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Round Ligament Pain: Care Instructions

Location of the round ligament and areas of pain associated with it

Overview

Round ligament pain is a common pain during pregnancy. You may feel a sharp brief pain on one or both sides of your belly. It may go down into your groin. It's usually felt for the first time during the second trimester. This pain is a normal part of pregnancy.

Your uterus is supported by two ligaments that go from the top and sides of the uterus to the bones of the pelvis. These are the round ligaments. As your uterus grows, these ligaments stretch and tighten with your movements. This may be the cause of the pain. You may find that certain activities seem to cause pain. If you can, avoid those activities.

Your doctor or midwife can usually diagnose round ligament pain from your symptoms and an exam. If you have bleeding or other symptoms, your doctor or midwife may also do an imaging test, such as an ultrasound. Your doctor or midwife may suggest some things that can help the pain, such as rest and strengthening exercises.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • If certain movements seem to trigger belly pain, see if you can avoid them or try moving more slowly so the ligaments don't stretch quickly.
  • Stay active. If your doctor or midwife says it's okay, try moderate exercise. You might try things like swimming, walking, or stretching. Ask your doctor or midwife about strengthening and stretching exercises that may help.
  • Try a heating pad or cold pack on the area. A warm bath or shower may also help.
  • Rest when you can.
  • Ask your doctor or midwife about taking acetaminophen for pain. Be safe with medicines. Read and follow all instructions on the label.
  • Try a belly support band. Some people find that these can help.

When should you call for help?

Call your doctor or midwife now or seek immediate medical care if:

  • You think you might be in labour.
  • You have new or worse pain.

Watch closely for changes in your health, and be sure to contact your doctor or midwife if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.