be sure to see a doctor. After all, this may indicate an ectopic pregnancy, which will require urgent surgical intervention. In addition, spontaneous abortion (miscarriage) can also be the cause. However, often, but not always, abdominal pain is accompanied by lower back pain and bleeding. If all indicators of pregnancy are normal, but the stomach still aches, this is explained very simply. The body is rebuilt, the tissues supporting the uterus become softer, looser, while the uterus itself grows and shifts, which contributes to tingling and sipping pains in the lower abdomen. nine0225

Pain in the lower abdomen during pregnancy, and especially in the later stages, are often due to internal pressure, that is, the growing uterus presses on the internal organs, thus disrupting their full-fledged work. The intestine reacts very sensitively to the hormones of "pregnancy" with a decrease in motility, a violation of peristalsis, which is a common cause of constipation, bloating and colic. To avoid this, you need to move more often, eat foods rich in fiber (fruits, vegetables, whole grain bread) and, of course, drink more fluids. Also, pain concentrated in the lower abdomen can be caused by a sprain due to the rapid growth of the uterus, or it can be triggered by premature detachment of the placenta. In the latter case, urgent medical attention is needed, because irreparable harm can be done to the mother and child. In this case, rapid delivery and immediate stopping of bleeding are indicated. In addition, during pregnancy, new or exacerbated chronic diseases can develop, which can also give signals in the lower abdomen. These are cholecystitis, intestinal dysbacteriosis and others. In some cases, emergency surgery is indicated, and therefore it is worth paying attention to the slightest changes in the nature of the pain. If there is even the slightest doubt, you should urgently consult a doctor, otherwise it may be too late. In addition, problems with the genitourinary system are quite possible, which can also provoke pain in the lower abdomen. nine0003

Uterine tone is painless or slightly painful uterine contractions. If a pregnant woman feels a spasm in the lower abdomen, the stomach becomes like a stone (this is especially noticeable in the second half of pregnancy) - this is a tone. The tone is diagnosed by a gynecologist during an external examination. The fact that the tone was recorded on the ultrasound, contrary to popular belief, is not an indication for treatment and hospitalization. The uterus is a muscular organ, and it is quite normal that it contracts periodically. The key word here is periodically, and, of course, painlessly and for a short time. With uterine tone, doctors recommend taking a horizontal position, lying on your side, you can take an antispasmodic pill and use a Papaverine suppository. nine0003

As a rule, there are minor pains in the lower abdomen during late pregnancy - these are preparatory contractions. Thus, the uterus prepares for the upcoming birth. In some women, the uterus begins to “prepare” like this at 32 weeks, in others for 1-2 weeks, and someone either does not notice these weak contractions, or considers this the norm, and therefore does not pay attention. It is very important to learn to distinguish between preliminary contractions and true ones, those that begin already in childbirth. Preliminary contractions last for several seconds, and they are not regular, unlike true ones, and do not intensify. It has been observed that nulliparous women are more likely to experience pre-contractions than multiparous women. This kind of pain is removed very easily by non-drug methods - you can just take a deep breath, lie down and relax. In many cases, taking a warm (not hot!) bath helps. nine0003

Those 4 reasons that we described above are variants of the norm. However, it is urgent to consult a doctor if these conditions are accompanied by bloody or brown vaginal discharge, clear or greenish vaginal discharge (they may turn out to be amniotic fluid), if the pain lasts for several minutes, is not relieved by antispasmodics and only increases when weakness appears, dizziness, flies before the eyes, etc. In a word, if the condition worsens. Such symptoms may indicate a threat or a spontaneous miscarriage, a frozen or ectopic pregnancy (when an early pregnancy, pain in the lower abdomen), premature or term birth, etc. nine0003

However, not always abdominal pain in expectant mothers occurs precisely because of gynecological problems and is a consequence of pregnancy. Here are some other possible reasons.

1. Cystitis and other diseases of the female excretory system. The ureter is located next to the internal genital organs, because this pain is often confused with "gynecological". Usually the pain occurs in such cases suddenly, has a "stabbing" character. Pain in the lower abdomen is accompanied by frequent and painful urination. The urologist treats the genitourinary system. You should not start the disease, because it is caused by an infection that is unsafe for the child. Folk remedies, like bearberry, do not help well, but the doctor can prescribe effective medications that are approved for use by pregnant women. nine0003

2. Problems with the intestines: diarrhea, constipation, bloating. It should be noted that the last 2 are frequent occurrences in expectant mothers. Constipation is caused by a decrease in physical activity, displacement of internal organs due to the growth of the uterus, malnutrition, and insufficient fluid intake. Bloating is caused by the consumption of appropriate foods, as well as soda. Sometimes it is enough to go to the toilet for the pain in the abdomen to go away if it's constipation.

3. Poisoning or rotovirus infection. Their symptoms are very similar. Usually it all starts with cramping pains in the lower abdomen, sometimes the pain goes to the navel. Then comes diarrhea and/or vomiting. nine0003

4. Appendicitis. If you have pregnancy, pulling pains in the lower abdomen do not always indicate tone or minor ailments, this may be a symptom of appendicitis, especially if the pain is right-sided, accompanied by fever. The correct diagnosis can be made by the surgeon. If the pain does not go away within an hour or two, but only increases, you should not attribute everything to an intestinal disorder and drink drugs like "smecta", this is very dangerous. If surgery is not carried out in time, it can lead to peritonitis. nine0003

And this is not all the reasons. Pregnant women, not for the first time, can quite easily distinguish the pain caused by uterine spasm from other types of pain. But in any case, it does not hurt to see a doctor.

Pain at the top of the abdomen during pregnancy mainly occurs in the later stages. Their cause is the same uterus, which is constantly growing, slowly begins to reach the upper organs of the peritoneum. This primarily affects the liver, gallbladder, stomach, pancreas, disturbances in which lead to symptoms such as belching, bitterness in the mouth. In addition, very often in the last trimester of pregnancy, the stomach throws gastric juice up the esophagus, causing considerable discomfort. To avoid these unpleasant moments, you need to eat a balanced diet, which should be eaten in small portions. It is desirable, of course, to exclude fried, spicy, too salty and too sweet. nine0003

Stinging abdominal pain during pregnancy occurs for many reasons. This may be stagnation of feces in the intestines, which also provokes flatulence and constipation. By the way, the latter, in the future, can become one of the causes of hemorrhoids. It is also necessary to pay attention to the intensity of pain. If it is weak, rarely occurring, then you should not dwell on it. But if the pain is severe, especially sharp, you need to consult a doctor. Acute pain may be due to the development of appendicitis, inflammation of the gallbladder (cholecystitis), pancreas. Often, during the filling of the bladder, expectant mothers complain of pains of a pulling nature in this area, which turn into stitches, and become more painful when urinating, which indicates cystitis. In addition, stabbing pains may indicate the presence of infectious diseases, which are most often sexually transmitted. nine0003

Abdominal pain on the left during pregnancy can be caused by various diseases of the internal organs. They can signal various lesions of the stomach and pancreas, the splenic flexure of the colon and, in fact, the spleen itself, as well as the left kidney. In addition, pain localized in the left side of the abdomen is possible when a hiatal hernia occurs.

Abdominal pain on the right during pregnancy most often occurs with diseases of the gallbladder, liver, duodenum, and right kidney. If the pain is accompanied by other symptoms, you should consult a doctor. For example, the symptoms of inflammation of the gallbladder include not only pain in the right side of the abdomen, but also nausea and vomiting (which are often confused with toxicosis). As a rule, following a salt-free diet with the complete exclusion of fatty, fried and spicy foods helps to cope with this problem. Possible formation of sand or kidney stones. Basically, during pregnancy, they try not to affect this organ, because it is of great importance when carrying a child. But if the doctor sees some kind of pathology or the hopelessness of the current situation, which can affect the further course of pregnancy, then measures will be taken to eliminate the cause of pain, with the maximum benefit for the fetus and woman. nine0003

Often, the stomach hurts when walking in a pregnant woman, causing some discomfort. Basically, this problem concerns the second and third trimesters of pregnancy, that is, those periods when the uterus begins to actively grow, thereby causing a change in the center of balance. This is one of the reasons for the so-called duck walk. Many pregnant women are ashamed of this and try hard to walk the same way as they used to walk, which causes pain. The second reason is the softening of the joints located between the pelvic bones. Thus, the body prepares for the passage of the baby through the birth canal. To reduce or even get rid of pain, you should pay attention to the position of your body when walking. The correct position of the torso during pregnancy is to take the shoulders back, shifting the center of gravity from the toe to the heel, and the use of a special bandage for pregnant women will also bring invaluable help, which will not only reduce the load from the abdomen, but also remove tension from the spine. nine0003

The stomach hurts a lot during pregnancy during the course of some, at least not very good changes. Normally, there should be no severe pain. But if they have already arisen, then you should not endure them, it is imperative to consult with the local gynecologist. Severe pain can be the result of ectopic pregnancy, placental abruption, miscarriage, premature birth, as well as diseases associated with inflammation and chronic diseases of the internal organs. In principle, in any of these cases, it is necessary to call an ambulance as soon as possible, because untimely assistance can lead to disastrous consequences. The most important thing in this matter is not to miss the precious time that can give life to a small miracle, and maybe more than one. nine0003

Abdominal pain can be of different localization, intensity and etiology. If you have any doubts about this, you should immediately consult a doctor. If other symptoms, such as nausea, vomiting, dizziness, loss of consciousness, and the like, join pain in the abdomen, you should urgently, without delay, call an ambulance.

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