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Lower abdominal pain in pregnant women

Written By pasindu krisantha on Sunday, February 24, 2013 | 9:40 AM

Lower abdominal pain in pregnant women

What are the common causes for my  abdominal pain

1. Labour pain / Preterm labour pain


How do i identify labour pain 


  • It is on and off pain 
  • Once you feel pain it persist few seconds to min and disappear
  • Start form your back and come to front of your lower abdomen and end up in your groin 
  • Severity of you pain will increase in your consequent pain
  • Your pain commonly Associated with following symptoms
  • Mucus blood stain Vaginal discharge (show)
  • watarry vaginal discharge ( Dribbling )
  • If you have above features most probably you in labour. if you are in before 37 weeks of pregnancy you are in preterm labour , if you are in after 37 weeks of pregnancy you are in trem labour
2. Pain due to urinary tract infection

How do i identify urinary tract infection

You will have


  • Constant pain in lower abdomen not like pain it persisting pain
  • And it is associated with
  • Burning type pain during urination ( Dysuria )
  • Increased urination frequency
  • Decrease amount of urine pass during at one time
  • Some time you will red colour urine


3.  Uterine rupture

How do I identify uterine rupture 

  • If you haven't undergone any previous surgery involving you uterus This is unlikely . But it is possible
  • You will feel sever unbearable pain 
  • It constant pain not like on and off pain
  • This associated with bleeding in to you abdomen therefore you will have clinical features due to severe blood loss 
  • . dizziness 
  • . faintness 
  • . And you will collapse 
  • And you will have bleeding from vagina and urethra 



5. Placental abruption ( separation of placenta from uterus )

How do I identify Placental abruption 


  • You will have constant pain 
  • It may be associated with bleeding from vagina
  • And you will have symptoms due to bleeding as in uterine rupture


6. Preeclampsia

How do I identify Preeclampsia


  • If you don't have increased blood pressure this is unlikely ,  Preeclampsia occurs due to increased blood presser
  • You will feel pain usually in upper abdomen rather than lower abdomen 
  • and associated with 
  • Headache 
  • Visual disturbances 
  • Fits 



4. Other causes due to non - gynecological causes like 

  • like appendicitis
  •  bowel obstrucion

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