The pains in the lower abdomen, small or strong, is common during pregnancy. If they are generally benign, they can be more serious if they are associated with other pathologies. When do they start? What are the causes and how to relieve them? Answers and advice.
THE Bas-Ventre pain,, also called pelvic painare common during pregnancy. They are quite frequent at the beginning of pregnancyand most often without gravity. In some cases, the pregnant woman may feel small pain or strong pain in the lower abdomen, “In the area under the abdomen and between the hips (pelvis)”specify the Dr. Emily E. BUNCE and Robert P. Heine in the MSD Manuals health review. They sometimes make certain movements and everyday gestures difficult for the future mother. From when the pregnancy tightness ? How are pain in the lower abuse at the end of pregnancy? What are the causes? And how to relieve them? Answers.
When do the pregnancy tightness start?
From the first trimester of pregnancythe pregnant woman can feel Towling in the lower abdomenwhich can be uncomfortable.
THE abdominal pain felt in the lower abdomen during pregnancy Can take different forms: deaf, intense, such as cramps, tightness or even acute. The type of pain will allow the diagnosis to be oriented. Often, These pains are not pathological and mainly correspond to ligament painlinked to the increase in volume of the uterus. They then look like tightness and are frequent at the beginning of pregnancy. They may look like rules of rules.
At the end of pregnancy, as the term approaches, pelvic pain can be linked to uterine contact, meaning close delivery. They are located at the level at the lower abdomen and are diffuse. The pain can be very strong, like lively rules of rules.
To relieve pelvic pregnancy pain, rest in the elongated position can alleviate tightness and pain. There hot water bottle Also can help the lower abdomen area to relax and soothe pain. On the other hand, it is Not recommended for self-drug without the advice of a doctor. “”Whatever the type of pain encountered during pregnancy, it is strongly advised not to take medication without medical advice. The opinion of a midwife is a good way to be reassured. Rest is one of the best ways to avoid mechanical abdominal pain“, Advises Dr. Anne-Christine Della Valle, general practitioner.
“Rest is one of the best ways to avoid mechanical abdominal pain.”
What are the causes of low-abdomen pain during pregnancy?
First trimester of pregnancy
The pathologies associated with abdominal pain during the first quarter are mainly the Extra-Uterine pregnancythere miscarriage or the torsion of an ovary cyst.
Extra-Uterine pregnancy Corresponds to the implantation of the egg out of the uterus, generally in a trunk. It is a medico-surgical emergency because it can cause internal hemorrhage by breaking the trunk, and which can be fatal for the mother. Symptoms are strong and persistent abdominal pain, lateralized on the right or left, vaginal bleeding, vertigo or even fainting. The frequency of extra-uterine pregnancies observed with a copper IUD is between 0.2 and 2 per 100.
Spontaneous miscarriagefrequent during the first quarter, corresponds to the expulsion of the fetus. Symptoms are abdominal cramps and pain, abundant bleeding and disappearance of pregnancy symptoms.
One of the complications of ovarian cysts is the torsion of the cyst, which requires emergency surgery. The ovaries, located on each side of the uterus are linked to it by a pedicle which is composed of nerves, blood vessels and ligaments. When a twist occurs, the ovary performs total or partial rotation around the pedicle then resulting in the appearance of violent pain in the lower abdomen. It is a surgical emergency, because torsion can cause the necrosis of the ovary.
Second trimester of pregnancy
In the second trimester of pregnancy, these risks are rarer and abdominal pain can be linked to Extra-Uterine pathologies like a appendicitisa constipation or others digestive disorders.
Third trimester of pregnancy
In the third trimesterTHE abdominal pregnancy pain are often linked to uterine contractions. Normally, these pregnancy contractions are not painful. If the term is not yet close and they become painful, we can fear a threat of premature childbirth and it is necessary to consult an obstetrician or a midwife, in an emergency. Urinary tract infection, frequent during pregnancy, can cause pelvic pain every quarter of pregnancy.
Brown losses and lower belly pain during pregnancy
If pain in the lower abdomen is accompanied by brown or brownish losses during pregnancy, This can be a sign of a complication. In more serious cases, this can be a sign of miscarriage, especially if the losses are abundant and the pelvic pain very lively. In both cases, you should quickly consult your practitioner.
Pregnant, when to consult in case of pain in the lower abdomen?
It is always better to consult in the face of pelvic pain in pregnancy. Even if they are, most often benign, a simple clinical examination may be enough to make sure. In general, abdomino-pelvic pain must be explored by a pregnancy ultrasound In order to ensure the good vitality of the fetus and the normal evolution of pregnancy. From the second trimester of pregnancy, we also offer monitoring to ensure any fetal suffering. In doubt, we can also carry out a biological assessment and a cytobacteriological examination of the urine.
Thank you to Dr Anne-Christine Della Valle, general practitioner.
- Pelvic pains at the beginning of pregnancy, by Emily E. BUNCE and Robert P. Heine, MSD Manuals (June 2021): https://www.msdmanuals.com/fr/accueil/ProBl%C3%A8mes-de-sant%C3%A9-de-la-femme/Sympt%C3%B4mes-pendpend URS-PELVIENNES-EN-D%C3%A9BUT-DE-GROSSESSSESS#: ~: Text = 20d%C3%A9BUT%20de%20La%20grossess, Between 20%20 HANDS%20 (pelvis).
