Pelvic Pain During Pregnancy: first, second and third trimester

For expectant mothers, pelvic pain during pregnancy can really become a concern. Pregnant women can experience this discomfort and pressure at any time and based on their unique circumstances, the impact can range from a few twinges to exhausting pain.

According to scientists, pelvic discomfort is common among pregnant women and for many, it’s more than an inconvenience and can be really painful. However, in some cases, a pain you have may raise some serious concerns or something might be wrong.

So when you need to consult your midwife or doctor if you have pelvic pain during pregnancy?

Pelvic Pain During Pregnancy first, second and third trimester

Pelvic pain in pregnancy during the first trimester

It is common for pregnant women to feel accommodation pain during the first 8 to 12 weeks of pregnancy. Usually, this feels like mild abdominal twinges or sudden cramps. However, when you experience pains that get stronger or last longer than expected, you should seek advice.

The research states that miscarriage usually presents with pain during the first trimester of pregnancy. Unfortunately, roughly a quarter of pregnancies could end in a miscarriage which is a very common occurrence among expectant mothers. Bleeding as well as lower abdominal pain is one of the most common symptoms generally associated with pelvic cramps.

If you experience pain when you are in the first trimester of pregnancy, you just need to rule out an ectopic pregnancy. Ecoptic pregnancy is a pregnancy that takes develops outside of the womb. 

About 1% of all expectant mothers experience this issue and having pain on one of the sides of your lower pelvis can be a symptom that requires medical attention. Having an ultrasound scan can help you to locate where the pregnancy is and if it’s viable.

You may also experience strong pain during the early pregnancy due to the ruptures in the corpus luteum. The corpus luteum is responsible for producing progesterone until the placenta takes over.

However, scientists also note that pelvic pain does not always associate with pregnancy and the cause could stem from something other than the developing womb.

In this scenario, you should seek a medical check for appendicitis, UTI, and even kidney stones.

Sharp pelvic pain during the second and third trimester

Pregnant women, towards their second trimester, may experience pain and discomfort in one or both sides of the abdomen. The growing bump is supported and accommodated by the round ligaments and they stretch and thicken when your womb starts to grow.

Although it usually gets relieved in the third trimester of pregnancy, the second trimester is observed with more ligament pain.

Later in pregnancy, however, women most commonly experience pelvic girdle pain which is observed in 20 percent of all pregnancies.

During pregnancy, the symphysis pubis – which is a fixed joint – gets strained after becoming softer and moving a little bit. Since the process is very painful and tender, this can even prevent pregnant women from walking. The pain can become so sharp that you may even require to use crutches or even a wheelchair to move.

Doctors say that the immobility caused by PGP is most disturbing since the circulation in the body reduces as pregnant women experience difficulties in moving.

Such immobility may cause deep vein thrombosis (DVT). Therefore, it is important to use pressure stockings to compress the lower legs and prevent blood clots from forming. Injections can also help thin the blood, which in turn prevents blood clots as well.

You need to get medical attention if the pelvic pain during your pregnancy is associated with bleeding. Similarly, you need to talk to your doctor should you experience an extensive vaginal discharge or sudden fluid loss.

In addition, having a fever can indicate that there is a more serious issue to be concerned about such as a kidney infection.

The pain you feel may also be associated with fewer movements in the fetus. You always need to seek a medical review of the issue. Simple procedures like drinking an iced or hot drink may stimulate your baby’s movement.

Furthermore, you should ask for your doctor’s advice if you should feel that your abdomen is hard to the touch. Please note that this problem indicates a disorder that includes the placenta getting separated from the uterus.

Finally, if you experience random twinges or pain, this could also indicate early labor, and you should seek medical attention as soon as possible if your pregnancy is under 37 weeks.

What can you do to self-help?

As long as serious issues have been excluded, you can follow the steps or options below in order to relieve the pain:

In general, Tylenol or acetaminophen, which is a painkiller, is considered to be safe during pregnancy. You can try it to reduce the pain you are experiencing.

In addition, taking warm baths will also help your muscles relax while removing stress and anxiety.

You should keep yourself hydrated by drinking a lot of water. Note that dehydration can lead to worsening Braxton Hicks while aggravating constipation. Also, the bladder might get irritated as the urine becomes more concentrated, drinking plenty of water might help with preventing UTIs as well.

Wearing a pelvic support belt can help you remove some of the weight of your pelvis if you experience pain due to PGP. Support belts help support the pelvis if the muscles are not functioning properly.

Do not wear high heels. You should feel less strain on the pelvis if the pain originates from the muscles.  

You can also check other articles on our website which can provide you with valuable information on how to stay healthy during pregnancy.

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