Abdominal pain during pregnancy is a common complaint among expectant mothers. However, what if the pain is severe and persistent ? Is this still normal, or could it be a warning sign?
Not all abdominal pain during pregnancy is dangerous. Some is simply part of the body's changes. However, some abdominal pain warrants attention as it could indicate a serious condition.
Let's understand the difference.
When Is Stomach Pain During Pregnancy Still Normal?
In early pregnancy, mild abdominal pain can occur due to:
- Uterine stretching
- Hormonal changes
- Constipation
- Bloating
Usually, normal abdominal pain has the following characteristics:
- Mild to moderate
- It didn't last long
- Not accompanied by bleeding
- It doesn't get any worse
This discomfort often feels like mild cramps and may improve with rest.
Severe and Persistent Abdominal Pain: What Does It Mean?
Unlike mild complaints, severe and persistent abdominal pain during pregnancy should not be taken lightly. This condition could be a sign of a serious problem that requires immediate medical attention.
Some conditions that can cause serious abdominal pain include:
1. Ectopic pregnancy
Severe abdominal pain in early pregnancy, especially on one side, could be a sign of an ectopic pregnancy. This condition is dangerous and requires immediate action.
2. Miscarriage
Abdominal pain accompanied by bleeding, severe cramps, or vaginal discharge requires immediate medical attention.
3. Placental abruption
In later pregnancy, severe abdominal pain that appears suddenly and persists may indicate that the placenta has partially or completely separated from the uterine wall.
4. Infection
Abdominal pain accompanied by fever, severe nausea, vomiting, smelly vaginal discharge, or pain when urinating can be related to a urinary tract infection or reproductive organ infection.
Danger Signs That Accompany Abdominal Pain
Immediately check with a health facility if abdominal pain during pregnancy is accompanied by:
- Bleeding from the birth canal
- Dizziness or weakness
- High fever
- Decreased baby movement
- Pain that gets worse
- Stomach feels very stiff
Because in some cases, quick treatment is crucial for the safety of the mother and baby.
Can Stomach Pain Be Ignored?
If the abdominal pain is mild and not accompanied by other symptoms, rest and monitoring are usually sufficient.
However, if you have stomach pain:
- Feels very strong
- Doesn't go away even after resting
- Appear suddenly
- Continuously without pause
So it is best not to delay the examination.
It is better to ensure conditions are safe than to wait and take risks.
Conclusion
Abdominal pain during pregnancy is common. However, severe and persistent abdominal pain is not something to be taken lightly. Recognizing the difference between normal abdominal pain and a warning sign is crucial during pregnancy.
If in doubt, consult an obstetrician-gynecologist at EMC Alam Sutera Hospital immediately. In pregnancy, it's always better to be safe than sorry.
This article was written by Dr. Lisa Puspadewi Susanto, Sp.OG, FICS (Obstetrics and Gynecology Specialist at EMC Alam Sutera Hospital).