Abdominal pain during pregnancy is associated with physiological changes occurring at this time in the woman's body. The growing uterus puts additional stress on the spine and can cause discomfort. For what other reasons does the stomach hurt during pregnancy in the second trimester? The lower abdomen hurts during pregnancy - is it normal? Unpleasant sensations in the abdomen that occur in the 2nd trimester of pregnancy have different severity, often provoke anxiety, however, as a rule, they mean a normal physiological reaction to changes. Pain in the lower abdomen combined with bleeding can indicate a miscarriage, especially before 22 weeks. After this time and until the end of the 37th week of pregnancy, such sensations by the type of spasmodic contractions may indicate the occurrence of premature contractions. In this case, the expectant mother should go to the hospital as soon as possible. Harmless causes of pain during the second trimester Most often, abdominal pain during pregnancy in the second trimester occurs due to a change in the functioning of the woman's body, the growth of the fetus and pressure on the organs surrounding the uterus. Digestion slows down, and the fetus presses on the intestines. In turn, with constipation, abdominal pain is associated with compression of the intestines and rectum. In the 2nd and 3rd trimesters, there may be short-term pain in the abdominal cavity, on both sides of the abdomen, or deep in the groin. This is the result of wear and tear on the ligaments that support the uterus in the pelvic area to support the weight of the growing fetus. Between 20 and 37 weeks of pregnancy, rare and short-term false Brexton-Hicks contractions in the lower abdomen may appear. If they are accompanied by severe pain, you should consult your doctor. This could be a sign of premature birth. Pathological causes of abdominal pain Pain in the upper or lower abdomen is usually associated with dangerous conditions. But it should be borne in mind that during pregnancy, the usual ailments may appear. Unpleasant sensations can also be provoked by pathologies of the abdominal organs, such as: Acute appendicitis or pancreatitis. Severe abdominal pain is most often localized on the right, and, in addition to it, there is a high fever and general malaise. The pain from hour to hour becomes more intense, and in this case, hospitalization is required. Acute pyelonephritis. Cholecystitis, i.e. inflammation of the gallbladder. Stones in the bladder and urinary tract. The pain is very severe, sometimes requiring surgery. In this case, the woman should immediately go to the hospital. Localization of pain may be unusual due to the fact that the growing uterus changes the anatomical position of organs in the abdominal cavity. Other dangerous conditions Serious causes of abdominal pain during pregnancy can be directly related to the course of this condition. These are: Ectopic pregnancy - when a fertilized egg is attached outside the uterus, usually in the fallopian tube. In the first weeks, there is pelvic pain, spotting, soreness or soreness in the abdomen, such as during exercise or coughing. Miscarriage. Abdominal pain radiates to the lower back. It precedes the discharge of blood from the vagina. Premature birth. Premature detachment of the placenta. In addition to abdominal pain, bleeding also occurs. Sharp discomfort in the abdominal cavity during pregnancy may appear in connection with gestosis. This is a complex disease that provokes changes in the blood system.Pain as with menstruation Inflammation of the uterine appendages, that is, the fallopian tubes and ovaries, can be accompanied by intense pain, as with menstruation. They resemble prolonged periods and occur on one or both sides of the abdomen. This type of abdominal pain during pregnancy is influenced by bacteria. During the period of childbearing, when the environment in the vagina changes, it is easier for a woman to "pick up" such microbes. The correct treatment in this case will be suggested by the doctor. Rest and proper diet will be part of this therapy. Why can the stomach hurt in the second trimester At a later stage of pregnancy, after the formation of all organs, their further development occurs. The child grows very quickly and changes every day. The woman may still experience pain in the lower abdomen due to the distension of the uterus. Periodically, there may be severe pain in the lower abdomen and groin. In addition, in the second half of pregnancy, the so-called false contractions of Braxton-Hicks begin to appear, which prepare the expectant mother for childbirth. They are not very painful, although they are palpable. They are sometimes accompanied by back pain and poor health. You should consult a doctor immediately if: you notice blood or brown spots on your underwear; severe pain is felt; pain is accompanied by a hardening of the abdomen. At the end of the 2nd trimester, the baby is still growing rapidly. This simultaneously leads to the fact that the uterus presses with great force on the neighboring organs. In addition, the baby begins to push harder and more painfully, since he has much less space at his disposal than at the beginning of pregnancy. Childbirth shows regular pain and ailments lasting several hours, the frequency and strength of which increases with each contraction. Other characteristic features indicating the beginning of labor are: withdrawal of amniotic fluid (abruptly or slowly); deterioration of health; back pain. What not to do Pregnant women often do not understand what to do and self-medicate. But do not take pain relievers on your own without first consulting your doctor. Also, do not use hot baths or other warming procedures for abdominal pain, because you can thus provoke premature birth. Results Painful sensations in the abdominal cavity during pregnancy often become a cause of concern for expectant mothers. They can arise for various reasons. The causes of unpleasant symptoms can be explained by both pathological factors and physiological changes in the body. Abdominal pain during pregnancy, which is accompanied by Brexton-Hicks contractions, is not intense and can go away when a woman tries to change her body position. If the pain is especially intense, and additional symptoms are added to them, the pregnant woman should immediately notify the attending physician about them.