Round ligament pain is a common and expected sensation during pregnancy. It often feels like a sharp, sudden pain or a dull ache in the lower abdomen or groin area. This discomfort is directly related to the normal changes your body undergoes as the uterus grows to accommodate the developing baby. While it can be uncomfortable, it is generally considered a harmless part of pregnancy.
Where and How Round Ligament Pain Feels
The pain typically occurs in the lower abdomen or groin area. It might radiate upwards towards the hip or extend downwards into the labia or inner thighs. The pain’s location is due to the round ligaments, two rope-like bands of connective tissue that connect the front of the uterus to the groin and pubic region.
The sensation is described as a sharp, sudden pain, particularly when there are rapid changes in position. This acute pain usually lasts only a few seconds or minutes. After physical activity or at the end of the day, it can manifest as a dull ache or cramping sensation. While the sharp pain is brief, the dull ache can persist for a few hours.
Why Round Ligament Pain Occurs
Round ligament pain arises from the stretching and thickening of the round ligaments as the uterus expands during pregnancy. These ligaments support the growing womb, and as they lengthen and widen, they can become strained. Pregnancy hormones, such as relaxin, also contribute to the softening and loosening of ligaments, making them more susceptible to discomfort.
Sudden movements that rapidly stretch the ligaments trigger sharp pain. These include standing up quickly, rolling over in bed, coughing, sneezing, or laughing. This rapid stretching can cause the ligaments to contract quickly, leading to sudden pain. Round ligament pain most commonly appears in the second trimester, when the uterus undergoes significant growth.
Relief and When to Consult a Doctor
Several strategies can help manage round ligament pain. Moving slowly when changing positions, such as getting out of bed or standing up, can reduce sudden stretching. Bending and flexing your hips before coughing or sneezing, or placing your hands under your belly for support, can also help alleviate discomfort. Applying a warm compress to the lower abdomen or taking a warm bath may provide relief by relaxing the muscles.
Resting, especially lying on your side with a pillow between your knees and possibly another under your belly, can also be beneficial. Wearing a maternity support belt or elastic belly band can offer gentle support to the growing abdomen, reducing strain on the ligaments. If the pain is persistent or interferes with daily activities, over-the-counter acetaminophen may be an option after consulting with a healthcare provider.
While round ligament pain is normal, certain symptoms warrant immediate medical attention. Consult a doctor if the pain is severe or persistent, lasting more than a few minutes or hours without relief. Additional concerning signs include pain accompanied by fever, chills, vaginal bleeding or discharge, painful urination, or persistent contractions. These symptoms could indicate a more serious condition.