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Abdominal pain during pregnancy – Part 2

(continued from Part 1 Abdominal Pain during pregnancy Part 1)

Ectopic pregnancy:

This condition arises when there is an implant of a fertilized egg, implanted externally to the uterus in one of the Fallopian tubes. This leads to cramping along with other symptoms. This condition can be risky if left unattended.

Look for the following symptoms:
• Abdominal pain
• Pelvic pain
• Tenderness in abdomen
• Vaginal spotting or vaginal bleeding: red/brown, scant/copious, intermittent/continuous
• Bad pain during physical activity
• Pain while moving the bowels
• Pain while coughing
• Pain in the shoulder
• Heavy bleeding
• Shock
• Racing pulse
• Dizziness
• Fainting
• Pale/clammy skin

Any of the above symptoms needs consulting a doctor for further investigation during pregnancy.

Preterm labor:

Preterm means before completion of 37 pregnancy weeks. If labor occurs prior to this time it is called preterm labor. This implies the pregnant woman starts experiencing contractions which dilate her cervix just like when baby is ready for delivery. Immediately, call upon the doctor for further check up for further attendance.

Look for the following symptoms:

• Contractions in the lower abdomen pulling downwards before 37 weeks of pregnancy
• Vaginal discharge is more
• Change in vaginal discharge like filled with blood, mucus or water
• Vaginal spotting
• Abdominal pain
• Menstrual-like cramps
• Above 5 contractions in an hour and continuous
• More pressure in the pelvic area
• Lower back pain

Placental abruption:

This is a risky condition wherein the placenta is separated from the lining of uterus either partially or completely. This happens before the baby is born. Look for the following symptoms:
• Sudden bleeding
• Light bleeding
• Spotting
• Bloody fluid
• Water breaks
• Uterine tenderness
• Back pain
• Frequent contractions
• Uterus might stay hard
• Cramp that doesn’t go away
• Decrease in your baby’s activity
Immediately get a medical attention in such a case with the above symptoms for safety.


When a woman suffers from high BP or has protein content in her urine then the condition of preeclampsia might have arisen. This generally happens in the 3rd trimester of pregnancy. This conditions leads to certain alterations in blood vessels due to which organs like liver, brain, kidney etc, might be affected. The condition is also trivial to placenta.
Look for the following symptoms:
• Hypertension
• Proteinuria
• Edema
• Headache
• Nausea
• Vomiting
• Abdominal Pain
• Lower back pain
• Sudden Weight Gain
• Visionary alterations
• Hyper-reflexia
• Shortness of breath
• Anxiety
• Liver abnormalities
• Kidney abnormalities
• Puffiness around your eyes
• Tenderness in the upper abdomen
Consulting a doctor for further monitoring is recommended.

HELLP Syndrome:

This is a condition that arises in the latter stages of pregnancy, i.e., last 3 months. Hemolysis, elevated liver enzymes, low platelet count-HELLP is experienced with sharp pain in abdomen particularly in the upper right side. This condition can give rise to preeclampsia which is a condition of high BP and protein in urine. Woman with HELLP syndrome experiences blood clots and loss leading to anemia.
Look for the following symptoms:
• Fatigue
• Abdominal pain
• Nausea
• Vomiting
• Headache
• Swelling
• High weight gain
• Blurred vision
• Heartburn
• Indigestion
• Shoulder pain

Urinary tract infections:

UTI is common in pregnant woman. Look for the following symptoms:
• Pain
• Discomfort
• Burning sensation when urinating
• Pelvic discomfort
• Lower abdominal pain
• Frequent urge to pee
• Cloudy and bad smelling urine
• Blood tinge in urine
If the above symptoms are accompanied with fever, chills, lower back pain, vomiting and nausea then the infection might have spread to the kidneys. It is very important to get early diagnosis and care for such cases in pregnancy.

(Read the next Part Abdominal Pain during pregnancy Part 3)

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