Stomach pain in pregnancy

Some stomach pain and very light cramps in the abdomen/stomach area in early pregnancy is not unusual.

Are cramps in pregnancy normal?

Light stomach pain at the start of pregnancy is usually caused by your expanding womb and hormones. It can sometimes feel like a ‘stitch’. You may also feel light period-like discomfort or cramps at the beginning and end of pregnancy. These are nothing to worry about.

When should I report stomach pain in pregnancy?

If you are having persistent abdominal/stomach pain or cramping, it should be checked by a doctor or midwife immediately.

What causes stomach pain and cramps in pregnancy?

As we have already explained most stomach pain and cramps in pregnancy are nothing to worry about, but there are some signs and symptoms that you should look out for as they could be a sign that the pain is a sign of something is more serious.

  • severe lower one-sided abdominal pain in early pregnancy (between week 5 and 10) with bleeding or a brown discharge could be the sign of an ectopic pregnancy. The pain is sometimes felt in the shoulder. Contact your midwife, doctor or hospital A&E immediately.
  • severe cramps in your lower stomach/abdomen with bleeding that lasts for several hours could be a sign of a miscarriage. Contact your midwife, doctor or hospital.
  • regular painful contractions/cramps before 37 weeks could be a sign of premature labour, particularly if accompanied by backache, pelvic pressure and vaginal discharge. Contact your midwife, doctor or hospital.
  • severe constant pain in your lower abdomen/stomach, tenderness when you press your stomach and back pain with or without bleeding could be a sign of placental abruption. Contact your midwife, doctor or hospital immediately.
  • from 20 weeks, pain in the upper abdomen/stomach with other symptoms such as a very bad headache, nausea, vomiting, flashing lights or seeing spots in front of your eyes could be signs of pre-eclampsia. Contact your midwife, doctor or hospital.

If you have lower abdominal pain or dull back pain that comes with one or more of the following, contact your doctor or midwife as soon as possible:

    • pain or discomfort when urinating
    • pelvic discomfort
    • need to urinate frequently (although this on its own is common in a normal pregnancy)
    • a raised temperature
    • cloudy, foul-smelling or bloody urine
    • nausea and vomiting

These are symptoms of an infection of the urinary tract. It is not an emergency but should be treated as soon as possible.

What other kind of stomach pain should I expect?

Towards the end of pregnancy, the following are common:

  • ‘Braxton Hicks’ contractions are a sign that the muscles of your womb are tightening. This can happen from as early as 16 weeks, but are more common in later pregnancy. They are infrequent (more than 10 minutes apart) and short-lasting, and uncomfortable more than painful. You do not need to contact your maternity unit or midwife unless contractions become painful and regular (less than 10 minutes apart).
  • Contractions/cramps after 37-40 weeks could be the sign of the early stages of labour. This is called latent phase of labour.

Read more

Sources

  1. Macdonald S, Magill-Cuerden J, Mayes midwifery, thirteenth edition, Edinburgh Balliere Tindall, 2012

  2. Royal College of Obstetricians and Gynaecologists, Ectopic pregnancy – information for you, London RCOG, 2010

  3. National Institute for Health and Care Excellence, Ectopic pregnancy and miscarriage, clinical guideline 154, London NICE, 2012

  4. National Institute for Health and Care Excellence, Hypertension in pregnancy, clinical guideline 107, London NICE, 2011

     

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Last reviewed on April 1st, 2014. Next review date April 1st, 2017.

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Comments

  • By Anonymous (not verified) on 27 Jul 2017 - 09:11

    Im 4weeks pregnant n i hv sum stomach crams n i feel sum pains when im urinating n also urine sum bloody urine n also feel nausea n vomiting so what does it mean?

  • By Midwife @Tommys on 27 Jul 2017 - 13:15

    Hello, thank you for your comment. Mild cramping can be normal in early pregnancy as all the ligaments are stretching, however, as you are having pain when urinating and you have blood in your urine then this could be signs of a urine infection. It is advisable that you see your GP who can test your urine and prescribe you antibiotics if this is needed. It is important that you drink plenty of water, this can help with the pain when you pass urine but please contact you GP as soon as you can. If these pains increase or you have any vaginal bleeding then you need to seek urgent medical advice. Hope this helps, Tommy's Midwives x

  • By Anonymous (not verified) on 26 Jul 2017 - 02:14

    My daughter is 11weeks pregnant just woke with diahrroa feeling faint and very hot and feeling sick is this a bug ?

  • By Midwife @Tommys on 26 Jul 2017 - 09:06

    Hi Mrs Noble. It doesn't sound like anything to worry about - yes it probably is a bug. Make sure that for the next 48 hours, she drinks plenty of water, eats when she feels able to and monitors her temperature. If it goes above 37.4, she can have x2 tablets, or 1g of paracetamol orally to reduce her temperature. A cool shower or cool flannel will also help to cool her down. It is likely that the bug will flush out of her system in 1-3 days.

  • By Anonymous (not verified) on 14 Jul 2017 - 06:12

    I m six weeks pregnant n i have a stomach pain and vomiting plz tell me wht ti do...

  • By Midwife @Tommys on 17 Jul 2017 - 14:05

    Hi, Please, if your stomach cramps are severe, seek medical advice from your GP or from the early pregnancy unit at your local hospital. Mild pains at 6 weeks are quite common and usually settle down but if it is severe you should be checked out. Best wishes

  • By Anonymous (not verified) on 24 Jun 2017 - 11:15

    Hi, I just recently took a test and got a very faint positive result. I've been booked in to see my midwife 6th July. The question I have is if it's normal to still feel like my period is going to come? The cramps I'm having aren't all that painful or anything, I just keep thinking my period is coming even though it's five days late with a positive test, however faint. It sounds ridiculous but I keep thinking it's a false positive and I've just tricked my body into a very late period.

  • By Anonymous (not verified) on 28 Jun 2017 - 14:39

    Hi, I also felt the cramps and gas that i usually feel when am about to have my period, but it never came. I took the test the day i was supposed to have my period and i got a positive. For almost the whole of 1st month of my pregnancy i had the same feeling but now its completely normal. I actually asked my sister then and she told me its normal, so i guess there is nothing to worry about

  • By Midwife @Tommys on 29 Jun 2017 - 14:37

    Hi, experiencing cramping in early pregnancy can be very normal as all the ligaments are stretching and the uterus is growing. It is reassuring that this has settled down and that you have no pain at all. If you have any more abdominal pain or bleeding then we would advice that you seek medical advice. We wish you the very best in your pregnancy. Tommy's Midwives x

  • By Anonymous (not verified) on 22 Jun 2017 - 04:33

    i miss my period 1 week, but i hv sharp stomach pain tis one week..i not sure im pregnant or not.. i never have like tis pain b4

  • By Midwife @Tommys on 22 Jun 2017 - 11:32

    Hi, if you have missed your period then you should do a pregnancy test to see if you are actually pregnant. If you are pregnant then it is advisable that you see a doctor as any severe abdominal pain in pregnancy needs to be assessed. If you aren't pregnant, then again if this pain is severe then you need to be seen by a doctor. Stomach pains can be caused by a number of things like constipation, trapped wind or a stomach bug that can cause loose stools and/or vomiting. If you are unsure of what to do and you are still in pain then please go and see your GP as they will be able to treat you if needed. Take Care Tommy's Midwives x

  • By Anonymous (not verified) on 4 Jul 2017 - 14:58

    stomach pain is too high each and every night

  • By Midwife @Tommys on 5 Jul 2017 - 11:43

    Thank you for your comment
    If you are having regular or severe stomach pains, it is important to contact your maternity unit for urgent advice-they make ask you to come to the unit for assessment and tests to find out the cause of the pain and give treatment. I have attached a link with more information about stomach pain in pregnancy-
    https://www.tommys.org/pregnancy-information/symptom-checker/i-have-pain-my-stomach-area
    Please contact us again for more advice or call our PregnancyLine on 0800 0147 800 Monday-Friday 9am-5pm
    I hope this helps
    Take care
    Tommy's Midwife

  • By Anonymous (not verified) on 11 Jun 2017 - 08:17

    Um 5weeks pregnant nd I can't sleep feeling pains in my stomach nd when I go to bathroom I c some spotting of blood nd 2moro I have an appointment with my doctor so um so stressed as last yr I had miscarriage so I can't really loose dis one 2, I really need dis baby plz help wat should I do to stop bleeding nd dis cramps.... #Cindy

  • By Midwife @Tommys on 12 Jun 2017 - 09:57

    Hi Cindy
    At 5 weeks pregnant there can be many reasons for spotting/bleeding. Many women who do have bleeding at this stage go on to have normal pregnancies and a healthy outcome and the spotting is linked to implantation. However, I would suggest that you arrange to see your GP or midwife who may refer you to an Early pregnancy unit (EPU) for assessment and blood tests. You can read about the many reasons for bleeding before 12 weeks on this link https://www.tommys.org/pregnancy-information/symptom-checker/i-am-bleeding-pregnancy . I hope this helps and good luck x

  • By Anonymous (not verified) on 17 Jun 2017 - 00:58

    I understand your worry. Try your best to stay relaxed for you and your baby. Every pregnancy is different and some bleeding is common. With any symptom you're curious about, stay in contact with your OB. Keep moving forward with your best prenatal care and take it easy on your body as it may be a little sensitive considering your history. Hopefully your job isn't taking a large toll on you, but nonetheless always remember that your body is designed to keep the baby healthy even when you don't feel like you are. Stay strong and positive. I hope your appointment went well.

  • By Anonymous (not verified) on 27 May 2017 - 23:19

    Hi, I'm 13 weeks with #3 and I've been having pain in my lower rib cage and down to my abdomen. My GP checked everything as I was in pretty intense pain and baby is healthy and active and cervix length is great so no signs of preterm labor that would be the cause of my pain. I thought it might be indigestion but the pain isn't in my chest/throats like the symptoms are supposed to be. Also, my back muscles keep getting tighter and tighter. Any suggestions? The pain has been intense enough to keep me from sleeping and I'd really like it to stop. Thank you!

  • By Midwife @Tommys on 31 May 2017 - 09:25

    Hi Lindsay.
    I am really sorry to hear that you have been suffering with this pain. Any abdominal pain, at any gestation of pregnancy should be urgently reviewed. It would be a good idea if you have not already done so, to be seen in your local early pregnancy assessment unit- your GP can refer you or you can call them to find out if you can self refer too.
    If the pain is very severe,then i would urge you to go to a&e as a matter of urgency. please take good care of yourself.

  • By Anonymous (not verified) on 16 May 2017 - 18:15

    Hi.. I am 5 weeks and 6 days. And experiencing upper abdominal pain. It's not constant and feels like a bad period pain.
    I had a miscarriage a year ago and am a little concerned. Gp says it's normal pain. The pain is right in the middle of my rib cage if that makes sense.

  • By Midwife @Tommys on 17 May 2017 - 09:12

    Hi Renee.
    Any abdominal pain should be investigated during pregnancy, although upper abdominal pain with a 5+6 week pregnancy doesn't sound pregnancy related. If the pain continues and you cannot get another GP appointment, then you could go to your a&e minors walk in centre to be checked over there. I wonder if you are experiencing early reflux or a gastrointestinal problem being that the pain is around your rib cage.
    Please take good care of yourself

  • By Anonymous (not verified) on 15 May 2017 - 12:23

    Hi iam three weeks pregnent and ever since i took a pregnency test three weeks ago iam feeling abnomal pain almost every night accompanied by stomach acidic pain like..iam scared..should i be wooried???

  • By Midwife @Tommys on 17 May 2017 - 09:16

    Hi there.
    Abdominal pain, at any gestation of pregnancy should be reviewed. It is possible that you are experiencing implantation bleed pain which can occur at 2-3 weeks gestation. But if you are concerned that this is ongoing, then please make an urgent GP appointment. They will then assess you and decide if you might need to be referred to your local early pregnancy assessment unit.
    Please take good care of yourself

  • By Anonymous (not verified) on 10 May 2017 - 21:30

    I am 7weeks pregnancy with severe abdominal pains not sure if this is normal , the GP said there is nothing to worry about since am not bleeding but the pains is becoming unbearable please what can I do .

  • By Midwife @Tommys on 11 May 2017 - 10:42

    Hi, cramping in early pregnancy can be very normal and can be all the ligaments stretching as the pregnancy grows. However, if the pains that you are experiencing are severe then it would be advisable that you are seen, either by the GP or if you feel this pain is getting worse and need to be seen urgently or if you have any bleeding then you can go to your local A and E department. It sounds like if they are unbearable pains then you need to seek medical advice as soon as possible. Take care x

  • By Anonymous (not verified) on 10 May 2017 - 21:23

    Hi, I am 7 weeks pregnant with my 3rd and I have been experiencing severe abdominal pains which makes me visit the toilet often. I never experience this on my previous pregnncy and am very scared, spoke with my GP about it and she said there is nothing to worry about since there is no bleeding but the pains is becoming worst everyday what can I do please help.

  • By Midwife @Tommys on 11 May 2017 - 10:21

    Hi, we hope that you are feeling a little better. Even though abdominal cramping can be normal in early pregnancy, we do advice that if this does become worse then you should seek medical advice. It could be that you may have a bit of a stomach bug if your are going to the toilet often but just to be safe I would still go and see your GP again if this pain is still getting worse or you have any bleeding. I hope this has helped, take care x

  • By Midwife @Tommys on 9 May 2017 - 16:15

    Hi,
    without a little more detail I am not sure whether this is something to be concerned about or not.

    Pregnancy discharge can increase but as long as it not offensive smelling, green, bloody or itchy it is probably normal for pregnancy.

    You mention stomach pain. In early pregnancy your uterus is growing and women do experience mild aches and pains. Sharp twinges and pulling or pinching sensations when you move are most likely to be ligament pain (in the pelvic or groin area and either side of belly button). Hormonal changes in pregnancy cause the ligaments which support your organs and growing uterus to soften and stretch - this allows your womb to grow and other organs to move - but can cause aches and sharp twinges. Usually change of position, rest and a warm bath or applying a heat pad will help to ease this discomfort. Paracetamol is also safe to take in pregnancy to ease pain (no more than 8 tablets in 24 hours). The discomfort should only be mild and occasional. Some women also experience mild cramping pains in pregnancy - this is due to increased congestion of blood in the pelvic region and the release of hormones called prostaglandins - which usually cause period pain during menstruation. Again this pain should only be mild and occasional - and improve with rest and heat. However, if you feel the pain is severe for you, or you have strong regular pain, burning when you pass urine or bleeding you need to see your GP or be referred to your nearest Early Pregnancy Assessment Unit.
    I hope this helps
    Anna - Tommy's Midwife

  • By Anonymous (not verified) on 8 May 2017 - 21:08

    I am 14 weeks pregnant and feeling dis d discharge started dis morning

  • By Anonymous (not verified) on 23 Apr 2017 - 06:18

    hi there I'm also feeling sharp pains everyday.and they are very painful. still in the early weeks BT its hard even if I bend.what should I do

  • By Midwife @Tommys on 24 Apr 2017 - 09:58

    Hi - congratulations on your pregnancy!
    Some sharp intermittent pain is not uncommon in early pregnancy - the pains maybe caused by ligaments stretching to accommodate your pregnancy. however if the pain is ongoing and painful, as well as causing you discomfort please visit your GP who can advise and refer if necessary.
    Best of luck

  • By Anonymous (not verified) on 18 Apr 2017 - 13:37

    Hi I don't know how many weeks pregnant I am cause I used I did a strip test,I'm scared and I have been having this sharp pain on either sides of my tummy and sharp back pain.please help me

  • By Midwife @Tommys on 18 Apr 2017 - 14:16

    Congratulations on your pregnancy. I'm assuming you are still in the early stages of pregnancy - it isn't uncommon to experience some mild period like pain or occasional sharp pain where the ligaments are stretching to accommodate your pregnancy. However it is best to have any abdominal pain checked out by your doctor or midwife who can assess and advise on early pregnancy care too.
    If you are worried please contact your GP for a check up.

  • By Anonymous (not verified) on 4 Apr 2017 - 09:35

    Hi, I'm 15 weeks gone n I'm having a lower abdominal swelling close to my pubic hair. In the first trimester, I had a troubled stomach ( I mean pain all over my stomach due to heat cos I've been having stomach heat since childhood) and after going for scan/checkup nothing was found wrong with me now that it has subsided, this early morning swelling of the lower abdomen; at times, it's a bit painful when I touch it but mostly I'm just uncomfortable with it. Pls help out. Thanks

  • By Midwife @Tommys on 4 Apr 2017 - 12:12

    Hi-Thank you for your comment.
    It's difficult to say what could be causing the swelling, pain and discomfort that you describe. It could be that as the baby grows the pregnancy is starting to show. However given that you are also experiencing some pain and have had stomach problems earlier in the pregnancy, I would advise you to seek further advice and assessment from your GP if the pain is mild. If it becomes more severe, or there are other symptoms such as bleeding or fever for example, then to contact your Early pregnancy unit or A&E urgently.
    I have attached links to more information about stomach pain in pregnancy
    https://www.tommys.org/pregnancy-information/symptom-checker/i-have-pain-my-stomach-area
    http://www.nhs.uk/conditions/pregnancy-and-baby/pages/common-pregnancy-problems.aspx
    Hope this helps
    Please contact us on Tommy's PregnancyLine 0800 01470 800
    for further advice
    Take care

  • By Anonymous (not verified) on 2 Apr 2017 - 03:42

    Hi
    Am just 3 weeks pregnant but I have been having pains in the stomach every night .

  • By Midwife @Tommys on 3 Apr 2017 - 09:52

    Hi Angel. Abdominal pain, at any gestation of pregnancy needs to be investigated urgently. It might be a sensible idea to go to your local early pregnancy assessment to be reviewed. They may offer you blood tests as well as a scan to look at how and where the pregnancy is growing. Please go to your GP, walk in centre or a&e minors if the pains are unbearable for urgent treatment. Please take good care of yourself!

  • By Anonymous (not verified) on 24 Mar 2017 - 15:30

    So here it goes, whenever I take up my prenatal vitamins I always feel stomach pain and it really bothers me. Is this normal? What could be the reason for this? Though my ob says my baby is healthy, that my baby is development is fine but still this is a bit worrisome for me as first time mom and im so dissapointed since I cant get good answers from my ob whenever I raise this topic. Please help me

  • By Midwife @Tommys on 24 Mar 2017 - 15:38

    Hi Beaarceo.
    So, we are based in the U.K, so I can only give advice that we would suggest over here. It should still be applicable to you though in the United States.
    Any abdominal pain, at any gestation of pregnancy should be investigated by your obstetric doctor or midwife at your local hospital triage/day assessment unit urgently. It may be that your stomach pains happen to coincide with you taking your pregnancy vitamins as it unlikely that these are causing the pain. But abdominal pain should not be ignored, especially if they are constant. It could be ligament stretching depending on the gestation of your pregnancy when you have growth spurt, but it is difficult to know this for sure without being reviewed first.
    Please take care of yourself!

  • By Anonymous (not verified) on 19 Mar 2017 - 10:57

    Hiya,

    Am currently pregnant with my 3rd child. My second pregnancy didn't end well as I miscarried at 22 weeks I am petrified I am going to go through that again and I have been feeling a burning sensation pains on either side (normally how I would feel if my period was to start) I am also experiencing a pain at the top of my stomach (by the rib cage) and it feels quite tender do I need to be worried? I am still trying to choose my midwife and I have my official dating scan next week.

  • By Midwife @Tommys on 20 Mar 2017 - 09:59

    Hi Nelle
    I am sorry to hear that you are not feeling very well at the moment and to hear about the loss of your baby at 22 weeks in your last pregnancy. It would certainly be sensible to make an emergency appointment at your GP for today. Any abdominal pain, at any gestation of pregnancy needs to be reviewed as soon as possible.It sounds like your GP will then need to refer you the your local early pregnancy assessment unit for early scan and bloods. Please take good care of yourself .

  • By Anonymous (not verified) on 17 Mar 2017 - 23:10

    Hi am a 33 week pregnent mother and am suffering from stomach ache I consult my doctor and he gave a kind of medicine to insert through veginal but after placing it I feel much pained so my be know the reason for it?

  • By Midwife @Tommys on 20 Mar 2017 - 09:23

    Hi Waznah. I would strongly recommend that you take yourself into hospital as soon as possible. Any abdominal pain, at any gestation of pregnancy needs to be reviewed by an obstetric doctor and midwife.
    It is unclear what the pessary's are for, but you certainly need to be reviewed soon in regards to the adbo pain at 33 weeks gestation.

  • By Anonymous (not verified) on 13 Mar 2017 - 09:12

    Hi,
    I am 33 & had a miscarriage around 2yrs back. from 6 months we are planning for a baby. but it don't happen. so we both had medical checkup. Everything is fine. But i am not getting pregnant. So now in this month i have not got my period. But i am getting stomach pain like usually it will get in my periods. Is this is a sign of pregnant or any problem is there?
    Please help me on this.

  • By Midwife @Tommys on 13 Mar 2017 - 10:55

    Hi. Sorry to hear that you had a miscarriage two years ago. Unfortunately it isn't possible to know whether this is a sign of pregnancy. Are you able to get a pregnancy test to see if you are pregnant? Or if you have been trying to conceive for a while it would be a good idea to see your Doctor for advice at this stage. Best wishes

  • By Anonymous (not verified) on 14 Mar 2017 - 13:19

    Yes,it could be because you are pregnant.I felt period like pains in the first few days.Good luck to you

  • By Anonymous (not verified) on 10 Mar 2017 - 10:09

    This is my 2nd time preg. I had a misscarriage at 19. I'm now 26. N just found out I'm expecting. I'm so nervous n scared. Im happily married. But I have no one to talk to about y I'm nervous n scared. No one understands... Some1 plz help me

  • By Midwife @Tommys on 10 Mar 2017 - 12:21

    Hi,
    I am sorry to hear how anxious and scared you are, pregnancy can bring up feelings like this especially after having a miscarriage before. It is really positive that you are reaching out for support and realising how you are feeling. If you do not feel that you can talk to your husband then you can thinking about speaking with your GP about how you are feeling or with the midwife when you are booked with one? They can support you through your pregnancy journey. Please know that we are here also for you, a team of midwives are available Monday to Friday 9-5pm to support you and talk with you about how you are feeling, you can either email us midwife@tommys.org or call 0800 0147 800. There is help and support out there, please do not feel alone through this time. Take care, Tommy's midwives.

  • By Anonymous (not verified) on 25 Feb 2017 - 09:15

    I have started yoga frm yesterday ...today I feel painning so please I need advise ......that yoga should be done or notdone ...

  • By Midwife @Tommys on 27 Feb 2017 - 10:13

    Hi Sunita
    Yoga (pregnancy yoga specifically) is perfectly safe to undertake in pregnancy if you have a low risk pregnancy. Please do check with your GP and/or midwife to ensure that you are well and suited to yoga in pregnancy.
    Abdominal pain at any gestation of pregnancy needs to be investigated as soon as possible at your local triage or labour ward if you are over 18 weeks gestation, or your GP/ early pregnancy assessment if you are less than 18 weeks gestation.
    Please take good care of yourself.

  • By Anonymous (not verified) on 7 Mar 2017 - 20:02

    I want to know if I feel stomach pains during period

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