Symptom >> Obstetrics and Gynecology >> Obstetrics

Mid-pregnancy abdominal pain

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Abdominal pain in the second trimester means that the uterus is enlarged at about 4 months of pregnancy, and the uterine round ligament is pulled. Many expectant mothers will feel some abdominal pain.

Cause

Cause

Cause:

Physiological abdominal pain:

1. At about 4 months of pregnancy, the uterus is enlarged, and the uterine round ligament is pulled. Many expectant mothers will feel some abdominal pain. This kind of pain is located on one side or both sides of the lower abdomen, which is painful, dull or painful. When going farther or changing position, the pain will become more obvious.

2, in the second trimester of sexual intercourse is too hard, it can also cause pregnant mothers abdominal pain.

Pathological abdominal pain:

In the second trimester, the baby gradually grows up, and the intra-abdominal pressure of the expectant mother also increases. If the mother's esophageal hiatus (the esophagus is connected to the stomach through this hole) widens, there may be "esophageal hiatus" and abdominal pain. At this time, abdominal pain is often accompanied by chest tightness, shortness of breath, chest pain, back acid in the stomach, snoring and other symptoms. The esophageal hiatus hernia has an incidence of about 30% to 50% during pregnancy, and sometimes the symptoms are more obvious in the third trimester.

Examine

an examination

Related inspection

Alder test abdominal MRI examination amniotic fluid general examination

Symptoms: On the side or both sides of the lower abdomen, about 4 months of pregnancy, it is involved in pain, dull pain or dull pain.

Inspection: Regular B-ultrasound inspection.

Diagnosis

Differential diagnosis

Abdominal pain in the third trimester: refers to the third trimester of pregnancy, as the fetus continues to grow, the mother's abdomen and body burden gradually increase, coupled with close to labor, the number of abdominal pain will increase significantly than the second trimester.

Abdominal pain in the first trimester: refers to the symptoms of abdominal pain in early pregnancy. In the first trimester of pregnancy, abdominal pain, especially in the lower abdomen, should first be considered as a pregnancy complication. Common complications include threatened abortion and ectopic pregnancy.

Stomach pain in pregnant women: refers to the symptoms of frequent pain in the stomach of the woman during pregnancy, or a strong burning sensation in the stomach.

Cause:

1. Pregnancy causes sphincter relaxation and acid reflux.

2. The gradually enlarged uterus compresses the stomach, making the stomach acid easier to reflux.

3. It is caused by stomach disease itself.

Pregnant women with small abdominal pain: during pregnancy, due to venous block or dystrophy, poor blood circulation and abdominal pain, known as "pregnancy abdominal pain." The pathogenesis of this disease is mainly blood deficiency, qi stagnation, deficient cold, etc., resulting in blocked or dystrophic veins, poor blood circulation, and thus abdominal pain. The lesion is only in the venous vein, and has not damaged the fetal element, but in severe cases, it can also affect the fetal element due to venous block, blood circulation, and dystrophic growth.