Abdominal pain during pregnancy is not unusual, but it can be scary. The pain may be sharp and stabbing, or dull and achy. It can be challenging to determine if your pain is serious or mild. It’s important to know what is normal and when a call to the doctor is in order.

Pregnancy Gas Pain

Gas can cause excruciating abdominal pain. It may stay in one area or travel throughout your belly, back, and chest. According to the American Pregnancy Association, women experience more gas during pregnancy due to increased progesterone. Progesterone causes intestinal muscles to relax and extends the time it takes food to get through the intestines by up to 30 percent. Food remains in the colon longer, which allows more gas to develop. As your pregnancy progresses, your enlarging uterus puts extra pressure on your organs, which can slow digestion further and allow gas to build up.

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Treating Gas Pain

If abdominal pain is caused by gas, it should respond to lifestyle changes. Try eating several small meals throughout the day and drink lots of water. Exercise may also help aid digestion. Identify foods that trigger gas, and avoid them. Fried and greasy foods, as well as beans and cabbage, are common culprits. Also avoid all carbonated beverages.

Benign Abdominal Pain During Pregnancy

Many women write off abdominal pain during pregnancy as gas, but there are other benign reasons for pain to occur.

Round Ligament Pain

There are two large round ligaments that run from the uterus through the groin. These ligaments support the uterus. As the uterus stretches to accommodate your growing baby, so do the ligaments. This may cause sharp or dull pain in the abdomen, hips, or groin. Shifting your position, sneezing, or coughing can trigger round ligament pain.

To reduce or eliminate round ligament pain, practice getting up slowly if you are sitting or lying down. If you feel a sneeze or cough coming on, bend and flex your hips. This can help to reduce the pressure on the ligaments. Daily stretching is also an effective method for reducing round ligament pain.


Constipation is a common complaint among pregnant women. Fluctuating hormones, diet that is short on fluids or fiber, lack of exercise, iron pills, or general anxiety can all lead to constipation. Constipation may cause severe pain, often described as cramping or sharp and stabbing.

Try increasing the amount of fiber in your diet. Increasing fluids may also help. Pregnant women should drink at least eight to 10 glasses of water each day. Talk to your doctor before taking a stool softener, as some are not recommended during pregnancy.

Braxton-Hicks Contractions

These “practice” or “false” contractions occur when the uterine muscles contract for up to two minutes. The contractions are not labor and are irregular and unpredictable. They may cause pain and uncomfortable pressure, but they are a normal part of pregnancy.

Braxton-Hicks contractions often occur in the third trimester of pregnancy. Unlike labor contractions, these contractions do not get progressively worse or more frequent over time.

HELLP Syndrome

Hemolysis elevated liver enzymes low platelets syndrome (HELLP) is a life-threatening complication of pregnancy. It’s unclear what causes HELLP, but some women develop the condition before a preeclampsia diagnosis. Of the 5 to 8 percent of women in the United States who develop preeclampsia, it is estimated that 15 percent will develop HELLP. Women without preeclampsia may also acquire this syndrome. HELLP is more common in first-time pregnancies.

Right upper quadrant abdominal pain is a symptom of HELLP. Other symptoms include:

  • headache
  • fatigue and malaise
  • nausea and vomiting
  • blurry vision
  • high blood pressure
  • edema (swelling)
  • bleeding

If you have abdominal pain accompanied by any of these additional HELLP symptoms, seek medical advice right away. Dangerous complications or even death can result if HELLP is not treated immediately.

Other Reasons for Concern

Abdominal pain during pregnancy may also be a sign of other, more serious conditions, including miscarriage, ectopic pregnancy, placental abruption, or preeclampsia. These conditions require immediate medical attention.

Conditions not directly related to pregnancy may also cause abdominal pain. These include:

  • kidney stones
  • urinary tract infections
  • gallstones, pancreatitis
  • appendicitis
  • bowel obstruction
  • food allergies or sensitivities
  • peptic ulcer disease
  • a stomach virus

Call your doctor immediately if your pain is accompanied by any of the following:

  • fever or chills
  • vaginal bleeding or spotting
  • vaginal discharge
  • nausea or vomiting
  • lightheadedness
  • pain or burning during or after urination

When considering if abdominal pain is gas or something more serious, keep all of this information in mind. Though at times severe, gas pain usually resolves itself within a short period of time. It’s often relieved when you burp or pass gas. You may be able to connect an episode to something you ate or a period of stress. Gas is not accompanied by fever, vomiting, bleeding, or other serious symptoms. Whenever in doubt, call your doctor. It’s always better to err on the side of caution.