Round Ligament Pain in Pregnancy
The short answer
Round ligament pain is a sharp or jabbing sensation in the lower belly or groin area caused by the stretching of the ligaments that support the uterus. It is one of the most common discomforts of pregnancy, especially during the second trimester, and is not harmful to you or your baby.
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By Age
What to expect by age
Round ligament pain is uncommon in the first trimester since the uterus is still small. Any sharp lower abdominal pain in early pregnancy should be mentioned to your provider to rule out ectopic pregnancy or other concerns.
This is the peak time for round ligament pain. As your uterus grows rapidly, the round ligaments stretch and thicken, which can cause brief, sharp pains on one or both sides of your lower belly or groin. Pain is often triggered by sudden movements like standing up quickly, coughing, sneezing, laughing, or rolling over in bed. The pain typically lasts only seconds to a few minutes.
Round ligament pain may continue or return in the third trimester as the uterus reaches its largest size. Supporting your belly when changing positions and moving slowly can help. If pain becomes persistent, is accompanied by contractions, or is severe, contact your provider to rule out other causes such as preterm labor.
What Should You Do?
When to take action
- Brief, sharp pain on one or both sides of the lower belly that lasts seconds to minutes
- Pain is triggered by sudden movement, coughing, sneezing, or changing positions
- Pain resolves quickly with rest or position change
- No bleeding, fever, or other symptoms accompany the pain
- Pain is persistent and does not resolve with rest or position changes
- You experience frequent episodes that affect your daily activities
- You are unsure whether the pain is round ligament pain or something else
- Severe abdominal pain that does not go away, especially if accompanied by bleeding, fever, chills, or pain with urination
- Pain is accompanied by regular tightening or contractions, especially before 37 weeks
Sources
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Trust your instincts. If something feels wrong, reach out to your pediatrician.
Worrying about your baby means you care. That is a good thing.
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