Reasons for abdominal pain in pregnant women during the fifth month

Pregnant women experience abdominal pain at 5 months of pregnancy, which makes them particularly worried, fearing that there is a problem with the baby in their body. Therefore, for the health of their babies and their own health, many pregnant women who experience abdominal pain at 5 months of pregnancy want to fully understand the reasons. The following is a specific answer, you can learn about it together.

1. Physiological abdominal pain

① Around 4 months of pregnancy, the uterus enlarges and the round ligament of the uterus is stretched, and many expectant mothers will feel some abdominal pain. This type of pain is mostly located on one or both sides of the uterus in the lower abdomen, and is referred pain, dull pain or lack thereof. The pain becomes more obvious when walking a long distance or changing body position. Expectant mothers don’t need to worry, the symptoms can be relieved by resting in bed more.

② Exerting too much force during sexual intercourse in the second trimester can also cause abdominal pain in pregnant women.

2. Pathological abdominal pain

In the second half of pregnancy, the baby gradually grows and the pressure in the expectant mother's abdominal cavity also increases. If the expectant mother's esophageal hiatus (the hole through which the esophagus descends to connect to the stomach) widens, "esophageal hiatal hernia" may occur, causing abdominal pain. At this time, abdominal pain is often accompanied by symptoms such as chest tightness, shortness of breath, chest pain, acid reflux, and hiccups. The incidence of hiatal hernia during pregnancy is about 30-50%, and the symptoms are sometimes more obvious in the late pregnancy. Therefore, expectant mothers are advised to: eat small and frequent meals, eat less sweet, spicy, or sticky food; do not lie flat on the bed or lie too low after meals, and try to bend over as little as possible to reduce acid reflux; keep bowel movements open. If you find symptoms of gastric reflux, try to raise your upper body about 20 degrees.

2. Pathological abdominal pain

① Placental abruption: It often occurs in the late pregnancy. 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. The degree of abdominal pain is affected by a combination of factors such as the size of the abruption area, the amount of blood, the internal pressure of the uterus, and whether the uterine muscle layer is damaged. In severe cases, the abdominal pain is unbearable, the abdomen becomes hard, the fetal movement disappears, and even shock may occur. Therefore, in the late stages of pregnancy, expectant mothers with high blood pressure or abdominal trauma should go to the hospital in time to prevent accidents.

②If the expectant mother suddenly feels persistent severe pain in the lower abdomen, it may be premature birth or threatened uterine rupture. You should go to the hospital for treatment in time and do not delay.

I have abdominal pain at 5 months of pregnancy. The reasons are introduced in detail above. Therefore, for many women who encounter this situation, you can fully understand the reasons for this situation. After fully understanding the reasons, do not wait, but go to a large hospital and have a diagnosis by an experienced doctor so that you can recover as soon as possible through diagnosis and treatment.