A pregnant woman may develop strange abdominal pain that worries her, but when do we consider abdominal pain normal and when do we consider it dangerous? Read the following article to learn about the different causes of abdominal pain during pregnancy:

It is normal for a pregnant woman to feel mild pain in the abdomen during pregnancy, especially with the enlargement of the uterus and its increase in size and the size of the fetus, which gradually puts pressure on the surrounding internal organs.

But are there cases that warrant concern? Learn about the causes of abdominal pain during pregnancy in detail below:

Abdominal pain during pregnancy: non-serious causes
A pregnant woman may suffer from constipation that makes her feel abdominal pain or other similar normal matters, in the following clarification of the causes of abdominal pain during pregnancy that are not dangerous:
1. Increasing the size of the uterus
One of the causes of abdominal pain during pregnancy is the increase in the size of the uterus with the increase in the gestational age, and with the passage of days and months, the uterus presses on the internal organs and causes them to be displaced a little from their normal place, especially the intestines, which causes a feeling of nausea or narrowing in the abdomen.

The solution here is for the pregnant woman to eat several small meals during the day, empty her bladder whenever she needs to, and rest more during the day.

2. Pregnant belly ossification
During pregnancy, as the uterus expands, the large circular ligaments in the abdomen stretch and travel to the front of the uterus and from there to the lower pelvic area.

Therefore, the pregnant woman feels pain that starts from the abdomen and ends in the pelvis or pubic area, and it may be severe pain that appears especially when the pregnant woman changes her position.

This pain usually begins in the second trimester of pregnancy and subsides without medical intervention in normal cases.

3. Constipation and flatulence
Bloating, gas, and constipation are natural and common complications of pregnancy, as the hormone progesterone, whose levels are high during pregnancy, reduces the speed of digestive movement in the digestive system, which reduces the speed of food transfer in it.

Constipation and gas are also one of the main causes of abdominal pain during pregnancy, which a pregnant woman can treat by drinking enough water daily and eating dietary fiber on a regular basis to avoid constipation.

4. Braxton contractions
One of the causes of abdominal pain during pregnancy is Braxton contractions, which are unrelated to cervical dilation, and although they can be very uncomfortable, they are not dangerous.

The difference between these contractions and labor contractions, is that the latter are close and often hinder the pregnant woman from talking or doing any normal activity.

Dehydration can stimulate this type of contractions, so the pregnant woman should drink enough water, and see the doctor if the pain continues, and if the pain is continuous and does not stop, or if the pregnant woman feels strong cramps or if there is bleeding, the pregnant woman should consult the doctor immediately .

5. Urinary tract infections
Urinary tract infections are common in pregnant women and are easy to treat. They can cause pain, but not permanent, but often pain when urinating.

Causes of abdominal pain during pregnancy: serious ones
After knowing the causes of abdominal pain during pregnancy that are not serious, it is important to know the causes of abdominal pain during pregnancy, which are dangerous, including there are reasons that need urgent medical attention, and they may be associated with pain, bleeding, fever, or even blurring of vision.


Here are the main causes of severe abdominal pain during pregnancy:

1. Ectopic pregnancy
An ectopic pregnancy occurs when an egg implants somewhere outside the uterus, often in one of the fallopian tubes. Although it is not a common condition, it causes severe pain and bleeding between weeks 4-12 of pregnancy, as the tube increases in size.

This type of pregnancy must be stopped by urgent medical intervention and cannot be allowed to continue.

2. Abortion
If the pregnant woman feels abdominal pain during the first trimester of pregnancy, this may be a serious indication that a miscarriage may occur. Among the symptoms of a miscarriage are bleeding, regular cramps or may resemble period pain.

3. Premature birth
If the pregnant woman begins to feel pain and contractions after the 20th week of pregnancy along with persistent back pain, labor may be the cause, i.e. the possibility of premature birth.

In this case, it may be difficult to distinguish between Braxton contractions and preterm labour, so it is recommended for pregnant women who feel contractions at this stage to see a doctor immediately.

4. Premature placental abruption
The placenta is the source of nourishment and oxygen for the fetus, and usually attaches to the upper region of the uterus and separates after the birth of the child, but in some rare cases, the placenta may separate from the uterus during the third trimester of pregnancy.

Its early detachment causes sharp, severe and increasing pain in the lower abdomen area in particular, and the abdomen may suddenly feel like a stone, and this may be accompanied by bloody discharge without clots.

You should see a doctor in this case. Depending on the severity of the case and the stage of pregnancy, the doctor will perform a cesarean section for the mother, or he may allow her to continue the pregnancy under his supervision if the separation is partial or not severe.

5. Preeclampsia
A woman may develop preeclampsia after 20 weeks of pregnancy, i.e. in the second trimester of pregnancy, which is precisely why the doctor checks the pregnant woman’s blood pressure and uterine proteins at every medical visit.

Preeclampsia is a cause of concern for abdominal pain during pregnancy, as it impedes the high blood pressure during pregnancy and the delivery of nutrients and oxygen through the blood vessels in the womb to the fetus, so the growth of the fetus may slow down and slow as a result.

6. Other reasons
Other serious and dangerous causes of abdominal pain during pregnancy include:

When should a pregnant woman contact the doctor?
After knowing the causes of abdominal pain during pregnancy, it should be noted that the pregnant woman should contact her doctor urgently if one of the following symptoms appears:

Sudden abdominal pain with or without bleeding after week 12.
strong bleeding or cramps;
Severe and persistent abdominal pain despite rest for 30 to 60 minutes.
Very severe abdominal pain.
vision difficulties
strong headache.
Severe swelling of the hands, legs or face.
Pain during urination, difficulty urinating, or blood in the urine.