Stomach pain after pregnancy? This is a normal phenomenon that is inherent in absolutely the entire female sex. Pain, as a rule, appears due to the fact that a woman undergoes drastic changes in the sacrococcygeal spine. The pelvic bones begin to expand to ensure labor activity, and all this leads to pain radiating to the abdomen and lower back.

Causes of abdominal pain after pregnancy

A number of hormones that are produced in a woman's body during pregnancy are aimed at relaxing the ligaments and muscles. This is a natural physiological process that is necessary for a full-fledged in the womb. The hormonal background changes so that a woman can bear a child and then give birth to him.

Did you know that the uterus during preparation for labor increases exactly 25 times. After the labor activity is completed, the uterus acquires its former physiological dimensions. It is this process in the body of a woman that leads to abdominal pain after childbirth.

The pain may be cramping in nature and manifest itself during breastfeeding. The physiological explanation for this phenomenon lies in the production of the hormone oxytocin, which is produced by the hypothalamus (a part of the brain). The hormone oxytocin, when it enters the blood of a woman, stimulates the contractile activity of the smooth muscles of the uterus.

A woman during this period does not need to worry about. If during labor there was no damage to the uterus, then the pain disappears after 7-14 days, depending on the state of health of the woman.

Physiologically, the bottom of the uterus in a woman is located at the level of the navel. If, however, a pregnant woman during the third trimester of pregnancy wore a large belly, accompanied by an increase in muscle tone, then it is likely that after labor there is a place to be. Most likely, it is the umbilical hernia that is the source of pain for the patient.

Also, gynecologists say that abdominal pain can actually be caused by pain in the gastrointestinal tract. can be triggered by stagnation of food and the occurrence of chronic constipation in the postpartum period.

Radiating pain in the abdomen from the spine

Abdominal pain after pregnancy may not be localized in the abdominal cavity, but radiate from the spine.

This is due to the fact that after delivery, a woman's hormonal levels decrease. As a result, the patient completely blocks the production of the hormone relaxin, which in turn helps to increase the elasticity and elasticity of the muscles, and also affects the relaxation of the ligaments of the pelvic bone. Until the woman's hormonal background returns to normal, and this will take from several months to a year, then during this time severe pains are possible, concentrated in the abdominal cavity, lower back and spine.

The musculoskeletal system of a woman returns to normal very slowly. Therefore, abdominal pain after pregnancy can come from the spine. If the discomfort is so strong that the woman cannot be in an upright position for a long time, then you should consult a doctor for medical assistance.

Pain in the lumbar region radiating to the abdomen

Pain after childbirth can also be localized in the lumbar region and radiate to the woman's stomach. This is due to the fact that after pregnancy, the square muscles of the lower back still remain in a tense state in a woman. These muscles are localized near the posterior wall of the abdomen and are the connecting element for the ilium, ribs and processes of the lumbar. If the square muscle is excessively strained and, as a result, contracted, this will lead to pain not only in the lumbar region, but throughout the entire abdominal cavity.

It is also worth noting that during the last trimester of pregnancy, the abdominal muscles are significantly stretched and, accordingly, increase in size. The muscles of the lumbar region at the same time are reduced. Such pathological changes lead to the fact that when bending and changing the position of the body, a woman experiences pain in the entire abdominal cavity.

Pain in the pelvis and abdomen after childbirth

Pain in the pelvis after childbirth, women can be confused with pain in the abdomen for the same reason - the irradiation and spread of pain along the nerve endings. So, the fixed part of the spine consists of a large triangular bone, as well as several fused vertebrae.

It is from the fixed spine to the pelvic bones that the ligamentous apparatus departs, which holds the bones of the pelvic ring. But, if a woman is in a state of pregnancy (already starting from 4 weeks), then the lumbar vertebrae begin to radically change their position, namely, deviate in the opposite direction.

All this leads to the fact that the lower limbs begin to move away from the ilium. The bend of the coccyx changes, which leads to an increase in pressure on the vertebral section. If an incorrect presentation of the fetus occurred during labor, this could lead to pain in the pelvic organs and tailbone.

Pain in the pelvis and abdominal region after pregnancy may result from the release of the child, or rather the expansion of the birth canal by hand.

If during and after childbirth a woman did not have an act of defecation, then it is likely that stagnation of feces could provoke severe pain in the abdominal region, as well as in the lower part of the lower back.

Pain in the abdomen can also be caused by trauma to the perineum during labor. The risk group in this case includes those women who have been diagnosed with a narrow vagina during childbirth, as well as inflammatory or infectious processes.

Under normal conditions, pregnancy proceeds without any pain in the abdomen, either in the early stages or in recent weeks. If there are pains in the abdomen, especially intense or frequent, of any nature, it is important to immediately consult a doctor or call an ambulance. Often, pain in pregnant women is the leading symptom of an "acute abdomen", a whole group of acute surgical pathologies or infections that require emergency care. Can also form pain problems of the uterus and appendages, as well as the first signs of abortion. It is important for such pain to immediately call an ambulance.

Pain as the basis of an "acute abdomen"

If we talk about the manifestation of the "acute abdomen" syndrome, it is typically a special manifestation in the form of abdominal pain, which has a different origin and characteristics. Sometimes the pain occurs suddenly and abruptly, against the background of complete health, has a paroxysmal character, accompanied by malaise. Often such attacks are called "dagger pain." There may be situations when a pain attack is formed gradually, starting with low intensity, but increases over time, becoming stronger and longer. In this case, the pain can be both constant and have a cramping character. Often, pain accompanies the so-called local muscle defense - the tension of a certain area of ​​\u200b\u200bthe abdomen to the state of a “board”, which is a protective reaction of the body to the formation of pathology. Additional symptoms may be digestive disorders - nausea (possibly with vomiting) with bloating, stool retention or, conversely, diarrhea. During pregnancy, pain in the abdominal cavity can be accompanied by fainting, cold sweat and a decrease in pressure, an increase in body temperature and a sharp increase in heart rate.

Most often during pregnancy, an "acute abdomen" develops due to pathologies associated with the reproductive, urinary or digestive system. The most frequent are pains in the abdomen against the background of an ectopic pregnancy, with torsion of an ovarian cyst or its rupture, as well as with a rupture of the scar on the uterus after previous operations and childbirth, severe ischemia in the area of ​​​​myomatous nodes.

Other causes of abdominal pain with the symptoms described above may be acute appendicitis (inflammatory process in the appendix), the formation of an attack of cholecystitis or acute pancreatitis (exacerbation of chronic).

There may be pain in the abdomen during an attack of renal colic, against the background of acute pyelonephritis with the formation of a purulent cavity in the kidney, with thrombosis of the renal artery, or with other problems.

Pathologies of pregnancy and pain

The most common obstetric cause of abdominal pain and the development of an acute abdomen can be an ectopic pregnancy and its termination with a rupture of the tube or damage to the walls of the abdominal cavity (with localization inside it). A similar condition is diagnosed already on the operating table (or sometimes in advance) in about 2% of all pregnancies. In a similar condition, there was a delay in menstruation and a positive test, and then bloody discharge and pain in the lower abdomen of varying strength and duration appeared. If a tube ruptures, it is a sharp pain, accompanied by internal bleeding, extending to the groin or leg, lower back. A decrease in pressure with a sharp pallor and loss of consciousness, nausea and cold sweat are typical. In rare cases, such a pregnancy is diagnosed before the rupture of the tube on ultrasound, but it also requires surgery.

Pathology of the uterus and "acute abdomen"

Often, the uterus itself during pregnancy can cause acute pain and malaise. Especially dangerous is the rupture of the uterus in the area of ​​the scar from a previous caesarean section or operation. In this case, there is local pain and pain increasing in strength when probing the organ, its sharp deformation with altered contours. Such a complication can be suspected if the uterus has previously undergone surgical interventions - repeated caesarean sections, removal of fibroids or any other operations with suturing.

There may also be an acute cessation of nutrition of the myomatous nodes of the uterus with the formation of tissue necrosis. A similar pathology can be suspected if there is an indication of an existing tumor in pregnant women. The main complaints will be dull pain in the projection of the node.

Often, abdominal pain can be provoked by an acute infection caused by germs or viruses that affect the digestive system. Such conditions are dangerous during pregnancy due to the fact that the immune system is weakened, and the body's resistance to various infections is also reduced. Because of this, the expectant mother can be quite difficult and painful to experience such diseases with severe nausea and vomiting, severe diarrhea and the risk of dehydration, which is dangerous not only for her, but also for the fetus.

Intestinal infection is characterized by fever against the background of sharp cramping pains in the abdomen. It can occur after eating poor-quality food or products with an expiration date, after visiting catering outlets. In addition, family members or work colleagues who may be carriers of pathogens without knowing it can become a source of infection for the expectant mother.

Other causes of "acute abdomen"

Although acute surgical pathologies are rare during pregnancy, they cannot be completely discounted. The causes of pain in the abdomen can be the development of acute appendicitis or cholecystitis. In this case, the symptoms may differ significantly from the classical course of these pathologies due to changes in the anatomy of the abdominal cavity against the background of the growth of the uterus.

In addition, the formation of acute pancreatitis is possible, for which intense pain is typical against the background of fever and severe malaise, loss of consciousness and the development of a state of shock. Peptic ulcer of the stomach or intestines, with perforation, may also become aggravated, which leads to dagger pains and a sharp deterioration in the condition.

During pregnancy, the resulting pain in the abdomen always causes concern in the expectant mother. Even if they are insignificant, a woman perceives them as a threat to the health of her unborn child. Unpleasant sensations of varying strength may be evidence of changes natural to pregnancy, but may also be the first symptom of an ongoing pathological process that cannot be ignored.

The pains are of a different nature: acute and sudden, aching, cramping, stabbing or constant, chronic. For diagnosis, it is important to determine the localization of discomfort and pain.

Causes of pain in the first half of pregnancy

In the early stages of pregnancy, pain localized in the lower abdomen can be divided into physiological and pathological. In the first case, unpleasant sensations are caused by natural changes in which the whole organism undergoes restructuring. Such sensations are not dangerous. In addition, they are often minor, do not increase over time and do not cause great physical inconvenience.

Very often in the first weeks of pregnancy, a woman experiences abdominal pain, as during menstruation. Often, the expectant mother does not even pay attention to them, believing that menstruation will begin in a day or two. This is especially true for those who suffer. In fact, this discomfort is caused by the introduction of the ovum into the endometrium.

There are other reasons too:

• hormonal changes in the body;
• excess of the norm of the amount of progesterone;
• stretching of ligaments;
• increased sensitivity of the mother's body to nutritional errors;
• changes in the center of gravity of the body.

There may be more serious causes of pathology:

Ectopic pregnancy

Hernia

The umbilical hernia itself does not cause pain. The danger is the risk of being crushed. This pathology can cause stabbing and cutting pains in the lower abdomen and in the navel, vomiting, nausea, heartburn. If you have these symptoms, you should consult a doctor.

Symphysite

Pain that occurs in the lower abdomen when walking can be caused by inflammation of the pubic joint (symphysitis). It is caused by softening of the pelvic bones under the influence of hormones. Because of this, discomfort in the perineum and a characteristic duck gait are noted. While walking, pain often occurs due to diseases of the organs of the musculoskeletal system, which are exacerbated due to increased pressure on them.

preterm birth

Drawing pains with localization in the lower abdomen is the main symptom (28-38 weeks of gestation).

Other signs include:

• feeling of heaviness, "stone" stomach;
• aching pain in the lower back, sacrum;
• brown or watery vaginal discharge;
• feeling of pressure on the perineum;
• leakage of amniotic fluid;
• indigestion.

The cause of pain can be a dangerous pathology - premature. The condition belongs to the most severe complications that threaten the life of the fetus and require immediate medical attention.

What are practice bouts?

Slight pulling sensations at the 38th week of pregnancy is an indicator that the body is intensively preparing for childbirth. They are called harbingers of childbirth. They also include:

• prolapse of the abdomen;
• slow fetal movements;
• increased pain in the lower back;
• stop weight gain
• mucous discharge from the vagina, sometimes with streaks of blood;
• separation of the mucous plug;
• increased fatigue, unstable emotional state.

Pain may be cramping in nature. Sometimes they are perceived by women, especially primiparas, as the beginning of labor pains. In gynecology, they are commonly called. They are less painful, non-cyclical and do not tend to grow. Training contractions should not be a cause for concern, but they mean that a woman must be mentally prepared for the onset of labor.

38-39 weeks of pregnancy is the period when the child is fully formed and viable. Tribal activity can begin at any time.

What to do?

With severe cramping attacks in the first trimester, complicated by bleeding and fainting, you should immediately seek help from a doctor, since there is a very high probability of an incipient miscarriage or.

To reduce the unpleasant symptoms caused by toxicosis, the following rules must be observed:

• adhere to fractional nutrition 5-6 times a day;
• eat light plant foods, lean meats, fruits, vegetables;
• exclude smoked meats, spicy, fried foods from the diet;
• provide a pregnant woman with plenty of fluids to protect against dehydration (unsweetened tea, dried fruit compote, chamomile decoction, rosehip infusion);
• do not lie down immediately after eating and do not eat at night.

To prevent toxicosis in the morning, before getting out of bed, you need to eat a handful of nuts, crackers or crackers. Ginger, which is used to make teas or add its root to salads or cereals, helps reduce nausea.

Every expectant mother should remember that painkillers can temporarily eliminate painful discomfort, but not cure the disease that is its cause.

Pain caused by stomach and other internal diseases will be overcome after the treatment of the disease that caused them. For accurate diagnosis, general tests, ultrasound and computed tomography are prescribed.

For minor abdominal discomfort that is not caused by chronic or acute illnesses, you can improve your condition by following these tips:

1. Take a warm bath or shower regularly. The water should not be very hot.
2. Periodically lie down to rest, listening to light music, meditating.
3. Drink plenty of fluids, especially if you are prone to edema.
4. Take leisurely walks in places where there are no crowds. Staying in the fresh air supplies the placenta and other organs with oxygen, accelerates the removal of toxins and toxins.
5. Perform, do yoga, fitball exercises.
6. Avoid stressful situations, physical and moral stress, unjustified experiences.
7. Follow a diet that supports the intestinal microflora, prevents dehydration, relieves swelling.
8. Regularly visit a gynecologist and follow all his instructions and recommendations.
9. Fight constipation: drink at least 8 glasses of water a day, eat fiber-rich foods, and exercise. Taking laxatives, especially without the advice of a doctor, is undesirable.
10. Keep an eye on blood pressure, with its sharp jumps, consult a doctor.
11. To alleviate the condition during training bouts, you can lie on your left side, placing a pillow under your stomach, take a knee-elbow position for several minutes, inhale deeply, counting to four and exhale, counting to six. The same exercises in the future will alleviate the condition during childbirth.

Sometimes even my stomach hurts. But when my stomach hurts, I don't panic, I know it will pass; but pregnant women, especially in the Russian Federation, are given to panic, and if they are not given, then they will be forced to panic in the antenatal clinic. It is known that pregnant women have more abdominal pain than non-pregnant women. Although often the cause of pain in me and in these pregnant women may be one. What are the causes of pain in pregnant women, I tell in this article ...

Abdominal pain is the most common complaint of pregnant women. Usually I have to conduct several unscheduled examinations of pregnant women every month related to this particular condition. Pain can be a manifestation of formidable complications, and you are always afraid of it, but in the vast majority of cases it is only an uncomfortable condition.

There are many reasons for the origin of pain. Usually it is not associated with the disease, and does not pose a threat to the pregnant woman and the fetus, but of course only a medical professional can make a diagnosis.

Most often, pain occurs due to stretching of the ligaments of the uterus. The uterus is growing rapidly, and its ligaments are stretched. As a rule, during the contraction of the uterus, the ligaments are even more stretched, and the pregnant woman feels cramping pain, which releases after a while. More often the pain occurs when changing the position of the body and most often it worries the primigravidas, whose uterus has never grown to such a size. Well, about horror stories: it turns out that the uterus, like any muscle in our body, can and should contract. In general, this is known to all obstetricians, but in the Russian Federation there is a caste of doctors who are completely convinced that if the uterus contracts during pregnancy, then this is a pathology that needs to be treated. In fact, the uterus contracts throughout pregnancy, and many women feel it, some throughout the pregnancy, others only at the end of it. These contractions are often accompanied by mild soreness, which is not to be feared and does not indicate an increased risk of miscarriage or preterm labor. Attention should be paid only if more than five contractions occur within an hour or the pain does not subside for several minutes, even in the supine position. Moreover, the fear of pregnant women is not justified when they learn from a doctor conducting an ultrasound examination that her uterus is in good shape. This is not dangerous and any qualified ob/gyn will explain this to a pregnant woman. Sometimes pain resembles pain during menstruation, this is usually a kind of reaction of the uterus, which is one of the signs of pregnancy.

Another common cause of pain is intestinal colic. I think all of us have experienced bouts of abdominal pain at one time or another, which went away on their own after a while. And usually such pains do not cause fear. Such pain is more often associated with the work of the intestines and does not pose a danger to the body, but for pregnant women, the appearance of such pain can be very frightening. A large amount of progesterone, the hormone of pregnancy, has a specific effect on the work of the intestines and the appearance of such pains becomes more frequent.

Non-pathological uterine contractions, overstretching of the ligaments, and intestinal colic are the cause of most complaints of abdominal pain in pregnant women. But sometimes pain is a manifestation of really pathological processes. Pain can be a sign of a miscarriage, ectopic pregnancy, surgical pathology (cholelithiasis, urolithiasis, appendicitis, pancreatitis, etc.). Only a doctor can make a diagnosis. Therefore, if the pain does not go away or is accompanied by bloody discharge from the vagina, deterioration of health, fever or other manifestations, then immediately consult a doctor. But in reality, abdominal pain in pregnant women is rarely associated with the presence of the disease.

All future mothers know that their body will change significantly during pregnancy - breasts will increase, belly will grow and, of course, extra pounds will increase. Women pay the most attention to the stomach. For example, at the beginning of pregnancy, many mothers worry that their belly is not growing fast enough. How should he grow and how will his shape change during the bearing of the baby?

Let's say right away that how the belly looks and grows during pregnancy depends on many reasons: the physique of the woman, the structure of the pelvis, the condition of the muscles, the growth of the uterus and the child, the amount of amniotic fluid. Therefore, for some, the belly grows faster, for some it is slower, for some mothers it is large, for others it can be almost invisible. But still, there are some general patterns of growth and size of the abdomen during pregnancy.

belly growth rate

What does the size and shape of the pregnant belly mean?

From about the second trimester of pregnancy, during each examination, the obstetrician-gynecologist determines the height of the uterine fundus and measures the circumference of the abdomen at the level of the navel. Why is he doing this? The fact is that this is the easiest way to control the growth and development of the unborn baby.

One of the formulas for estimating the weight of the fetus according to the height of the fundus of the uterus (VVDM): the weight of the child (g) \u003d VVMI (cm) x abdominal circumference (cm) ± 150-200 g.

By the way, before the shape of the abdomen often tried to determine the sex of the child. It was believed that a round belly portends a girl, and an elongated, oblong, “sharp” one portends a boy. However, these predictions did not always come true, since the shape and size of the abdomen do not depend at all on the sex of the child.

1. In large, tall women, the belly may be small and not very noticeable until long pregnancy, and in thin, petite women (especially with a narrow pelvis or large baby), the belly seems very large.
2. The state of muscle tone of the anterior abdominal wall and uterus has a significant impact on the shape of the abdomen. During the first pregnancy and good muscle tone, the abdomen may look more "tight" than in subsequent pregnancies. In addition, with repeated pregnancies as a result of reduced muscle tone of the anterior abdominal wall, the child does not take the final position until the last month of pregnancy. Because of this, the shape of the abdomen can also be "stretched".
3. If a woman is expecting twins, her belly will be larger than with a singleton pregnancy.
4. And often the belly can be large simply because a woman ceases to limit herself in nutrition, eats “for two”.
5. If the baby grows quickly or is large, then the mother's belly can grow faster and be larger.
6. Children are located in the uterus in different ways. With some types of presentation, the stomach will be less noticeable, with others it will begin to grow earlier and will appear larger.

Why does my stomach hurt during pregnancy

The belly of the expectant mother is changing not only externally. From the 20th week of pregnancy, the mother begins to feel baby. At first, they look like light flutters, over time, the movements become more intense, because by the end of pregnancy, the mass and size of the child increase, and now it is not as spacious in the uterus as before. The number of movements gradually decreases, but their strength grows.

The movements of the crumbs, especially intense ones, can cause unpleasant sensations in a woman, especially in the right or left hypochondrium. This is explained by the fact that with cephalic presentation (the child is located in the uterus with the head down), the blows of the baby's legs are projected into the area of ​​\u200b\u200bthe mother's internal organs: the liver, stomach, intestines and spleen. Such sensations and even pains are natural and do not require treatment.

And sometimes painful sensations appear in the lateral sections of the abdomen. They arise due to the fact that during pregnancy the ligaments that support the ovaries are stretched.

In addition, changes occur in the fallopian tubes (they thicken, blood circulation increases in them), in the ovaries (they increase somewhat in size, cyclic processes stop in them, and the position of the ovaries changes due to an increase in the size of the uterus).

Slight pain in the lower abdomen may occur several times during the day, but, as a rule, they quickly disappear if the woman takes a position that is comfortable for her. Sometimes periodic discomfort in the lower lateral parts of the abdomen appear with constipation, which is also common in pregnant women. During pregnancy, hormones are produced that relax the uterus, they have a similar effect on the intestines: its peristalsis is disturbed, and eventually occurs.

Discussion

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15.04.2016 06:12:20, Zohra

Comment on the article "How does the stomach grow during pregnancy. Abdominal pain: where?"

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