Pregnancy / Childbirth

Stinging in the lower abdomen during pregnancy. What are the reasons?

Stinging in the lower abdomen during pregnancy. What are the reasons?



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Abdominal pain is one of the most commonly reported symptoms by pregnant women. Among its causes one can distinguish completely physiological ones, associated with fetal growth and the natural development of pregnancy, but also those which are a direct threat to the life of the mother and her unborn child. So, when is the stinging in the lower abdomen of pregnancy disturbing and what causes it can cause?

Stinging in the lower abdomen as a symptom of physiological changes in the body of a pregnant woman

Woman's body during pregnancy it dynamically changes and constantly adapts to the constantly growing and developing fetus. For some future mothers this can lead to completely harmless and transient stomach pains. These include:

  • Abdominal pain associated with flatulence and constipation - changes in the hormonal economy of pregnant women (pregnancy hormones affect the slowing down of intestinal peristalsis) and the pressure of the enlarging uterus on the intestines and stomach may result in the appearance of persistent constipation or abdominal bloating. These, in turn, may manifest themselves with sticks located in the lower abdomen.
  • Abdominal pain associated with sex and orgasm - short-term, not very severe prickling in the lower abdomen may occur naturally after intercourse and orgasm and should not cause concern for a pregnant woman.
  • Abdominal pain associated with extension of the round uterus ligament - the round ligament is one of the structures supporting the uterus in the pelvic cavity. In the course of a properly developing pregnancy, it extends significantly, which can result in the appearance of quite characteristic abdominal pain. Most often they appear in the second trimester of pregnancy and are associated with high activity of the woman during the day. They have the nature of acute, prickly or dull discomfort located most often on one side of the lower abdomen and deep in the groin.
  • Abdominal pain associated with Braxton-Hicks contractions - These contractions are so-called prophetic contractions, and their appearance is an expression of the woman's body preparing for childbirth. Their characteristic feature is irregularity, spontaneous disappearance after a specified time and no increase in strength. Proper labor contractions increase with the progress of delivery.)

In each case, when the abdominal pains described above are prolonged, an urgent visit to a gynecologist is indicated. It is worth going to the gynecologist when the pain is accompanied by other symptoms: or accompanied by other symptoms, for example, discharge, spotting, fever. You can also go directly to the hospital emergency department.

Stinging in the lower abdomen - when is urgent medical consultation indicated?

There are a number of life-threatening conditions for the mother and / or her unborn child that are manifested by abdominal pain. Among them you can mention, among others:

  • Ectopic (ectopic) pregnancy - is a condition when the implantation of the embryo occurs outside the uterus (most often in the fallopian tube). Untreated, it can even lead to death as a result of internal bleeding (usually during a fallopian tube rupture). Symptoms of ectopic pregnancy include menstrual arrest, severe, stabbing abdominal pain, and vaginal bleeding. In extreme cases, there are symptoms of shock (pressure drop, tachycardia and disturbance of consciousness). Treatment consists of drug therapy (methotrexate) or surgery.
  • Miscarriage - we talk about it when the premature termination of pregnancy occurs before the 22nd week of its duration. His first symptom is most often spotting or bleeding from the vagina and lower abdominal pain of varying severity and nature. Painless bleeding may suggest a threatening miscarriage, which, with proper treatment, gives you a chance to stay pregnant. The procedure of choice in the case of miscarriage is curettage of the uterus.

Stinging in the cushion - other reasons

  • Premature delivery - is diagnosed when delivery begins between 23 and 37 weeks of gestation. It can manifest as abdominal pain, lower back pain, the departure of amniotic fluid, spotting or bleeding from the vagina, or regular uterine contractile activity. Premature births strongly suggest a minimum of 6 contractions per hour. The treatment consists mainly of an attempt to suppress labor and corticosteroids to accelerate fetal lung maturation.
  • Premature placental abruption - it is a state of immediate threat to life for the mother and fetus and consists in complete or partial separation of the placenta from the uterus. It usually manifests itself with very severe stomach pain, uterine tension and vaginal bleeding of varying severity. Premature placental abruption accounts for 31% of vaginal bleeding in the second and third trimesters. The treatment of choice is ending pregnancy by caesarean section as soon as possible.
  • Urinary tract infection - the most dangerous is acute pyelonephritis, which is manifested by high fever, lumbar pain, nausea and vomiting, as well as dysuric symptoms (including pollakiuria, oliguria, or pain when urinating). The recommended treatment is hospital treatment and the supply of antibiotics.

Pregnant abdominal pain is a very little symptom. Therefore, if you notice that they are prolonged, have an unusual course or there are other symptoms, see a doctor, and preferably immediately to the hospital emergency department.

Bibliography:
  • Obstetrics and gynecology by Grzegorz Bręborowicz
  • Internal Szczeklik 2017/18