Why Does My Lower Abdomen Hurt In The Third Trimester?

During the advanced stages of pregnancy, particularly in the third trimester, it is not uncommon for expectant mothers to experience discomfort in their lower abdomen. This discomfort may manifest as a dull ache, sharp pains, or a feeling of pressure in the pelvic region. While this discomfort can vary in intensity from woman to woman, there are several common reasons why lower abdomen pain may occur during this stage of pregnancy.

1. Growing Uterus

One of the primary reasons for lower abdomen pain in the third trimester is the expanding uterus. As your baby continues to grow and develop, your uterus also enlarges to accommodate their increasing size. This enlargement puts pressure on the surrounding organs and tissues, leading to feelings of tightness and discomfort in the lower abdomen.

2. Round Ligament Pain

Another common cause of lower abdominal pain in the third trimester is round ligament pain. The round ligaments are a pair of fibrous cords that support the uterus and stretch as it grows. When these ligaments are stretched or strained, they can cause sharp, shooting pains in the lower abdomen, particularly when changing positions or with sudden movements.

3. Braxton Hicks Contractions

Braxton Hicks contractions, also known as “practice contractions,” are another potential cause of lower abdominal discomfort in the third trimester. These contractions are typically mild and irregular, but they can still cause a tightening or cramping sensation in the lower belly as the uterus practices for labor.

4. Pressure on Pelvic Organs

As the baby grows bigger and descends lower into the pelvis in preparation for delivery, they may exert pressure on the bladder and other pelvic organs. This pressure can lead to a sense of heaviness or discomfort in the lower abdomen, especially when you are standing or walking for extended periods.

5. Increased Back Pain

During the third trimester, many women also experience heightened back pain, which can radiate to the lower abdomen. The weight of the growing baby and changes in posture can strain the back muscles, causing referred pain in the lower belly region.

6. Constipation and Gas

Constipation and gas are common issues in pregnancy, particularly in the third trimester. These gastrointestinal discomforts can cause bloating, cramping, and a feeling of fullness in the lower abdomen, contributing to overall discomfort and pain.

7. Stretching of Skin and Muscles

As your body continues to change and accommodate your growing baby, the skin and muscles in the lower abdomen stretch to their limits. This stretching can lead to sensations of pulling, tightness, or soreness in the lower belly area, especially towards the end of the third trimester.

8. Sciatic Nerve Pain

Some women may also experience sciatic nerve pain during pregnancy, which can manifest as sharp, shooting pains that radiate from the lower back down to the legs. This pain can also be felt in the lower abdomen, adding to the overall discomfort in the later stages of pregnancy.

9. Indigestion and Heartburn

Indigestion and heartburn are common complaints in pregnancy due to hormonal changes and the pressure exerted on the stomach by the growing uterus. These digestive issues can cause burning sensations, discomfort, and pain in the lower abdomen and chest area.

10. Pelvic Girdle Pain

Pelvic girdle pain, also known as symphysis pubis dysfunction, is a condition that causes discomfort and instability in the pelvic joints. This condition can lead to sharp or aching pains in the lower abdomen, groin, and hips, making everyday movements challenging and painful.

11. Varicose Veins

Varicose veins, swollen and twisted veins that commonly occur in the legs during pregnancy, can also develop in the vulvar or groin area. The presence of varicose veins in the lower abdomen can cause aching, heaviness, and discomfort in the affected area, adding to the overall lower abdomen pain.

Why Does My Lower Abdomen Hurt In The Third Trimester?

12. Emotional Stress and Fatigue

Finally, emotional stress and fatigue can exacerbate physical discomfort during pregnancy, including lower abdomen pain. The hormonal changes, physical demands, and anticipation of labor and delivery can all contribute to feelings of tension, anxiety, and discomfort in the lower belly area.

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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).