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Foetal movement and ligament pain

by Peg Plumbo

question
I'm about 30 weeks pregnant and so far everything seems to have been going well except I have this pain in my lower abdomen. I don't have it every day but it can last for a few days at a time. I thought it was just because I'm carrying the baby low, and sometimes the baby feels like it’s right on my bladder. I'm fine after I have been up for a while, but when I first get up I have pain right where the lower part of the uterus is. It also starts to hurt after I have been walking for a while or if I have been on my feet for a long time. I know it's not really good to be on your feet all day, but I do try and walk at least two miles a day. Should I not walk that much? Could there be something wrong? At first I didn't really feel that it was not normal but one of my friends told me to ask you just in case.

I also have a question about baby movement. As I begin to feel the baby move more and more everyday, I notice that some days the baby is more active than others. Some days I can feel the baby move from the time I get up until the time I fall asleep. Some days I can hardly feel anything except a couple of flutters here and there. Is that normal?

Thank You.
Karen

answer

Dear Karen,

This sounds very uncomfortable but it also sounds very normal. Imagine the uterus at its non-pregnant size and weight being suspended by thick bands of ligaments. Now imagine the uterus at its weight and size now at 30 weeks. Those same ligaments that were once thick bands are now very long and stretched thinly, supporting much more weight. What you are experiencing is probably round ligament pain.

Of course, there are other things such as ovarian masses or twisting (torsion), or compressed loops of the bowel that could be causing this. Even appendicitis can cause pain that can be misdiagnosed as round ligament pain. You should tell your doctor about the pain and let him or her make an assessment. In the mean time, a warm hot-water bottle or localised heat to the area is comforting.

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