Round ligament pain is a common discomfort during pregnancy, generally considered a normal and harmless symptom. It arises from the stretching and thickening of structures that support the growing uterus.
Understanding Round Ligament Pain
The round ligaments are two cord-like bands of connective tissue on either side of the uterus. They extend from the uterus, through the groin, and connect to the pelvic bones. Their primary function is to help hold the uterus in its proper position.
As the uterus expands during pregnancy, its increased size and weight place tension on the round ligaments, causing them to stretch and thicken. This stretching leads to pain, especially during sudden movements. Pregnancy hormones also make the ligaments looser and more elastic, increasing their susceptibility to discomfort.
Symptoms and Common Triggers
Round ligament pain is often a sudden, sharp, or stabbing sensation, but can also be a dull ache. It is commonly felt in the lower abdomen, usually on one side (often the right), but sometimes on both. The discomfort may extend into the groin area.
The pain usually begins in the second trimester (after 12 weeks) and can continue until delivery. Common triggers include sudden movements like standing up quickly, rolling over in bed, or physical exertion. Increases in abdominal pressure from actions such as coughing, sneezing, or laughing can also exacerbate the discomfort.
Managing Discomfort
Several practical strategies can help alleviate round ligament pain during pregnancy. Changing positions slowly can prevent sudden stretching of the ligaments, which often triggers pain. Leaning forward and supporting the lower abdomen with hands before coughing or sneezing can also reduce strain.
Resting on your side with a pillow placed between the knees and another under the belly for support can provide comfort. Applying a warm compress or taking a warm bath may help relax the affected muscles and ease the pain. Engaging in gentle exercises like swimming, walking, or antenatal yoga, if approved by a healthcare provider, can also be beneficial.
When to Seek Medical Advice
While round ligament pain is a common and generally harmless part of pregnancy, it is important to distinguish it from more serious conditions. Certain symptoms warrant immediate medical attention to rule out other issues. Seek prompt medical advice if the pain is severe or accompanied by a fever or chills.
Concerns also arise if the pain is accompanied by vaginal bleeding, spotting, or a change in the type or amount of vaginal discharge. Nausea, vomiting, difficulty walking, or pain or burning during urination are also red flag symptoms. Any instance of severe cramping, persistent pain lasting longer than a few seconds, or more than four contractions in an hour should also prompt a call to a healthcare provider.