Women experience pains unique to them, from menstrual cramps to pregnancy pains. Pregnant women, especially first-time moms, may feel scared by some of these pains during this time. But not all pain during pregnancy is a sign that something is wrong—some pains are perfectly normal, and even expected!
Pains during pregnancy are inevitable! But which pains are normal and which are not normal during pregnancy? Early in pregnancy, the pains can be a bit frightening, but know that cramps, back pain, and even lower abdominal pain during pregnancy are very common. Up to the 10th week of pregnancy, these pains can be hormonal and due to uterine expansion.
Uterine Changes
We should remember that the uterus is a super elastic organ1; in fact, it’s a muscle and at first (normally) it’s the size of a closed fist. As pregnancy progresses, it starts to swell and that’s the reason for cramps. In the report from your first ultrasound, it’s quite possible the result will say: enlarged uterus with gravid appearance.
At first, progesterone and HCG maintain the pregnancy and the swollen uterus is a result. This hormonal change causes cramps, discomfort, and many upsets. After this stage, begins the phase of discomfort caused by the muscles relaxing and organs shifting inside your body2. Did you know that the organs relocate in the body causing pregnancy pain?
The intestines, stomach, liver, and even the heart move differently from their original positions to make room for the uterus and the baby. That’s why belly pains during pregnancy are common and, depending on your sensitivity, can become something you mention to your doctor. Pains in pregnancy are temporary; they come and go as the baby grows and pregnancy advances.
What About Stronger Pains?
Lower abdominal pain, belly pain and even stomach pain during pregnancy, or more specifically in the second trimester, are very common. At this stage, the lower abdominal muscles need to relax to support the new weight and the woman’s new condition. And if you are on the leaner side, you may feel these pains more intensely due to the intense relaxation of the muscles. Usually, these pains are bothersome down low, near the groin and on the sides. To help, a belly support belt may be a good idea. It’s worth highlighting that among the common pregnancy pains is also pelvic pain.
Sharp Vaginal Pains
I myself had the sensation of sharp pains down there in the vagina! Yes, in the vagina! It was scary, but I knew it was due to the weight of pregnancy. Often, these twinges can be a sign that the baby is engaging, or simply due to the pressure the baby puts on with its movements. Sometimes, especially after 37 weeks, these sharp pains can mean the cervix is dilating; therefore, if they become frequent, it is highly recommended to go to the hospital.
Sciatic Pain
Now, there are pains that are not specific to pregnancy, like sciatic pain. It’s not necessarily due to pregnancy, since a woman may already have some issue with the sciatic nerve even before becoming pregnant. However, because of the belly’s weight, it may get much worse, and it’s actually quite common among pregnant women. Did you know the sciatic nerve is the largest in the human body? It runs from the pelvis, down the legs, all the way to the big toe!
Carpal Tunnel Syndrome
Another pain that is also very common is carpal tunnel syndrome3 pain, which affects the nerve in your forearm and can be very painful! Some women even lose strength in their hand because of this syndrome, which is unfortunately frequent among pregnant women. As treatment, the gynecologist may recommend anything from physical therapy to specific medications for pregnant women. Remember that pregnant women cannot take just any medication, especially anti-inflammatories.
Also remember that belly pain in pregnancy, in the lower abdomen, is common; however, an excessive urge to urinate, pain in the region, and urine leakage can be worrisome, such as in urinary tract infection. Now, whatever type of pain you are experiencing, it is best to talk to your obstetrician. They will know how to proceed and, if you need pain medication, they will prescribe it.
Readers’ Questions:
Toothache During Pregnancy, What Should I Do?
Toothache in pregnancy is rather tricky, since most medications are restricted for pregnant women. For pain control, medications like paracetamol or home remedies that bring relief can be recommended, such as rinsing with chamomile tea (be careful just to rinse and not swallow it, as many teas can be harmful in pregnancy) due to its anti-inflammatory and analgesic effects. In more severe cases of pain, a dentist together with your obstetrician should be consulted to decide on the best treatment.
Sore Throat in Pregnancy, What Can I Take?
As with any other inflammation or infection in pregnancy, extra care is needed with medications during this period. Sore throat during pregnancy can be controlled naturally and simply. Gargling warm salt water or consuming juices rich in vitamin C, like orange or acerola, help fight infection and strengthen the body’s natural defenses. Antibiotics will only be prescribed by your doctor in extreme cases. Remember that any medication should only be taken with medical advice.
How to Relieve Rib Pain During Pregnancy?
Rib pain is very common during the third trimester of pregnancy, as uterine expansion, the baby’s size, and even the breasts— which double in size— can cause this discomfort. The best way to relieve rib pain is practicing light breathing control exercises, using bras that offer better support for the breasts, and finding suitable sleeping positions. Paracetamol may also be recommended by your doctor to ease the discomfort.
How to Relieve Pelvic Pain During Pregnancy?
By the third trimester, the pregnant woman’s whole body starts to prepare for childbirth, and that’s when pelvic pain happens. Exercises like walking or Pilates strengthen the pelvis and are great for easing this discomfort. Wearing suitable maternity underwear with a higher fit and supportive stitching can also help control pressure on the pelvis, as well as belly support bands designed for pregnant women.
How to Relieve Lower Back Pain in Pregnancy?
Lower back pain and back pain are very common in pregnancy, affecting up to 60% of pregnant women! These pains are the result of all the changes happening in the pregnant body and can be eased by some lifestyle changes. Avoid, for example, postures that stretch the pelvis and back muscles too much, like crossing your legs or leaning on one leg. Gentle stretching exercises, such as prenatal yoga, may also help relieve lower back pain during pregnancy. You may have noticed that because of lower back pain, women tend to walk differently during pregnancy. Their center of balance changes, so walking like a “duck” becomes normal— and even adds a bit of pregnant charm.
