Round ligament pain is a common experience for many pregnant individuals. This sensation, while often surprising, is a typical part of the body’s adjustments during pregnancy. Understanding this pain can help manage discomfort and provide reassurance. This article clarifies what round ligament pain feels like and why it occurs.
What Are Round Ligaments and Why Do They Hurt?
The round ligaments are two cord-like bands of connective tissue that support the uterus within the pelvis. These ligaments extend from the top sides of the uterus, near where the fallopian tubes attach, down through the groin area to the pubic region. They help hold the uterus in its anteverted (tilted forward) position.
During pregnancy, the uterus expands to accommodate the growing baby. This growth causes the round ligaments to lengthen, thicken, and stretch. When these stretched ligaments are suddenly tightened or moved, such as with quick movements, they can spasm. This rapid contraction or pulling on nerve endings leads to the pain commonly experienced.
The Distinct Sensation of Round Ligament Pain
Round ligament pain is a sharp, stabbing, or pulling sensation. This pain occurs deep within one or both sides of the lower abdomen or groin. While it can be felt on either side, it is frequently reported on the right side. The discomfort may also radiate upward or downward, sometimes extending towards the hips or into the labia.
The pain is usually brief, lasting only seconds, though it can sometimes linger as a dull ache for minutes or even hours. It can feel like a sudden jabbing sensation or a cramp. This sensation is distinct from other types of abdominal pain because of its specific location and how it often comes on suddenly with movement.
Common Activities That Trigger Pain
Everyday movements and actions can trigger the sudden onset of round ligament pain. Activities that cause a quick stretch or tightening of the ligaments are often responsible. These include common actions like standing up rapidly from a seated or lying position.
Sudden increases in abdominal pressure also frequently cause pain. This can happen when coughing, sneezing, or laughing. Rolling over in bed, exercising, or other quick changes in body position can also provoke discomfort.
When to Contact Your Healthcare Provider
While round ligament pain is a normal part of pregnancy, some symptoms warrant medical attention. Contact a healthcare provider if the pain is severe or persistent and does not subside with rest or position changes. Other concerning signs include pain accompanied by fever, chills, or difficulty walking.
Vaginal bleeding, unusual discharge, painful urination, or symptoms resembling contractions also indicate a need for immediate medical evaluation. These symptoms suggest the pain may be due to a more serious underlying condition unrelated to typical round ligament discomfort.
Strategies for Relief
Practical measures can help manage and alleviate round ligament pain. Moving slowly when changing positions, such as getting out of bed or standing up, can help prevent sudden ligament stretching. Before coughing or sneezing, bending and flexing the hips can reduce the intensity of the pain.
Applying a warm compress to the lower abdomen or taking a warm bath can help relax muscles and provide comfort. Wearing a maternity support belt may also offer gentle support to the growing belly, taking pressure off the ligaments. Resting when pain strikes and gentle stretching or prenatal yoga can also contribute to relief.