What Pain Should I Worry About In Third Trimester?

As your pregnancy progresses into the third trimester, it’s common to experience various types of discomfort and pain. While some aches and pains are typical and often not a cause for concern, there are certain types of pain that pregnant individuals should pay careful attention to. Let’s delve into the specifics of what kinds of pain warrant worry during the third trimester.

Normal Discomforts in the Third Trimester

Gas, constipation, and Braxton-Hicks contractions are all regular occurrences in the third trimester. These can lead to stomach pain and cramping but are generally mild and temporary. While these discomforts can be bothersome, they are usually not a cause for alarm.

Potentially Worrisome Abdominal Pain

If you experience abdominal pain that is more intense or persistent, it may be a sign of an underlying issue that requires attention. One common cause of severe abdominal pain in the third trimester is a urinary tract infection (UTI). UTIs can lead to discomfort and pain in the lower abdomen and may also present with other symptoms such as burning during urination or frequent urge to pee.

Gastric Distress and Indigestion

Gas and bloating can often cause sharp, shooting pains in the third trimester. While uncomfortable, these symptoms are usually harmless and can be managed with dietary changes or over-the-counter remedies. Indigestion and heartburn can also contribute to upper abdominal pain, particularly after meals. However, if the pain becomes severe or is associated with other concerning symptoms, it’s essential to consult with your healthcare provider.

Round Ligament Pain

Round ligament pain is a common occurrence in the third trimester as the ligaments supporting the uterus stretch and expand. This pain, characterized by sharp or stabbing sensations on the sides of the abdomen, is typically harmless but can be intense. However, if the pain is severe, persistent, or accompanied by fever or other symptoms, medical evaluation is recommended to rule out more serious conditions.

Preterm Labor Warning Signs

Abdominal pain or cramping that is rhythmic, persistent, and progressively worsening could be a sign of preterm labor. Accompanied by other symptoms such as pelvic pressure, backache, or vaginal discharge, preterm labor requires immediate medical attention to prevent premature birth and potential complications for the baby.

Preeclampsia and Abdominal Pain

In some cases, abdominal pain in the third trimester may be linked to preeclampsia, a serious condition characterized by high blood pressure and organ dysfunction. Abdominal pain, particularly in the upper right quadrant, along with other symptoms like severe headaches, vision changes, or swelling, can indicate preeclampsia and should be promptly evaluated by a healthcare provider.

Placental Abruption Concerns

Sudden and severe abdominal pain in the third trimester, accompanied by vaginal bleeding, could be a sign of placental abruption. This serious condition occurs when the placenta partially or completely separates from the uterus before delivery. Placental abruption requires immediate medical intervention to protect the health and well-being of both the mother and baby.

Uterine Rupture Risks

While rare, uterine rupture is a potentially life-threatening complication that can cause intense abdominal pain in the third trimester. This serious condition occurs when the uterine wall tears during labor, leading to severe pain, vaginal bleeding, and distress for both the mother and baby. Immediate emergency care is essential in cases of suspected uterine rupture.

Signs of Gestational Diabetes

Gestational diabetes, a form of diabetes that develops during pregnancy, can sometimes cause abdominal discomfort and pain in the third trimester. If left untreated, gestational diabetes can pose risks to both the mother and baby. Symptoms like excessive thirst, frequent urination, and unexplained weight loss or gain, along with abdominal pain, may indicate the need for diabetes testing and management.

What Pain Should I Worry About In Third Trimester?

Seeking Medical Attention

While some aches and pains are par for the course in pregnancy, it’s crucial to pay attention to the intensity, duration, and accompanying symptoms of abdominal pain in the third trimester. If you experience severe or persistent pain, or if you have concerns about the well-being of your pregnancy, don’t hesitate to contact your healthcare provider for evaluation and guidance. Trust your instincts and prioritize your health and the health of your baby.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).