21 Week pulls in the lower abdomen

The stomach hurts at 21 weeks of pregnancy due to changes in the woman’s body during pregnancy.

But there may be a reason related to chronic or developing diseases that worsen during this period.

How long have you had this pain syndrome?

Several days (26%, 976)
First day (21%, 799 Votes)
Several months (12%, 452)
Week (10%, 376)
Several weeks (10%, 358)
About a month (8%, 312)
Chronic form (6%, 236)
About a year (6%, 210)

Total voters: 3 720

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Fetus at 21 weeks of gestation: movements, development, weight and size

Indeed, at this stage, both the size and weight of the baby are radically different from the same indicators that were observed just a couple of weeks ago. The baby has grown and become stronger, his movements are becoming more coordinated and noticeable. Now the fetus can sometimes even push inside so that it is noticeable externally: the mother can even sometimes observe how the belly moves in time with the baby’s movements.

There is enough space in the uterus for the fetus to make free movements in its “house”: it bends its arms and legs, swims from the wall of the uterus to its opposite wall. It happens that the biorhythms of the mother and the baby, let’s say, do not coincide very much: the baby begins to persistently and actively declare itself at night, when the woman wants to rest. Calm the baby down: pat his belly, talk to the baby, sing him a lullaby or tell him a fairy tale in a quiet voice. Remember that now the baby clearly perceives sounds coming from outside: excessively loud music or sharp sounds can scare the baby.

The number and intensity of the baby’s movements are now also becoming a kind of “diagnostic” tool, making it possible to determine the degree of comfort for the baby. Thus, excessively active and frequent movements, as well as their prolonged absence, may indicate a lack of oxygen experienced by the fetus.

It is believed that at 21 weeks of pregnancy the baby already makes approximately 200 movements per day. True, the vast majority of them are not felt by the expectant mother, recording only about 15 movements of the baby per day.

At the 21st week of pregnancy, it reaches an average of 26.7 cm, the baby’s weight is about 360 g. But the internal organs of the fetus are growing and improving more and more.

First of all, it is the digestive system. She is actively developing and preparing for full independent functioning. The baby constantly swallows amniotic fluid, which passes through the intestines and is excreted by the rectum. They release water and sugar, which are absorbed by the small organism. These calories are not enough for the baby to live, but the amniotic fluid also contains a number of other nutrients. Enzymes and hydrochloric acid have already appeared in the digestive system, although still in rather minute quantities.

The taste of the baby’s first “food” directly depends on what the mother eats, drinks and smokes. So form the right eating habits and lead a healthy lifestyle.

The endocrine glands are actively functioning: hypothalamus, thyroid gland, adrenal glands, pancreas and gonads. The spleen is connected.

Remember that the muscular and skeletal system of the fetus is strengthened, which means that the need for calcium increases. But be careful with medications: an excess of calcium can lead to premature overgrowth of the fontanel, and this is unacceptable for natural childbirth. Therefore, additional calcium can be taken orally only on the recommendation of a doctor.

Future mom

Your appetite may begin to increase as your baby gains fat and requires additional calories. Eat enough to avoid going hungry, and eat a variety of nutrient-rich foods. However, under no circumstances overeat or overeat at night; keep your weight and allowable gains under control. By 21 weeks of pregnancy, you could have gained an additional 4.5 to 6.5 kg. Calmly accept your bizarre gastronomic desires - a perversion of appetite is quite common during this period.

Do not raise your arms above your head, and if you had to do this, do not keep them in this state for a long time. If colostrum begins to leak from your breasts, do not press under any circumstances. Just stick to hygiene: wash and wipe with sterile wipes, buy breast pads, change your bra to a larger one on time.

Be attentive to vaginal discharge: an exacerbation of thrush is likely. The anus may also bleed if you suffer from hemorrhoids or constipation - this is not dangerous for the baby.

Pulling in the lower abdomen and lower back during pregnancy 21 weeks

Gestational age

The gestational age of 21 weeks according to the obstetric calendar is almost the end of the fifth month of pregnancy.

However, the end of pregnancy is not yet soon, although you have probably already fully experienced all the delights of the pregnant state.

The 21st obstetric week of pregnancy is the 19th week of your baby’s life from conception.

Feel

Pregnancy calendar 21 weeks is the beginning of the second half of pregnancy, the equator is already behind, and childbirth is approaching. There are only 4 months left to prepare for them, don’t waste time, if you haven’t signed up for courses for pregnant women yet - you definitely need to do so.

21 weeks of pregnancy, the sensations associated with your interesting position may not be pleasant. Many, if not most, women experience back pain, swelling of the legs, pain on the sides of the uterus in the abdomen, and a feeling of clumsiness.

With all this, you begin to quickly gain weight, you have an excellent appetite that is difficult to control. Nutrition at 21 weeks should be a subject of special concern; do not lose control of what you eat. It is clear that sometimes you want to have a snack between meals, but it is better to give preference to healthy foods, even if it is yogurt rather than cheburek, or a glass of juice rather than lemonade.

Sex at 21 weeks pregnant is also one of your problem areas. Perhaps you have already managed to find new poses, or maybe you are still searching. The main rules of sex during pregnancy: do not lie on your stomach, do not lie on your left side, try not to get tired.

Your condition

The 21st week of pregnancy is the prime time of a pregnant woman. You look great and you probably enjoy looking at yourself in the mirror. Little things like skin pigmentation, a growing belly and a missing waist are not very upsetting.

Women at this stage have beautiful strong hair, clear skin (well, maybe it’s only pigment spots that spoil it), and large, plump breasts are especially pleasing to those who previously could not boast of voluminous shapes.

However, this is 21 weeks of pregnancy - the weight is gaining very quickly. You may have already gained more than 4 kg, and it will continue to gain even faster, your child is growing quickly.

your child

A fetus at 21 weeks of gestation hears you perfectly, but its eyes are still closed, although they are already sensitive to light. The child is very thin, covered with a layer of grease and vellus hair.

He is very active and constantly exercises, which you can now feel great about, even if this is your first pregnancy. He changes position in the uterus several times a day, because there is still a lot of amniotic fluid and there is room in the uterus.

The baby spends most of his time sleeping, up to 20 hours a day, but unlike adults, he dreams almost half of this time.

What are they, the dreams of an unborn child?

A child at 21 weeks of pregnancy begins to actively accumulate fat. If at this stage the weight of the fetus is about 300 grams and the length is 16-18 cm, from this week it will grow rapidly, gaining weight precisely due to fat deposition and muscle development. This is the culprit of your insatiable appetite.

The gender of the baby in this week of pregnancy is usually easily diagnosed by ultrasound, although there are stubborn babies who manage to hide their gender until childbirth.

If you are 21 weeks pregnant, you can see what happens to the baby during this period through an ultrasound examination. It is usually prescribed at 17-22 weeks, and this is probably the last examination when the baby is completely placed on the ultrasound machine screen.

Discharge at 21 weeks of pregnancy

You should still pay attention to the nature and quality of vaginal discharge: normally, the discharge is now somewhat more liquid than before, transparent or light whitish, with a subtle sour odor. Any changes in the nature of the discharge, such as the appearance of yellow or green, purulent, curdled, foamy discharge with an unpleasant odor and accompanying discomfort in the genital area, is a sign of the development of a sexually transmitted infection.

Bloody discharge also poses a danger, as before. By the way, from the 21st week, early termination of pregnancy is no longer considered a miscarriage, but a premature birth - at this stage the baby is able to survive outside the uterus, subject to proper care and the availability of specialized medical equipment.

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Normal sensations of a woman

A moderate feeling in which the lower abdomen pulls at 21 weeks of pregnancy cannot be considered pathological in all cases of manifestation. Similar symptoms may be associated with the following processes:

enlargement of the uterus - this organ has a muscular structure and, if severely stretched, can cause discomfort;
changes in the structure of cartilage and ligaments - the body adapts to the upcoming birth, some tissues diverge and soften, which causes moderate pain;
pressure and pain just below the navel are a normal symptom of pregnancy, due to the fact that the uterus begins to put pressure on this area (after some time, the symptoms will disappear when the uterus “passes” further into the abdominal cavity);
symptoms in the lower abdomen may radiate to the lower back - in this case, the situation is also explained by normal processes, because all joints and bones experience pressure and stress.

At 21 weeks of pregnancy, a woman experiences unpleasant sensations associated with pain and even cramps in the legs. This is associated with an increasing need for calcium and an increase in body weight.

Symptoms such as short-term pain in the sides, lower back and lower abdomen when changing body position are also normal. This indicates movement of ligaments that are under tension.

Non-pathological nagging pain that does not require medication is a normal physiological process during pregnancy. There should be no sharp, stabbing or cutting sensations. If symptoms constantly increase, hinder movement and prevent you from doing your usual activities, this indicates a deviation from the norm.

Feelings of the expectant mother

By the 21st week of pregnancy, you may experience some painful sensations associated with the restructuring and adaptation of the mother’s body for bearing and giving birth to a child.

A woman may experience painful sensations in the navel area due to the fact that the enlarged uterus has now reached the height at which it simply presses on the navel. When the uterus, during the development of pregnancy, passes this part of the path, both the pain in the navel and the feeling of pressure on it will disappear.
Your weight has increased and the stress on your legs has increased. A pregnant woman may experience pain in her legs towards the end of the day, and cramps in her legs at night.

To reduce problems associated with cramps, fatigue and pain in the legs, it is advisable to regularly rest your legs during the day, and be sure to introduce more calcium-containing foods into your diet.

We recommend massaging your feet and legs in the evenings; warm foot baths with decoctions of soothing herbs will not hurt.

Now the load on the spine and lower back is also increasing. To prevent lumbar and back pain, avoid prolonged sitting and walking. Choose chairs with a back, get out of bed correctly (first lower your legs to the floor, and then rise yourself). Leaning down, spread your legs slightly and squat. When lifting heavy things, the load should be distributed on the shoulders, hips and buttocks.

Pathological pain

Despite the fact that moderate discomfort is considered normal, at 21 weeks of pregnancy a girl may encounter dangerous conditions that provoke pain. Among the pathologies, doctors identify:

Increased uterine tone. The pain in this case becomes girdling, quite strong and prolonged, has a cramping nature and radiates to the lower back. If you do not get rid of this condition, premature birth may begin.
Risk of miscarriage. The period of 21 weeks is still dangerous in terms of miscarriage. The stomach hurts very badly - cutting, stabbing and cramping symptoms are accompanied by cramps. In most cases, a symptom such as bloody or brown discharge is associated.
Premature birth. At 21 weeks of pregnancy, nagging abdominal pain that persists for a long time can lead to early labor. At this time, the child has no chance of survival. Pathology can be recognized by very severe pain that is impossible to tolerate. The woman feels frequent contractions, nausea and vomiting, as well as noticeable pressure in the abdominal cavity. Bloody discharge appears from the vagina, and it becomes painful during urination. A sign of the onset of labor is copious watery discharge.
Placental abruption. In this condition, quite severe bleeding begins, associated with damage to blood vessels. A hematoma forms between the uterus and placenta. A woman in this position needs constant medical supervision, since a mild degree of detachment can be prevented. In addition to blood, there is an unexpressed dull pain in the abdomen, which occurs in attacks and can radiate to other parts of the body. During examination, the fetus shows disturbances in the functioning of the cardiovascular system. If the process leads to detachment of a third of the placenta, signs of oxygen starvation may appear.

However, pain at week 21 may not be associated with gynecological disorders.

Pathological pain caused by diseases

The enlarging uterus puts pressure on organs located in the abdominal cavity and above. Because of this, chronic diseases worsen, primarily affecting the digestive system. The risk of genitourinary infections increases. Pain at 21 weeks of pregnancy can be caused by:

infection and inflammation of the bladder, ureters - the pain is especially acute when urinating, the number of false urges increases, and blood may appear in the urine;
vaginal infection - thrush often worsens during pregnancy, accompanied by white and unpleasant-smelling discharge;
exacerbation of diseases of the ovaries and fallopian tubes;
formation of an inguinal hernia;
if the pain is in the pubic area, this indicates divergence of the symphysis pubis (but at 21 weeks it is very rare);
complications of sexually transmitted diseases;
rupture of an ovarian cyst - the pain becomes sharp and painful;
appendicitis - the symptom can move from the navel to the lower right side of the abdomen;
radiculitis.

On the part of the digestive system, disorders such as flatulence, constipation, and in rare cases, intestinal obstruction as a consequence of prolonged stagnation of feces are possible. Painful sensations can be caused by dysbiosis - in an advanced stage it is dangerous for the child’s health.

Pathological pain is always accompanied by additional symptoms and literally paralyzes the woman. Sometimes, against the background of inflammatory processes, a significant increase in temperature is observed. Signs of the disorder do not go away on their own, but only intensify.

Treatment methods for nagging pain

In case of pathological pain in a pregnant woman, a medical consultation may be required to solve the problem.
Here, doctors determine what kind of therapy is required: they compare the risks, select safe medications aimed at eliminating the causes and symptoms of a particular disease. Sometimes decisions need to be made on an emergency basis: removal of appendicitis, combating intestinal obstruction, surgery to eliminate a ruptured cyst, and other cases. Then the main goal of doctors is to save the woman’s life.

If the symptoms are not associated with acute or chronic diseases, antispasmodics are required: Drotaverine, Papaverine. For spasms and tone, hormonal medications, Magnesium B6 and some other medications may be prescribed. However, they must be taken strictly according to the doctor's instructions.

Nagging abdominal pain at 21 weeks of pregnancy requires the woman’s attention. It is important to monitor the condition and note any additional symptoms. If they become stronger, you need to contact an ambulance or make an appointment with a gynecologist.

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Treatment

Once the diagnosis is made, treatment must begin immediately to avoid dangerous complications. You should not rely on symptomatic therapy alone - a comprehensive impact on the pathological process is necessary, using pathogenetic and etiotropic agents. Complex treatment includes conservative and surgical methods, which are used based on the clinical situation.

Conservative methods

Traditional treatment is based on drug correction of pathological disorders. At the same time, it is necessary to ensure absolute safety for the fetus and the body of the expectant mother. Therefore, all medications are prescribed only by a doctor and in accordance with recommendations for the treatment of diseases during pregnancy. Depending on the indications, the following drugs can be used:

Antispasmodics.
Hemostatic.
Antibiotics.
Antisecretory.
Adsorbents.
"Anti-foaming agents."
Prokinetics.
Enzymes.
Herbal medicines.

A specialist will tell you which drug to prescribe, indicating the dosage and course of administration. Taking medications on your own during pregnancy is dangerous - you can get the exact opposite effect of what you expected.

In addition, great importance is given to dietary recommendations that will help in treatment and become a good preventative measure. A woman should follow these rules of rational nutrition during pregnancy:

Daily walks in the open air and sufficient physical activity help improve digestion. You can do swimming and gymnastics for pregnant women.

Surgical methods

In some cases, surgery cannot be avoided. This mainly applies to situations combined under the concept of “acute abdomen”. Based on the type of pathology and its complications, the following types of operations can be considered:

From open access - for appendicitis, ovarian apoplexy, peritonitis, internal bleeding.
Laparoscopic – for ectopic pregnancy, ovarian cysts.
Endoscopic – for renal colic.

In any case, everything must be done to eliminate the cause of the acute process. After surgery, a course of drug therapy will be required. To reduce the risk of formation of adhesions, physiotherapy is indicated in the rehabilitation plan: electrophoresis, UHF therapy, balneotherapy.

Elimination of abdominal pain begins with early diagnosis, which opens up the possibility of using therapeutic agents for doctors. If her own condition causes concern, a woman should consult a doctor in a timely manner.

Source of the article: https://flovit.ru/beremennost/boli/bol-v-pravom-boku-pri-beremennosti.html

Problems associated with pregnancy

Risk of miscarriage

Drawing and aching pain in the lower abdomen, as during menstruation during pregnancy, which does not radiate to other areas, can occur when there is a threat of miscarriage. A common accompanying symptom is spotting and spotting. If these signs occur, a woman needs medical attention .

In the future, cramping pain may appear, bleeding will increase and the cervix will shorten, which will lead to miscarriage or premature birth.

The threat of miscarriage with characteristic symptoms can be provoked by:

infections;
physical exercise;
pathologies of fetal development.

Ectopic pregnancy

The attacks are short in duration and occur with slight bleeding . However, you should not delay going to the hospital due to the risk of intra-abdominal bleeding. Between attacks, the woman feels normal, but this does not mean that they will not happen again.

Premature placental abruption

Premature placental abruption during pregnancy and childbirth is provoked by a number of factors:

abdominal injuries;
shortened umbilical cord;
severe gestosis;
arterial hypertension;
abnormal labor activity.

Due to very severe pain in the lower abdomen during pregnancy, a woman strives to take a position in which they will decrease. There are also signs of fetal hypoxia and internal bleeding, but external bleeding is often absent. During this period, the uterus is painful and tense, and the placental hematoma intensifies. Without timely medical intervention, fetal death is possible.

Pain not associated with pregnancy

Digestive disorders

Due to hormonal changes, expectant mothers often suffer from bloating, constipation and intestinal dysbiosis. Provoking factors are:

unhealthy diet;
a hearty dinner;
low physical activity.

Abdominal muscle and ligament strain

During pregnancy, the uterus grows, which increases the load on the ligaments that support it, and the organs in the pelvis are displaced.
At the same time, the load on the abdominal muscles increases, causing them to stretch. In these conditions, mild aching or stabbing pain . If the stomach is large, an umbilical or linea alba hernia is possible. Towards the end of pregnancy, moderate abdominal pain can provoke separation of the pelvic bones.

Acute surgical pathologies

Pregnant women often develop acute surgical pathologies, including intestinal obstruction, appendicitis, and pancreatitis. Diagnosis is difficult, and symptoms depend on the specific disease. Abdominal pain of varying intensity is observed . With an “acute abdomen”, nausea with vomiting, diarrhea, weakness and high body temperature appear.

When you need to see a doctor urgently

A woman should consult a doctor if she has severe sharp pain in the lower abdomen, bleeding or increased uterine tone - all this may indicate the possibility of pregnancy complications, especially in the early stages.

Bloody discharge sometimes occurs in pregnant women after sexual intercourse if they have cervicitis or erosion of the uterine cervix. However, only a doctor can identify pathology.

It is especially important to go to the hospital
if other symptoms are added to the pain:

fever;
nausea with vomiting;
increased pain during movement;
discomfort when urinating.

These signs may indicate a variety of pathologies, including kidney stones, uterine fibroids, and genitourinary infections. Appendicitis often causes severe abdominal pain in pregnant women.

Physiological causes of cutting pain in the lower abdomen during pregnancy

Cutting pain in the lower abdomen during pregnancy can be a variant of the norm and be the result of a restructuring of the body (we recommend reading: what sensations may occur in the abdomen in the early stages of pregnancy?). This should be confirmed by an obstetrician-gynecologist after examining the patient. He will explain what exactly caused the discomfort and will reassure the expectant mother. Physiological reasons are not capable of harming the baby. Their nature varies depending on the period of gestation, the state of health and the threshold of pain sensitivity of the woman.

In the early stages (first trimester)

If your stomach hurts during early pregnancy, hormonal changes may be to blame (see also: why does the right side hurt in the early stages of pregnancy?). After conception, the pregnancy hormone progesterone is produced. Its increased concentration in the blood can lead to relaxation of smooth muscles and problems with stool. Changes in taste habits and excess gas formation also contribute to the appearance of sharp pain caused by colic.

Mid-pregnancy (2nd trimester)

The cause of cutting pain in the abdominal area in the middle of gestation is usually the enlargement of the reproductive organ as the fetus grows. Active stretching of the ligaments that hold the uterus occurs from 20 to 30 weeks of gestation (see also: 30 weeks of gestation - how many months is this?). This causes nagging pain, but with sudden and careless movements the sensations become sharp. They pass quickly, but do not go unnoticed.

Further growth of the uterus provokes a shift in the center of gravity and a change in the position of organs in the body of the expectant mother. This leads to constipation and the appearance of hemorrhoids, which cause pain. Errors in nutrition can also cause complaints of discomfort, bloating, sharp pain in the abdomen (we recommend reading: causes of bloating in early and late pregnancy). Unpleasant sensations occur during rest, when walking, coughing, and sudden movements.

To relieve acute pain caused by the growth of the uterus, you can:

bandage;
gymnastics for pregnant women;
complete rest;
warm bath (if there are no contraindications);
eating according to the rule “often, but little by little”;
fight against constipation.

In the later stages (III trimester)

Abdominal cramps at 36 weeks and later may indicate the onset of labor. Initially, nagging pain is felt in the lumbar region and lower part of the peritoneum. Gradually, the discomfort increases, the pain becomes sharp and comes with a certain frequency, and the interval between attacks becomes less and less. This is a signal that it is time to go to the maternity hospital. Ahead is a quick meeting with the baby.

Symptoms

When talking about pain in the abdomen, you must first understand where it stings and how, as well as what accompanies such symptoms. Therefore, complaints should be detailed by identifying their characteristics:

By appearance: stabbing, cutting, pulling or aching.
By location: right or left, bottom or top.
By frequency: periodic or constant.

You also need to take into account other symptoms that will definitely be present in the clinical picture of the pathology.

Physiological processes

With the onset of pregnancy, a woman’s body experiences an increase in the level of the hormone progesterone. It helps not only to preserve the child, but also to relax the intestinal muscle fibers. Because of this, there is a slowdown in its peristalsis and increased gas formation, which causes stretching of the wall and irritation of the receptors with the appearance of pain.

Intensive growth of the uterus already from the second trimester leads to pushing back and compression of surrounding organs: bladder, intestines, stomach, kidneys. All this together causes disturbances in their work, which can also manifest as pain. In addition, an enlarged uterus stretches the internal ligaments of the abdominal cavity and pelvis, which is also important in the origin of symptoms.

Ectopic pregnancy

If the right side hurts during early pregnancy, especially in the first weeks, then this phenomenon may be associated with improper location of the fertilized egg. Most often it can be implanted in a tube. Then they talk about an ectopic pregnancy. This situation suggests the following symptoms:

Aching or sharp pain in the lower abdomen.
Brown vaginal discharge.
Pain on palpation.

If the fertilized egg continues to grow further, then the wall of the pipe cannot withstand it and ruptures. In this case, an acute situation occurs when internal bleeding develops.

An ectopic pregnancy requires emergency care as it can pose a real threat to life.

Gynecological pathology

Another situation when pain in the lower abdomen may be observed is ovarian pathology. The most common are cysts or other tumor formations. If they reach an impressive size, they can compress the nerve endings and cause a dull aching pain. Some cysts can increase during pregnancy, so you need to keep this disease in mind.

The question of cyst rupture or ovarian apoplexy becomes especially relevant. This situation falls under the category of emergency conditions in early pregnancy. Then the following signs appear:

Acute pain in the lower abdomen.
False urge to go to the toilet.
Local muscle tension.
Positive symptoms of peritoneal irritation.
Reduced blood pressure.
Dizziness.
Pale skin.

If help is not provided in time, the situation may end in peritonitis and hemorrhagic shock.

Digestive diseases

Pain in the sides of the abdomen often accompanies diseases of the digestive system. Similar diseases include the following: hepatitis, cholecystitis, pancreatitis, colitis. If the pain is localized on the right under the ribs, then we can talk about damage to the liver or gallbladder. Then tingling or dull pain is accompanied by the following symptoms:

Decreased appetite.
Feeling of bitterness in the mouth.
Nausea.
Belching.
Jaundice.
Flatulence.

When the left side hurts during pregnancy, you can think about pancreatitis, especially if the sensations become girdling. Colitis is accompanied by tingling in various parts of the abdomen, including under the ribs, as well as bowel dysfunction (constipation or diarrhea).

Diseases of the digestive system make a significant contribution to the formation of pain in the lateral parts of the abdomen.

Kidney diseases

During pregnancy, kidney function is often impaired, which is manifested by exacerbation of chronic pyelonephritis. In this case, the following symptoms appear:

Lower back pain is usually one-sided, most often on the right.
Increased urination.
Temperature increase.
Change in urine color (turbidity).

Often, women can be diagnosed with urolithiasis, one of the manifestations of which is renal colic. In this case, sharp and intense pain radiates to the lower abdomen, genitals, and back.

Appendicitis

If your right side hurts during pregnancy, then appendicitis cannot be ruled out. This is an acute surgical pathology that can be dangerous due to its complications. As a rule, the disease manifests itself with the following symptoms:

Aching pain in the abdomen on the right.
Local muscle tension.
Positive symptoms of peritoneal tension.
General condition: weakness, low-grade fever.

In women during pregnancy, a retrograde location of the appendix often occurs, when the pain syndrome is localized in the hypochondrium or back.

Pain in the right abdomen must be differentiated from appendicitis.

Pathological causes

Cutting pain during pregnancy often indicates a certain pathology and requires close attention. It can appear at any stage and has various causes - from chronic diseases of internal organs to pregnancy pathologies and the threat of fetal loss. The doctor’s task at this time is to identify and relieve the source of pain, and provide the necessary treatment on an outpatient or inpatient basis.

Gynecological nature

Obstetric pain includes anxiety symptoms associated with pregnancy. Abdominal pain may indicate the following pathological conditions:

Ectopic pregnancy. A situation in which the fertilized egg is implanted not into the wall of the uterus, but into the fallopian tube and abdominal organs. As the embryo grows, the walls of the organs stretch, which causes cramps and unbearable pain in the lower abdomen. It is very important to detect an ectopic pregnancy before 7–8 weeks (see also: why does the lower abdomen feel tight at 8 weeks of pregnancy?). Abdominal surgery will allow you to extract the embryo and prevent tubal rupture and peritonitis.
Frozen fruit. Due to chronic anomalies, inflammatory processes in the body and other reasons, the development of the embryo can stop at any time. In this case, there is a sharp disappearance of pregnancy symptoms. However, the fetus remains in the uterus, which can cause pain and inflammation. A frozen pregnancy is confirmed by the results of an ultrasound (no heartbeat), a blood test for hCG and other signs, curettage and treatment are carried out.
Tubal abortion. The body independently gets rid of the fertilized egg and throws it into the abdominal cavity. The pregnancy test in this case is positive. During a tubal abortion, a woman experiences cramping pain in the lower abdomen for several days. Periodically they radiate under the shoulder blade, into the shoulder, collarbone, and rectum. Pathology requires surgical removal of the affected tube.
Threat of interruption. Stress, hormonal imbalance, overexertion, chronic and infectious diseases are the main causes of the threat of miscarriage. In addition to cutting pain, in this case the woman experiences a pulling sensation in the lumbar region and general malaise. Possible bleeding, cramps in the lower abdomen, exacerbation or complete cessation of toxicosis.
Premature birth. Can occur from the 28th week of gestation. The level of modern medicine allows a child born at this stage to be born. During early labor, the expectant mother is bothered by a feeling of heaviness in the lower back, accompanied by aching pain. In this case, the stomach becomes stiff, the side tingles, periodic cramps, leakage of amniotic fluid, and indigestion may be observed. This situation requires assistance depending on the woman’s condition.
Placental abruption. Possibly in the 2nd and 3rd trimester. The pathology is accompanied by heavy bleeding, pulling and cutting pain in the lower abdomen. The expectant mother feels weak and lacks strength. Timely medical care can help prevent the loss of a child.

Not related to pregnancy

Often, cutting pains of a pathological nature are absolutely not associated with pregnancy. They can be provoked by:

exacerbation of gastritis;
lack of digestive enzymes;
intestinal obstruction;
adhesions in the peritoneum;
pyelonephritis, bacterionuria and other diseases of the urinary system;
dysbacteriosis;
poisoning;
chronic pancreatitis, cholecystitis;
inflammation of the appendix (cuts in the right side);
intestinal infections.

With timely and correct treatment, these pathologies will not affect the course of pregnancy and intrauterine development of the fetus. Initially, you should contact a gynecologist, who will rule out a threat to the child and refer you to specialized specialists (nephrologist, nutritionist, gastroenterologist). You should not self-medicate and dull the discomfort with painkillers. The main thing for the expectant mother is not to delay the visit to the doctor and to follow all medical recommendations.

Causes

If there is a tingling sensation in the sides of the abdomen, then you need to trust your doctor to find the causes of this phenomenon. To make the diagnostic search as reliable as possible, you should use all methods acceptable during pregnancy. This is the main task at the primary stage of medical care, so it should be given increased attention.

There are various conditions that cause side pain at different stages of pregnancy. These include:

Physiological processes.
Ectopic pregnancy.
Gynecological pathology.
Diseases of the digestive system.
Kidney diseases.
Appendicitis.
Infectious pathology.
Osteochondrosis.

To understand such a variety of factors, it is necessary to take into account all the risks that exist for a pregnant woman. A correctly collected medical history, with an emphasis on the circumstances surrounding the occurrence of pain, will help determine its cause.

It is necessary to take responsibility for the appearance of discomfort in the lateral parts of the abdomen, since this may hide not only physiological changes during pregnancy.