Why do pregnant women get cramp

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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Cramping During Pregnancy: Causes, Treatment & Prevention

During the first trimester, cramping often results from normal changes that occur during your baby’s development. Cramps can generally be described as pulling sensations on one or both sides of your abdomen. Although not considered a symptom for the detection of early pregnancy, it is a symptom that accompanies many pregnancies. In most cases, cramping is a normal part of pregnancy. However, there are some instances when cramping can be a concern.

Cramping typically occurs when the uterus expands, causing the ligaments and muscles that support it to stretch. It may be more noticeable when you sneeze, cough, or change positions.

During the second trimester, a common cause of cramping is round ligament pain. The round ligament is a muscle that supports the uterus, and when it stretches, you may feel a sharp, stabbing pain, or a dull ache in your lower abdomen.
Cramping that is relatively minor and happens every now and then is probably nothing to be worried about. Some additional causes of normal cramping in pregnancy include:

Gas and Bloating
Constipation
Sexual intercourse

What Should I Do For Cramps While Pregnant?

If you experience minor cramping during pregnancy, there are a couple of things you can do for prevention and self-care:

Try to sit, lie down or change positions.
Soak in a warm bath.
Try doing relaxation exercises.
Place a hot water bottle wrapped in a towel on the ache.
Make sure you get plenty of fluids.

When Should I Be Concerned About Cramping During Pregnancy?

While cramping can be common, there are some serious causes of abdominal pain during pregnancy:

Ectopic pregnancy – This type of pregnancy happens when the fertilized egg implants outside of the uterus. Ectopic pregnancies can cause painful cramping and is a serious medical condition that must be treated by your doctor.
Miscarriage – Vaginal spotting accompanied by mild or sharp cramping can be a sign of a miscarriage, although some pregnant women who have spotting and cramping can go on to have healthy pregnancies. If you have severe cramping and/or heavy bleeding, contact your doctor immediately.
Preeclampsia -This is characterized by high blood pressure along with protein in your urine. Severe preeclampsia can cause intense pain in your upper abdomen.
Preterm labor – Increased pressure, abdominal pain, and cramping can be a sign of preterm labor if your cervix begins to dilate before 37 weeks.
Urinary tract infections – Lower abdominal pain and painful urination may be symptoms of a urinary tract infection.
Placental abruption – This occurs when the placenta separates from the uterus before the baby is born. This is a life-threatening condition and can be signaled by a painful cramp that does not go away. If this happens, you should contact your healthcare provider immediately.

When Should I Call the Doctor?

If you experience the following types of cramping, you should contact your doctor right away:

Severe pain that does not go away
Lower abdominal pain, accompanied by contractions
Vaginal cramping, bleeding, discharge, gastrointestinal symptoms, and dizziness
Cramping, along with pain in the shoulder and/or neck

Want to Know More?

Ectopic Pregnancy
7 Discomforts of Pregnancy
Most Common Pregnancy Complications
Treating Muscle Cramps Naturally During Pregnancy

Interventions for leg cramps during pregnancy

What is the problem?

Leg cramps manifest themselves as sudden, intense involuntary contractions of the leg muscles. This is a common problem during pregnancy, especially in the third trimester. They are painful and can interfere with daily activities, disrupt sleep, and reduce quality of life. Various types of interventions are used to treat leg cramps during pregnancy, including medications, electrolytes (magnesium, calcium, sodium) and vitamins, as well as non-drug therapies such as muscle stretching.

Why is this important?

The aim of this review was to find out which treatment for leg cramps during pregnancy is effective and safe.

What evidence did we find?

In September 2019, we searched for evidence and identified eight randomized controlled trials in 576 women 14 to 36 weeks pregnant comparing magnesium, calcium, calcium with vitamin D or B vitamins versus placebo or no treatment, and compared vitamin C with calcium. All drugs were given as tablets to chew or swallow.

Magnesium supplements may reduce the incidence of leg cramps in women compared with placebo or no treatment, although studies have not been consistent. Different studies have assessed the effect of magnesium supplementation differently. Some studies have shown magnesium to help reduce the incidence of leg cramps, while others have shown little or no effect. Data on the effect of magnesium on pain reduction was also inconclusive, with only one study showing a reduction in pain intensity, while others showed no difference. Differences in the occurrence of side effects such as nausea and diarrhea were negligible or non-existent.

Calcium did not always reduce the incidence of leg cramps in women after treatment compared to those who did not receive any treatment. It also found that the evidence was of very low quality, so we cannot be sure of the results.

More women who received B-vitamin supplements made a full recovery compared to those who received no treatment; however, these results were based on a small sample size and the study had design limitations.

Frequency of leg cramps did not differ between women receiving calcium and women receiving vitamin C. with placebo.

What does this mean?

The quality of the evidence was low to very low. This was mainly due to small study sample sizes and study design weaknesses. Four studies were well-conducted and presented their reports. The remaining four had flaws in their design: in several studies, women were not best assigned to different treatment groups, and in two studies, women knew whether they were receiving treatment or not. Adverse effects, such as the effect of treatment on complications of pregnancy, childbirth and child, were not reported. Several studies have focused primarily on serum calcium and magnesium levels. The frequency and intensity of seizures and duration of pain were not uniformly reported, and there was often no information on whether they were assessed during treatment, at the end of treatment, or after treatment was discontinued.

It is not clear from the evidence reviewed whether any oral interventions (magnesium, calcium, calcium with vitamin D, B vitamins, vitamin D, or vitamin C) are an effective and safe treatment for leg cramps during pregnancy. Supplements can have different effects depending on how women usually take them. None of the trials looked at forms of treatment such as muscle stretching, massage, relaxation, or heat therapy.

Translation notes:

Translation: Luzan Maria Alexandrovna. Editing: Yudina Ekaterina Viktorovna. Russian translation project coordination: Cochrane Russia - Cochrane Russia, Cochrane Geographic Group Associated to Cochrane Nordic. For questions related to this transfer, please contact us at: [email protected]

〚 Why do pregnant women have cramps at night and should I be worried about it? 〛|| Blog BABYSTART

March 13, 2020

Pregnancy is a natural state for a woman. However, her body at this time is subject to increased stress, which sometimes causes various ailments. These include leg cramps, which disturb the expectant mother, as a rule, during a night's sleep. Why they arise and whether it is worth sounding the alarm, let's look at this article.

Spasm - a sharp and painful spasm of a muscle (or a series of contractions). It comes suddenly and does not depend on the will of man. Everyone has experienced this phenomenon at least once in their life, but especially pregnant women experience convulsions. Leg cramps at night, usually in the calf muscle. A spasm can portend a feeling of heaviness or fullness in the leg.

This causes pain, the nature of which can be called aching. Localization of convulsions - in the place of the greatest rigidity of the muscle. It does not last long - as a rule, no more than two minutes, but the woman feels quite significant discomfort. After the experience of pain, she often cannot sleep.

Why muscle contractions occur

During pregnancy, a number of factors can contribute to the occurrence of leg cramps at night:

Slowing of blood circulation at night.
Accumulation of lactic acid in the muscles during the day, which provokes cramps in the calves when they relax.
Decreased hemoglobin. When there are few red blood cells in the body, muscle fibers do not receive enough oxygen, and, in addition to convulsions, a pregnant woman often experiences bouts of weakness and dizziness.
Increased load on the lower limbs, which is often noted in the later stages. The problem is exacerbated by wearing tight, uncomfortable clothes and shoes with heels, prolonged stay on the feet due to the profession.
Insufficient fluid intake in the body. This happens not only because a woman drinks little water. Overheating in the sun, drinking coffee, alcohol and nicotine can lead to dehydration. As a result, toxins settle in the muscles and can cause them to contract involuntarily.
Excessive compression of the inferior vena cava by the growing uterus, which occurs if the expectant mother often sleeps on her back. The muscles of the legs suffer from oxygen starvation, to which they react with repeated convulsions.
Deficiency of important vitamins and microelements, primarily potassium, calcium and magnesium, vitamin B6. At the same time, a pregnant woman has concomitant symptoms - brittle nails, hair loss, dental caries, problems with stools, chronic fatigue and depression.
Varicose veins. This, unfortunately, is a frequent companion of pregnancy. Often, the disease first manifests itself or worsens precisely during the period of bearing a child. Cramps in the calf muscles in this case are caused by circulatory disorders.
Changes in blood sugar levels. If a woman eats irregularly, and eats rarely and in large portions, then the concentration of glucose in the blood will constantly change dramatically, which is fraught with convulsions.

When you need to see a doctor immediately

Most often, leg cramps in pregnant women are a common occurrence and do not mean any pathology. However, there are cases when they indicate serious health problems, such as:

Eclampsia. This is the most severe form of late pregnancy toxicosis. It is expressed by a dangerous increase in pressure, threatening the life of both the mother and the fetus. Convulsions in eclampsia are accompanied by numbness of the legs and their pronounced edema. With this condition, a woman needs emergency medical care.
Deep vein thrombosis of the lower extremities. Circulatory failure and convulsions occur due to blockage of large blood vessels by a blood clot.
Serious vitamin deficiency. At the same time, muscle contractions appear not only in the legs, but also in other parts of the body, including in the abdomen. And this can already lead to abortion or premature birth. Therefore, strong and frequent convulsions are a reason to see a doctor.

Leg cramps are quite common in pregnant women, as many factors predispose to them. You must tell your doctor about them so that if necessary, he prescribes the necessary treatment on time.