Where do you get cramps when your pregnant
Pregnancy Cramps: What They Mean and When to Worry
When you’re pregnant, your body undergoes many changes as it makes room for your little one (or two or more!). While some of these changes may be no big whoop, others, particularly things like cramping, can have you quickly searching Google for their causes.
While some mild pregnancy cramps are a normal symptom of your ever-expanding body, other cramps could indicate a serious problem. Pregnancy cramps can give many women anxiety, so it’s important to know the common reasons for their occurrence and what you should do about them.
We asked Srijaya Soujanya Nalla, MD, an OBGYN at Banner Health Clinic in Loveland, CO, to help explain the normal causes for cramping, abnormal causes and treatment recommendations for both.
[However, if you’re experiencing severe cramping with or without bleeding, stop reading this article and call your doctor immediately.]
What’s considered normal cramping during pregnancy?
“Early on in your pregnancy, it’s natural to feel some mild cramping in your lower abdomen at infrequent times as your body prepares for your growing baby,” Dr. Nalla said.
As your belly grows, so does your uterus. This may cause you to feel some slight pulling, tugging or stretching similar to menstrual cramps.
“Later in your pregnancy, you may experience some mild lower abdominal discomfort due to the tightening of your uterus. These are normal as long as they occur in irregular intervals and subside on their own,” Dr. Nalla said. “A common cause later in pregnancy is due to round ligament pain, a muscle that supports the uterus. As it stretches, it can cause some mild aches and pains.”
Other causes for mild cramping include:
- Implantation bleeding
- Gas, bloating and constipation
- Sex
- Exercise
- Braxton Hicks contractions
What should I do for mild cramping while pregnant?
Time your cramps to see how regular they are and how often you feel them. “As long as they don’t fall into the abnormal category, there are some things that you can do to make them better,” Dr. Nalla said. Some of these activities include:
- Rest: Try to sit, lie down or change positions.
- Soak in the tub: Take a warm soak in the tub or a warm shower.
- Take some acetaminophen: Products like Tylenol are commonly used by pregnant women for pain and fever but talk to your health care provider first.
- Practice deep breathing: Use relaxation techniques such as meditation, yoga or controlled breathing.
- Stay hydrated: Pregnant women need 50 percent more water. Keep a bottle of water on hand wherever you go.
When should I be concerned about cramping during pregnancy?
While cramping can be common, there are some serious causes of abdominal pain you shouldn’t ignore.
“Any cramping that is severe in intensity, occurs at regular intervals and progressively gets worse with time is abnormal,” Dr. Nalla said. “In addition, any amount of cramping associated with vaginal bleeding, increased/watery vaginal discharge, or pelvic pressure is not normal either. ”
Some causes for abnormal cramping may be due to:
- Ectopic pregnancy
- Miscarriage
- Preeclampsia
- Bladder infection or urinary tract infection
What should I do if I’m concerned about the cramping?
It’s normal to experience some mild cramping during pregnancy, but always speak with your health care provider if you are ever concerned or are experiencing the above warning symptoms.
“In some cases, an ultrasound can be done to help determine the cause for severe cramping,” Dr. Nalla said. “Sometimes severe cramping can be the first sign of an ectopic pregnancy or a miscarriage. Other times, it could be non-pregnancy related issues like a bladder infection or constipation which are quite common in pregnancy.”
When it comes to your health and the health of your baby, it’s better to err on the side of caution and talk to your health care provider.
You can find a Banner Health specialist near you by visiting bannerhealth. com or for general pregnancy-related questions, you can call the Banner Health Nurse Now at 844-259-9494 for free, 24/7 medical advice.
Related pregnancy articles:
- Is a Headache During Pregnancy Something to Worry About?
- If You’re Expecting and Your Hands and Feet Itch, It Could Be Cholestasis
- Expect the Unexpected: How Your Body Changes During Pregnancy
- Prenatal Screenings and Tests: What to Expect Every Trimester
- Driving While Pregnant: Common Questions Answered
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When Should Cramps During Pregnancy Be Worrisome?
New moms to be may feel a jolt of fear when they experience cramps during pregnancy. You might have it in your head that you’re in the middle of a miscarriage. In reality, most cramping during pregnancy is actually normal and is something that occurs during all three trimesters. It’s important to know why they happen.
Normal Cramps in Early Pregnancy
During your first trimester, you experience cramps as your body prepares for the pregnancy. You may initially experience cramping in your lower abdomen or lower back even before you know you’re pregnant. This is due to implantation, which is the process of the fertilized egg implanting in the uterus. You may feel a small twinge or sharper cramps that may double you over at times. After you know you’re pregnant, cramping is due to your uterus growing and expanding to accommodate your growing baby. It’s perfectly normal and happens to all women. Cramps often feel similar to your normal menstrual cramps. Once you pass your first trimester, you might experience occasional cramping. It’s important to remember that the uterus is a muscle, which means it can contract and cause pain or discomfort. The same can happen when you have gas, constipation, bloating, or even a full bladder.
Normal Cramps in Later Pregnancy
You may experience less cramping in your second trimester compared with your first and third trimesters. Generally, moms who are pregnant with multiple children experience more cramping during the second trimester compared to those who are having a single baby. This typically occurs as the body is making more room to accommodate the babies. In women carrying single babies, this occurs in the third trimester.
Abnormal Cramps During Pregnancy
Any cramping that seems out of the ordinary, such as cramps that feel severe and that don’t go away, should be reported to your doctor. It’s possible that you’re perfectly fine, but it’s important to be absolutely sure just to be safe. Sometimes, severe cramping can signify an ectopic pregnancy, which occurs when the fertilized egg implants in one of the fallopian tubes instead of the uterus. Ectopic pregnancy is a very serious, dangerous condition that requires immediate surgery as the pregnancy cannot be sustained. It can also threaten the mom’s health if the fallopian tube ruptures. Cramping on one side should also be reported to your doctor as it might mean an ectopic pregnancy. Cramping accompanied by vaginal bleeding should also be immediately reported to the doctor. It might mean you’re experiencing a miscarriage. The doctor can diagnose it or rule it out by ordering an ultrasound or hCG blood test. If you’re concerned about cramps during pregnancy, contact WFMC Health to schedule an in-office or telehealth appointment.
Do you have more questions about pregnancy cramps in Salem Oregon? Talk to our staff at WFMC Health or become a new patient today!
Filed Under: Maternity Health Care
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Abdominal pain during pregnancy
Abdominal pain in a pregnant woman can be felt for various reasons. In some cases, this is a natural reaction of the body to changes occurring in the body. In some - an alarming symptom that requires urgent medical intervention.
Consider the most common causes of abdominal pain in pregnant women.
Fatigue
The most obvious cause of pulling pains in the abdomen, especially in the later stages. Due to the weight of a growing belly, the body gets tired faster, and even habitual physical activity can cause fatigue, shortness of breath and pain. Naturally, this pain goes away during rest. nine0003
Ectopic pregnancy
If the fetal egg is not fixed in the uterus, but outside it, the pregnancy is called ectopic. After 2-3 weeks, the growing embryo begins to damage the surrounding tissues and organs - for example, a rupture of the fallopian tube often occurs. With this dangerous pathology, a woman's life is in danger, urgent hospitalization and surgical intervention are necessary. Therefore, it is very important to visit the antenatal clinic, where the doctor will determine whether the fetal egg is fixed in the uterus. nine0003
Growing pain
As the baby grows in the uterus, the uterus stretches. Most often, a woman does not notice this. But in some cases, the stretching of the uterus is felt and causes pain. Often this happens when the uterus is in hypertonicity. This reason is natural and practically not dangerous.
Compression of internal organs
A growing baby not only stretches the uterus, but also gains weight. In some positions, the uterus presses on adjacent organs, which also causes pain, especially when the child moves. Sometimes it is enough just to move, change the position of the body, so that the squeezed organ is released and the pain is gone. nine0003
Constipation
Due to changes in metabolism, as well as the weight of a growing belly, the intestines may not be active enough to perform their functions, and the pregnant woman suffers from constipation. A mild laxative will help ease the bowel and relieve pain.
Read in our media center: "What is the luteal phase." Find out why it is so important, what happens to a woman's body during the luteal phase and how it affects the skin.
Appendicitis
Not very often - about 1 in 10,000 pregnancies - the weight of the growing belly leads to inflammation of the appendix. Sometimes this inflammation goes away on its own, the woman does not even have time to understand what is the cause of the pain. But if the inflammation progresses, surgery may be needed. As with any inflammatory process, body temperature rises with appendicitis. In combination with the characteristic pains, the temperature gives a clinical picture that will allow the doctor to make a correct diagnosis.
Training contractions
In the third semester, pregnant women often experience rhythmic uterine contractions, which can be quite painful. As a rule, they are safe. But if the contractions are strong, frequent and do not stop, you should call an ambulance.
Placental abruption
This is an alarming symptom that is fraught with abortion. For various reasons, the placenta begins to exfoliate from the walls of the uterus. This is fraught with metabolic disorders of the fetus and spontaneous abortion. Usually, a woman notices spotting from the vagina. It is recommended to go to the hospital. nine0003
Miscarriage
Of all the listed causes of abdominal pain, this is one of the most dangerous. Spontaneous abortion can occur at any time, although in the first half it is called autoabortion, and in the later stages - premature birth. The fact that this is the cause of the pain can be recognized by a combination of several signs: pulling pains in the lower abdomen, spotting, preliminary contractions. Without medical assistance, the life of both the fetus and the mother is at risk. nine0003
What to do if you experience lower abdominal pain during pregnancy:
- Change body position: stand up or lie down, find a comfortable position.
- Remember what and when you last ate, when you emptied your bowels.
- Measure the temperature.
- Check for bloody or other discharge from the genitals.
- Determine if there are contractions.
If the pain is severe, accompanied by discharge, contractions and fever, call an ambulance. nine0064
If the pain is tolerable, disappears rather quickly, there is no discharge, it is worth telling the doctor about this at the next visit to the antenatal clinic.
Sign up for an appointment with a gynecologist
Familiarize the prices and services of 9000
90,000, an increased tone of the uterus during pregnancy
Nicotine narrows the blood vessels of the future mother, as well as the vessels of the placenta and umbilical core, which is carried out through the vessels of the placenta and the umbilical vessels, it is carried out. fetal nutrition. Of course, smoking by itself is unlikely to lead to hypertonicity, but in combination with other factors, it may well
If the job is constantly stressful, harmful, or physically demanding, leave it as soon as possible. If this is not possible, use your rights, which are enshrined in the labor legislation of the Russian Federation
Hypertonicity must be distinguished from Braxton-Hicks contractions: it lasts much longer than these training contractions and usually does not go away on its own (or goes away only after some long time)
what is hypertonicity
The main tissue that makes up the uterus is muscular, and according to the laws of physiology, muscle tissue contracts under the influence of any factor. Slightly the uterus contracts in women every month during menstruation, much stronger during labor pains. The uterus can also contract during pregnancy, doctors call this condition hypertonicity. What it looks like: suddenly, at some point, a woman feels that her stomach is tense, becomes hard, as if “hardening”. This state lasts for a long time - half an hour, an hour, half a day or even all day. Additionally, discomfort (or pain) in the lower back or sacrum may also appear. It is clear that such tension in the abdomen worries the mother, because since the uterus is contracting, then perhaps there is a threat of termination of pregnancy. But here it all depends on how much and how often the stomach tenses. nine0003
Braxton-Hicks contractions
It turns out that the stomach can tense up not only when there is a threat of miscarriage. Starting from the end of the second trimester, the expectant mother can feel the so-called training contractions (Brexton-Hicks contractions) - the stomach also tenses with them for a while, as if “hardening”, - in general, the sensations are the same as with hypertonicity. But the main difference between such contractions and hypertonicity is that they last for a very short time (a few seconds - a couple of minutes) and pass by themselves, as well as if you change the position of the body or take a shower. Braxton-Hicks contractions occur up to about ten times a day, and by the end of pregnancy they appear even more often. These contractions are completely normal during pregnancy, and they do not indicate any threat of interruption. It’s just that with their help, the uterus, as it were, prepares (trains) for childbirth. nine0003
where does hypertonicity come from
Hypertonicity can appear in any trimester of pregnancy. In the early stages, it occurs more often due to the fact that there is not enough progesterone, a hormone that is needed for the normal course of pregnancy. Another cause of hypertonicity is some changes in the uterine wall, for example, fibroids (a knot of uterine muscle tissue), endometriosis (growth of the uterine mucosa into the thickness of the wall), and inflammatory diseases. In these situations, the wall of the uterus is not able to stretch as it should. At later dates, hypertonicity can develop, on the contrary, with overstretching of the uterus (with polyhydramnios, large fetuses, multiple pregnancies). Very often, hypertonicity is provoked by some kind of physical activity too strong for a woman, for example, if, in a fit of “nesting”, the mother suddenly began to move and rearrange something in the apartment herself, or she simply moved for a very long time without resting. Someone hypertonicity occurs after psychological overstrain. nine0003
how to recognize hypertonicity
Hypertonicity must be distinguished from Braxton-Hicks contractions - as mentioned earlier, it lasts much longer than these training contractions and usually does not go away by itself (or goes away only after some long time). But if the mother cannot understand whether she has hypertension or not, you should consult a doctor. If there is still an increased tone of the uterus, the doctor, simply by placing his hand on his stomach, will feel a seal, tension, up to the feeling of a stone at hand. In addition, you can always do an ultrasound, on which, with hypertonicity, areas of local thickening of the muscular layer of the uterus are visible, and also look at the cervix, by the state of which you can also judge whether there is a threat of abortion or not. nine0003
what to do in case of hypertonicity
If it appears, the first thing you need to do is:
1. Calm down and lie down if possible. Do not panic, extra stress will not bring any benefits, especially since without consulting a doctor it is still not clear whether there is hypertonicity and how pronounced it is. Or maybe it's a false alarm? In addition, you can use relaxation techniques (breathing, auto-training, etc.).
2. Call your doctor. Of course, the doctor will not make a diagnosis in absentia, but since he knows the history of the expectant mother, her real or possible problems, he will be able to give the right direction for further action. nine0003
3. If you cannot contact your doctor, you can contact any clinic or antenatal clinic where pregnant women are treated. If medical institutions are already closed (late evening, at night), you can call an ambulance - she will take you to the nearest hospital or maternity hospital (you can also get there by taxi).
4. Hypertonicity is well eliminated by special drugs that relax the uterus (tocolytics), and if the doctor has prescribed them, then you should not be afraid to take them: they help quickly enough and do not harm the child.