What is the reason for stomach pain in four and a half months of pregnancy?

Why do I have abdominal pain in four and a half months of pregnancy? It’s my first time pregnant and I don’t quite understand the reasons. It doesn’t matter. As long as you are willing to learn, I can teach you about this. Generally speaking, abdominal pain in mid-pregnancy is normal. Expectant mothers should relax and not be too nervous. Nervousness can also cause uterine contractions and cause abdominal pain. I hope that through the following explanation, everyone can understand.

1. Abdominal pain during mid-pregnancy

Many pregnant women experience persistent pain in the lower abdomen without any cause during the second trimester of pregnancy (20-24 weeks of pregnancy). When they go to the hospital for examination, they do not have any symptoms of late threatened abortion, such as vaginal contractions and vaginal bleeding. This is the round ligament pain that is common in mid-pregnancy. After pregnancy, the uterine muscle wall thickens and expands with the gradual growth of the fetus, placenta and amniotic fluid, and the fundus of the uterus gradually rises and rises into the abdominal cavity. During the 20th to 24th week of pregnancy, the zoster grows fastest, and the round ligament stretches, lengthens, and increases in tension. The zoster wall where the round ligament is attached is pulled, causing pain. In the third trimester of pregnancy, the growth rate of the fundus gradually slows down, the stretching range of the round ligament becomes smaller, and the tension decreases. In addition, the body gradually adapts to the traction of the round ligament attachment point, so round ligament pain is only seen in the second half of pregnancy.

2. Pathological abdominal pain

Pathological abdominal pain If you experience abdominal pain in early pregnancy, especially pain in the lower abdomen, the first thing you should consider is whether it is a pregnancy complication. Common complications include threatened miscarriage and ectopic pregnancy. If a pregnant woman experiences paroxysmal or regular abdominal pain in the first few months of pregnancy, it may indicate threatened miscarriage. Placental abruption often occurs in the late pregnancy, and the expectant mother may have pregnancy-induced hypertension syndrome, chronic hypertension, or abdominal trauma. Tearing pain in the lower abdomen is a typical symptom, often accompanied by vaginal bleeding.

3. Distinguish between physiological abdominal pain and pathological abdominal pain

Physiological abdominal pain is caused by a series of physical changes during pregnancy and is not dangerous. For example, when your belly gradually grows, you may feel a pulling pain in your abdomen when you move. This is caused by the enlarged uterus pressing on the bones. If your baby is four months old, you may feel your stomach getting hard or being knocked sometimes. This is fetal movement. Excessively intense fetal movements can also cause mild abdominal pain, which is physiological pain and is normal. However, if the pregnant mother's abdominal pain is regular and accompanied by vaginal bleeding, then you should worry whether it is a sign of miscarriage. At this time, you need to see a doctor in time.

4. Causes of round ligament pain during mid-pregnancy

The pregnant woman had no history of trauma; the pain was persistent dull pain that did not radiate to the waist or thigh root; during examination, the tenderness point was located in the front and lower part of the two corners of the zanga, equivalent to the upper 1/3 level between the base of the zanga and the pubic symphysis, symmetrical on both sides, with obvious tenderness, more obvious on the left side, limited and fixed in range, about the size of a nickel coin, and could cause the attachment point of the round ligament on the same side when pressed hard. There were no symptoms of late threatened abortion such as zanga contraction and vaginal bleeding. Round ligament pain in mid-pregnancy is an acute process and does not require special treatment. You can rest in bed. If it affects your rest, a small amount of sedatives can be used. After about a week, the pain will gradually subside and disappear. .

5. Precautions during mid-pregnancy

1. Lifestyle habits: In terms of exercise, you can do some light exercise in the morning and evening, such as walking, gymnastics, etc., but you should avoid strenuous exercise and heavy physical labor to avoid adverse effects on the fetus. Maintaining a regular schedule, getting enough sleep and staying energetic is not only beneficial to the development of the fetus, but also helps pregnant women have enough energy to cope with some situations that may arise during pregnancy.

2. Stay away from pets: Expectant mothers should also stay away from pets during the second trimester to avoid toxoplasmosis infection, etc. Otherwise, the fetus may be infected and cause miscarriage, stillbirth, intrauterine growth retardation, and fetal malformations.

3. Regular prenatal check-ups: Prenatal check-ups should also be done on time during the second trimester in order to understand the development of the fetus and the physical condition of the pregnant woman, and to promptly detect possible unexpected situations, such as abnormal fetal position, pregnancy complications, etc., and seek timely treatment to avoid danger.

4. Use a suitable and comfortable bra: After fourteen weeks of pregnancy, the breasts will swell rapidly. In order to easily get through the second trimester of pregnancy, a suitable bra is particularly important during the second trimester of pregnancy. Starting from the fourth month, you should start changing to a bra that is two cup sizes larger than before. You can also use a bra made of underwire to match the size. Sometimes expectant mothers also consider inner beauty, so when choosing, they should also seize the opportunity to try on the clothes to avoid discomfort after buying them.

5. Pay attention to back pain: The belly starts to bulge noticeably, so it will affect your movements and even cause back pain. It may also be due to hormonal changes during pregnancy, which can cause joints to become looser. Therefore, it is best for expectant mothers to wear elastic socks and low-heeled shoes when they are active during the day, and to put a pillow under their knees or use a special pillow to support their belly when they sleep at night. If necessary, it is best to go to a regular hospital and let professional care perform appropriate local hot compresses and massages. You can also do some exercises to strengthen your abdominal muscles.

6. Diet during the second trimester

1. Fresh milk: Milk is rich in essential amino acids, calcium, phosphorus, multiple trace elements, and vitamins A, D and B vitamins. If conditions permit, you can drink 250-500 ml of milk every day. Pregnant women who are not used to drinking milk should be encouraged to start with small amounts and gradually increase their intake.

2. Eggs: Eggs are the best natural food that provides high-quality protein. They are also a rich source of fat-soluble vitamins and folic acid, vitamins B2, B6, B12, and have a high iron content. Eggs are not only simple to cook in a variety of ways, they can be sweet or salty, and they are easy to preserve. If conditions permit, you should eat 1-3 eggs a day.

3. Fish, poultry, livestock meat and offal are all good sources of protein, inorganic salts and various vitamins. Expectant mothers in the second trimester should be provided with 50-150 grams of them in their daily diet. If conditions do not permit, eggs, soybeans and their products can be used instead. Fish and eggs are the best interchangeable foods and can be selected according to the season. Animal liver is an excellent source of essential vitamins A, D, folic acid, B vitamins and iron for pregnant women. It is also a good source of high-quality protein. It should be eaten at least 1-2 times a week, about 100 grams each time.

The above is an explanation of why you have abdominal pain during 4 and a half months of pregnancy. If you are also a mother who is 4 months pregnant and this phenomenon occurs, you must first maintain an optimistic attitude. You must believe that there is no problem with you and avoid tension. You can observe whether the abdominal pain is persistent and see if there is any brown substance after vaginal bleeding. If not, it is probably normal pain. Wait until the next prenatal check-up to ask the doctor the reason.