Overview

When you're pregnant, any belly pain can be a worry. You may not want to call your doctor or midwife about every pain you have. But you don't want to miss something that is dangerous for you or your baby.

Even if it feels familiar, belly pain can mean something new when you're pregnant.

It's important to know when to call your doctor or midwife. It will also help to know how to care for yourself at home when your pain is not caused by anything harmful.

• When belly pain is more severe or constant, see a doctor or midwife right away.
• If you're sure your belly pain is a sign of labour, call your doctor or midwife.
• When belly pain is mild and brief and comes and goes, it's usually a normal part of pregnancy. It might be related to changes in the growing uterus. Or it could be the stretching of ligaments called round ligaments. These ligaments help support the uterus. Round ligament pain can be on either side of your belly. It can also be felt in your hips or groin.
• Mild belly discomfort can also be related to digestion. Things like constipation, bloating, and heartburn are common during pregnancy.

How can you tell if belly pain is a sign of labour?

When belly pain is caused by labour, it can feel like mild or menstrual-like cramps in your lower belly. These cramps are probably contractions. They can happen in your second or third trimester.

You may also have:

• A steady, dull ache in your lower back, pelvis, or thighs.
• A feeling of pressure in your pelvis or lower belly.
• Changes in your vaginal discharge or a sudden release of fluid from the vagina.

If you think you are in labour, call your doctor or midwife.

How can you care for yourself at home?

When belly pain is mild and is not a symptom of labour:

• Rest until you feel better.
• Take a warm bath.
• Think about how you move if you are having brief pains from stretching of the round ligaments.
  • Try gentle stretching.
  • Move a little more slowly when turning in bed or getting up from a chair, so those ligaments don't stretch quickly.
  • Lean forward a bit if you think you are going to cough or sneeze.
• If you have digestive discomfort, think about what you drink and eat.
  • Drink enough fluids. Choose water and other clear liquids until you feel better.
  • Try eating small, frequent meals. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.