Showing posts with label pain during pregnancy. Show all posts
Showing posts with label pain during pregnancy. Show all posts

Friday, July 13, 2012

Stomach pains during pregnancy





Pregnancy comes with a host of discomforts--women often have morning sickness starting a few weeks after conception, and continue with back pain, heartburn, uterine pain, and a variety of other symptoms. Stomach discomfort is quite common, particularly during the later trimesters of pregnancy, and is due to the size of the baby.

Significance
The reason for stomach pain after eating can be multifaceted in pregnant women, because of the many ways in which pregnancy affects the digestive tract. Heidi Murkoff and Sharon Mazel, in their book "What To Expect When You're Expecting," explain that pregnancy slows the digestive tract, leading to increased gas and constipation. Hormones, too, loosen sphincter muscles, which can allow acid from the stomach to reflux back into the esophagus, leading to heartburn.


Common causes of stomach pain

Indigestion or heartburn – stomach pain sometimes with nausea 
Ligaments around your uterus stretching as your baby grows – this can cause mild stomach cramps 
Feeling tense – this can cause stomach cramps or period type pain. 


More serious causes of stomach pain

Sometimes, stomach pain could point to something serious, so if you do experience any of the following symptoms, please seek medical advice immediately.

Miscarriage – stomach cramps with vaginal bleeding. 
Ectopic pregnancy – stomach pain that moves across your tummy, often with pain in your shoulders or across your shoulder blades. 
Pre-eclampsia - stomach pain with other symptoms, for instance raised blood pressure or high levels of protein in your urine. 
Premature labour – between the 24th and 36th week, stomach pain or cramps with diarrhoea, back pain and contractions. 


Pregnancy pains are common and usually nothing to worry about. But you know your body better than anyone, so if any aches or pains are worrying you, make sure you talk to your midwife. Even if it does turn out to be indigestion, it's always better to be safe than sorry.

Effects
While gut pain during pregnancy can strike at any time, the most common time for discomfort is after eating. This is because the stomach secretes more acid after eating, and the loose esophageal sphincter allows acid back into the esophagus, causing pain. Dr. Raymond Poliakin, in his book "What You Didn't Think To Ask Your Obstetrician," notes that the combination of full stomach and growing baby exacerbates the problem, by crowding a woman's abdomen.

Considerations
Some women have more frequent stomach pain after eating than others. Because stomach discomfort is very individual, women who have gastric distress after meals during pregnancy may benefit from keeping a food diary. If they find the distress always occurs after eating a certain food, they can stay away from that item, explain Murkoff and Mazel. Heavy meals are also common triggers of pregnancy stomach pain, and women may want to eat several small meals.

Prevention/Solution
Dr. Poliakin explains that there are a few techniques for preventing or treating stomach pain after eating during pregnancy. First, pregnant women can use antacids, as long as they don't contain aspirin. Tums are popular, as is baking soda in water, though women whose doctors have them on low-sodium diets should talk to their doctor before using baking soda, because it contains sodium. It's also helpful to remain sitting or standing for an hour after eating.

Expert Insight
While it may be difficult to completely prevent heartburn and acid stomach-related pain during pregnancy, Dr. Miriam Stoppard advises a diet high in fiber and plenty of water to prevent gas-related stomach pain. In her book "Conception, Pregnancy and Birth," Dr. Stoppard notes that high-fiber diets help keep the digestive tract functioning smoothly, and reduce the gas production associated with slow movement of food. This can reduce intestinal pain and cramping that sometimes affects pregnant women.
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Saturday, July 7, 2012

Discomforts of pregnancy and how to handle them

Warnings
"Don't do this, don't do that." You've probably heard every old wives' tale. Here are some warnings worth heeding:
  • Don't smoke. Smoking raises your risk for miscarriage, premature birth, low birth weight and many other problems.
  • Don't use drugs. Cocaine, heroin, marijuana and other drugs increase your risk of miscarriage, premature birth and birth defects. Your baby could also be born addicted to the drug you've been abusing, which can cause serious health problems.
  • Don't drink alcohol. Drinking alcohol during pregnancy is the major cause of preventable birth defects, including fetal alcohol syndrome.
  • Don't clean your cat's litter box or eat raw or undercooked red meat. You could get toxoplasmosis, a disease that can cause birth defects.
  • Don't sit in a sauna or hot tub. The high heat raises your risk of miscarriage and birth defects.
  • Don't douche. Douching could force air into the vagina, which can cause an air embolism. The vagina doesn't require cleansing in addition to normal bathing. Douching disrupts the helpful bacteria that keep the vagina clean.

Here are the most common discomforts of pregnancy and some tips for handling them:
  • Morning sickness. Nausea or vomiting may strike anytime during the day (or night). Try eating frequent, small meals and avoid greasy foods. Keep crackers by your bed to eat before getting up.
  • Talk to your doctor if morning sickness lasts past the first 3 months of pregnancy or causes you to lose weight.
  • Tiredness. Sometimes tiredness in pregnancy is caused by anemia, so tell your doctor. Get enough rest. Take a daytime nap if possible.
  • Leg cramps. Gently stretch the calf of your leg by curling your toes upward, toward your knee.
  • Constipation. Drink plenty of fluids. Eat foods with lots of fiber, such as fruits, vegetables and bran cereal. Don't take laxatives without talking to your doctor first. Stool softeners may be safer than laxatives.
  • Hemorrhoids. Don't strain during bowel movements. Try to avoid becoming constipated. Clean yourself well after a bowel movement (wet wipes may be less irritating than toilet paper). Take several warm soaks (sitz baths) a day if necessary.
  • Urinating more often. You may need to urinate more often as your baby grows because he or she will put pressure on your bladder. This can't be helped.
  • Varicose veins. Avoid clothing that fits tightly around your legs or waist. Rest and put your feet up as much as you can. Move around if you must stand for long periods. Ask your doctor about support or compression hose, which may help ease or prevent varicose veins.
  • Moodiness. Your hormones are on a roller coaster ride during pregnancy. Plus, your life is undergoing a big change. Don't be too hard on yourself. If you feel very sad or think about suicide, talk to your doctor.
  • Heartburn. Eat frequent, small meals. Avoid spicy or greasy foods. Don't lie down right after eating. Ask your doctor about taking antacids.
  • Yeast infections. The amount of discharge from the vagina increases during pregnancy. Yeast infections, which can also cause discharge, are more common during pregnancy. It's a good idea to talk with your doctor about any unusual discharge.
  • Bleeding gums. Brush and floss regularly, and see your dentist for cleanings. Don't put off dental visits because you're pregnant, but be sure to tell your dentist you're pregnant.
  • Stuffy nose. This is related to changes in the levels of the female hormone estrogen. You may also have nosebleeds.
  • Edema (retaining fluid). Rest with your legs up. Lie on your left side while sleeping so blood flows from your legs back to your heart better. Don't use diuretics (water pills). If you're thinking about cutting down on salt to reduce swelling, talk with your doctor first. Your body needs enough salt to maintain the balance of fluid and cutting back on salt may not be the best way to manage your swelling.
  • Skin changes. Stretch marks appear as red marks on your skin. Lotion with shea butter can help keep your skin moist and may help reduce the itchiness of dry skin. Stretch marks often can't be prevented, but they often fade after pregnancy.
  • Other skin changes may include darkening of the skin on your face and around your nipples, and a dark line below your belly button. Staying out of the sun or using a sunscreen may help lessen these marks. Most marks will probably fade after pregnancy.
Call your doctor if you have:
  • Blood or fluid coming from your vagina
  • Sudden or extreme swelling of your face or fingers
  • Headaches that are severe or won't go away
  • Nausea and vomiting that won't go away
  • Dizziness
  • Dim or blurry vision
  • Pain or cramps in your lower abdomen
  • Chills or fever
  • A change in your baby's movements
  • Less urine or burning when you urinate
  • Any illness or infection
  • Anything that bothers you

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How to deal with pain during childbirth

If you're like most women, the pain of labor and delivery is one of the things that worry you about having a baby. This is certainly understandable, because labor is painful for most women.It's possible to have labor with relatively little pain, but it's wise to prepare yourself by planning some strategies for coping with pain. Planning for pain is one of the best ways to ensure that you'll stay calm and be able to deal with it when the time comes.Pain during labor is caused by contractions of the muscles of the uterus and by pressure on the cervix. This pain may be felt as strong cramping in the abdomen, groin, and back, as well as an achy feeling. Some women experience pain in their sides or thighs as well.Other causes of pain during labor include pressure on the bladder and bowels by the baby's head and the stretching of the birth canal and vagina.

Pain during labor is different for every woman. Although labor is often thought of as one of the more painful events in human experience, it ranges widely from woman to woman and even from pregnancy to pregnancy. Women experience labor pain differently — for some, it resembles menstrual cramps; for others, severe pressure; and for others, extremely strong waves that feel like diarrheal cramps.

It's often not the pain of each contraction on its own that women find the hardest, but the fact that the contractions keep coming — and that as labor progresses, there is less and less time between contractions to relax.

How can breathing help with contractions? 

  • Focusing on your breathing is a really helpful way of getting through each contraction. Think of it in two stages, of breathing in ("re-") and out ("-lax").
  • Take a deep breath at the beginning of the contraction and think "re-", then as you breathe out, think "-lax" and let go of any tension.
  • Then continue by breathing in through your nose and out through your mouth, keeping your mouth soft and slightly open.
  • Keep a good rhythm going. Don't worry about how deeply you're breathing, or for how long. Just try not to let the in-breath become longer than the out-breath.
  • Repeat this a few more times. Concentrate as hard as you can on breathing in as the contraction builds up, and out as it fades away.
  • When the contraction is over, relax.
This rhythmic breathing will conserve your energy and help to ease your pain, too.

Natural Childbirth
Some women choose to give birth using no medication at all, relying instead on relaxation techniques and controlled breathing for pain. If you'd like to experience childbirth without pain medication, make your wishes known to your health care provider.

Things to Consider
Here are some things to think about when considering pain control during labor:
  • Medications can relieve much of your pain, but probably won't relieve all of it.
  • Labor may hurt more than you anticipated. Some women who have previously said they want no pain medicine whatsoever end up changing their minds once they're actually in labor.
  • Certain medications can affect your baby, causing the baby to be drowsy or have changes in the heart rate.
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How to treat stomach pain during pregnancy

Pregnancy comes with a host of discomforts--women often have morning sickness starting a few weeks after conception, and continue with back pain, heartburn, uterine pain, and a variety of other symptoms. Stomach discomfort is quite common, particularly during the later trimesters of pregnancy, and is due to the size of the baby.

If you mean cramping or pain in the stomach, as in the organ that digests your food, this may be a sign of digestive issues but isn't likely to be a miscarriage symptom. Digestive problems are not unusual during pregnancy, but mention the pains to your doctor and call right away if you have flu-like symptoms (mild fever, muscle aches, headache, etc.) that go beyond your typical morning sickness. Pregnant women are prone to food poisoning and other infections in the GI tract. Some infections can cause complications for the baby even if they aren't especially dangerous for non-pregnant individuals, so it's good to be checked out if you suspect you might be sick.

However, if you are not talking about pain specifically in the stomach but rather general pain in the abdominal region, note that certain types of abdominal pains are associated with miscarriage. If you are having painful cramps in your lower pelvic region or lower back, especially alongside vaginal bleeding, these symptoms could mean miscarriage and you should call your doctor. Cramping can also occur during normal pregnancies, however. So if you have no bleeding and the cramps are not particularly painful, it's probably fine to just mention it to your doctor at the next visit.

The reason for stomach pain after eating can be multifaceted in pregnant women, because of the many ways in which pregnancy affects the digestive tract. Heidi Murkoff and Sharon Mazel, in their book "What To Expect When You're Expecting," explain that pregnancy slows the digestive tract, leading to increased gas and constipation. Hormones, too, loosen sphincter muscles, which can allow acid from the stomach to reflux back into the esophagus, leading to heartburn.

While gut pain during pregnancy can strike at any time, the most common time for discomfort is after eating. This is because the stomach secretes more acid after eating, and the loose esophageal sphincter allows acid back into the esophagus, causing pain. Dr. Raymond Poliakin, in his book "What You Didn't Think To Ask Your Obstetrician," notes that the combination of full stomach and growing baby exacerbates the problem, by crowding a woman's abdomen.

Considerations
Some women have more frequent stomach pain after eating than others. Because stomach discomfort is very individual, women who have gastric distress after meals during pregnancy may benefit from keeping a food diary. If they find the distress always occurs after eating a certain food, they can stay away from that item, explain Murkoff and Mazel. Heavy meals are also common triggers of pregnancy stomach pain, and women may want to eat several small meals.

Prevention/Solution
Dr. Poliakin explains that there are a few techniques for preventing or treating stomach pain after eating during pregnancy. First, pregnant women can use antacids, as long as they don't contain aspirin. Tums are popular, as is baking soda in water, though women whose doctors have them on low-sodium diets should talk to their doctor before using baking soda, because it contains sodium. It's also helpful to remain sitting or standing for an hour after eating.

Expert Insight
While it may be difficult to completely prevent heartburn and acid stomach-related pain during pregnancy, Dr. Miriam Stoppard advises a diet high in fiber and plenty of water to prevent gas-related stomach pain. In her book "Conception, Pregnancy and Birth," Dr. Stoppard notes that high-fiber diets help keep the digestive tract functioning smoothly, and reduce the gas production associated with slow movement of food. This can reduce intestinal pain and cramping that sometimes affects pregnant women.

If you are having severe pain anywhere in your abdominal region during early pregnancy, go to the emergency room. You need to make sure that ectopic pregnancy is ruled out, as this can be life threatening if not treated.

Finally, for anyone reading this who is in later pregnancy and having abdominal pain, you also need to see a doctor right away to rule out placental abruption and other such complications. Abdominal cramps can also by a sign of preterm labor. In any case, don't delay in seeking treatment. Early treatment of complications can make a big difference. Even if it turns out to be nothing, at least you will know and not have to worry that something is wrong.



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Thursday, July 5, 2012

How to treat Hand Pain During Pregnancy (Carpal Tunnel Syndrome)

Numbness, a "pins-and-needles" tingling sensation, or aching in the hands and wrists, especially noticeable at night. Your doctor may have also diagnosed you with carpal tunnel syndrome, which is characterized by pain, numbness, and tingling in your hands, fingers, and wrists.

As pregnancy advances, a lot of women will get a temporary carpel tunnel of pregnancy. There is increased fluid in your tendon sheaths, which can cause pressure on the nerves that travel to your hands. This combined with the fact that most people flex their wrists while they sleep, can cause women to awaken with severe pain and numbness in their hands. The symptoms often improve throughout the day. Wearing wrist splints at night can help. If the numbness persists throughout the day or you also have weakness, you should discuss the symptoms with your doctor.

Pregnancy swelling puts pressure on a key nerve in the wrists and causes the same aching and tingling symptoms most often associated with ergonomic strain and repetitive motion. (Of course, if you're pregnant and having ergonomic strain or doing repetitive motion, you're twice as likely to experience it.)

If you're feeling this pregnancy symptom more at night, it's because the fluids that accumulate in the lower part of your body during the day are redistributed elsewhere, including your hands, when you lie down. (Kind of reverse gravity.) And of course, if you've been at a computer all day long, nighttime leaves your carpal nerve with a double whammy. Luckily, though, this symptom should disappear after delivery as your swelling diminishes.

What to do about hand pain during pregnancy

  • If you work at a computer, or do any other activity that requires repetitive motion, like playing the piano or filing, take frequent hand-stretching breaks to relieve hand pain and tingling. If typing, type gently, making sure your wrists are straight and your elbows are higher than your hands.
  • Try not to sleep on your hands.
  • Use a pillow to prop up your arms at night.
  • Shake your hands and wrists out frequently. At night, you can hang your hand over the side of the bed and shake it.
  • It may help to limit or avoid caffeine and stay away from tobacco (which you should definitely be doing, anyway).
  • If your carpal tunnel is causing you a lot of pain, try a wrist brace. Ask your practitioner which kind to buy.
  • Acupuncture might help relieve hand pain — ask your practitioner for a recommendation.
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How to treat Back Pain During Pregnancy

 Backache — with soreness, stiffness, and pain — is one of the most common pregnancy symptoms. And, unfortunately, backache often starts early on in your pregnancy and persists (or worsens) until you give birth (when Pregnancy Backache is replaced by Postpartum Back Pain).

As your belly gets bigger throughout your pregnancy, your lower back curves more than usual to accommodate the load, resulting in strained muscles and, you guessed it, pain. In addition, your growing uterus shifts your center of gravity forward, putting even more pressure on your lower back. Add to the mix a hormone called relaxin, which causes your ligaments to stretch and joints to loosen, and you've got one aching back.

What You Can Do About It
  • Watch your posture when you're sitting, which puts more strain on your spine than anything else. At home and at work, make sure the chairs you use most provide good support, preferably with a straight back, arms, and a firm cushion. Use a footrest to elevate your feet slightly, and don't cross your legs; that can cause your pelvis to tilt forward, exacerbating those strained back muscles.
  • Sleep on your side, not your back. Keep one or both knees bent. It might also help to place one pillow between your knees and another under your abdomen, or use a full-length body pillow.
  • Wear the right shoes — and leave the Manolos for Carrie Bradshaw. Extremely high heels are out — as are completely flat ones. Experts recommend a 2-inch heel to keep your body in proper alignment. You might also consider orthotics, orthopedic shoe inserts designed for muscle support.
  • When lifting a small object, squat down and lift with your legs. Don't bend at the waist or lift with your back. It's also important to know your limits. Ask for help if you need it.
  • Think good thoughts. A calm mind leads to a looser back. You can also try some yoga, which will relax both your mind and your back.
  • Take a warm bath (ask your partner to draw it for you). Or turn the shower head to pulsating and enjoy the back massage.
  • If pain is significant, ask your practitioner about physical therapists, alternative medicine specialists (such as acupuncturists), or chiropractors who might be able to help.
  • Use a heating pad to apply heat to your back, or alternate ice packs with heat. Rubbing your back also might help. Better yet, ask someone to rub your back for you or schedule a professional prenatal massage.
  • Regular physical activity can keep your back strong and may actually relieve back pain during pregnancy. With your health care provider's OK, try gentle activities — such as walking or swimming.You might also stretch your lower back. Rest on your hands and knees with your head in line with your back. Pull in your stomach, rounding your back slightly. Hold for several seconds, then relax your stomach and back — keeping your back as flat as possible. Gradually work up to 10 repetitions. Ask your health care provider about other stretching exercises, too.
  • Take breaks by walking or standing and stretching at least once an hour. Sitting too long can make your back hurt even more.
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Wednesday, July 4, 2012

Abdominal pain during pregnancy

What Causes Pain During Pregnancy?

Pregnancy is a time when most women are fearful of pain. Pain during pregnancy is often associated with complications or labor and can be a scary thing. However, not all pain during pregnancy signals a problem. Sometimes, women feel pain during pregnancy because of the many changes happening every day.

If pain during pregnancy is associated with bleeding and cramping, it is time to call your obstetrician. In the first few weeks, a slight bit of pain and bleeding are often associated with implantation and the creation of the mucus plug. After that time, typical pain during pregnancy is related to hormonal changes and the growth of the fetus.

When Does Pain During Pregnancy Start?

Pain during pregnancy may start as early as the first week after fertilization. One of the first signs of pregnancy is pain during pregnancy – breast pain. These pains will often subside later in the first trimester or early in the second trimester as the body gets used to the new hormone levels. But, by that time, other pain during pregnancy may begin. Progesterone causes a loosening of ligaments throughout pregnancy and as the abdomen grows this alone can cause pain during pregnancy.

Abdominal pain during pregnancy

Occasional abdominal discomfort is a common pregnancy complaint, and while it may be harmless, it can also be a sign of a serious problem. (Severe or persistent abdominal pain should never be ignored.)

Below we'll describe the most common causes of abdominal pain and discomfort during pregnancy, but don't try to diagnose yourself. If you experience abdominal pain or cramping along with spotting, bleeding, fever, chills, vaginal discharge, faintness, discomfort while urinating, or nausea and vomiting, or if the pain doesn't subside after several minutes of rest, call your practitioner.
  1. Ectopic pregnancy
An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, typically in one of the fallopian tubes. It may cause some cramping and other symptoms in early pregnancy.

If left untreated, an ectopic pregnancy can be life-threatening. Call your practitioner immediately if you have any of the following symptoms: abdominal or pelvic pain or tenderness, vaginal spotting or bleeding (can be red or brown, copious or scant, continuous or intermittent), pain that gets worse during physical activity or while moving your bowels or coughing, or pain in your shoulder.

If you're bleeding heavily or having signs of shock (such as a racing pulse, dizziness, fainting, or pale, clammy skin), call 911.

   2. Miscarriage

Miscarriage is the loss of a pregnancy in the first 20 weeks. Vaginal spotting or bleeding is generally the first symptom, followed by abdominal pain a few hours to a few days later.

The bleeding may be light or heavy. The pain may feel crampy or persistent, mild or sharp, and may feel more like low back pain or pelvic pressure.

Call your practitioner if you have signs of a miscarriage. If you have severe pain or heavy bleeding, you need to be seen immediately.

  3. Preterm labor

You're in preterm labor (also known as premature labor) if you start to have contractions that efface or dilate your cervix before 37 weeks of pregnancy.

Call your doctor or midwife right away if you're having any of the following symptoms in your second or third trimester (before 37 weeks):

An increase in vaginal discharge or a change in the type of discharge (if it becomes watery, mucus-like, or bloody – even if it's just pink or tinged with blood)

    4. Vaginal spotting or bleeding

Abdominal pain, menstrual-like cramping, or more than four contractions in one hour (even if they don't hurt)

An increase in pressure in the pelvic area

Low back pain, especially if you didn't previously have back pain

   5. Placental abruption

Placental abruption is a life-threatening condition in which your placenta separates from your uterus, partially or completely, before your baby's born.

There's wide variation in symptoms. A placental abruption can sometimes cause sudden and obvious bleeding, but in other cases there may not be any noticeable bleeding at first, or you might have only light bleeding or spotting. Or you might see bloody fluid if your water breaks.

You might have uterine tenderness, back pain, or frequent contractions, or the uterus might contract and stay hard – like a cramp or contraction that doesn't go away. You might also notice a decrease in your baby's activity. Immediate medical attention is a must.

    6. Preeclampsia

Preeclampsia is a complex disorder of pregnancy that causes changes in your blood vessels and can affect a number of organs, including your liver, kidneys, brain, and the placenta. You're diagnosed with preeclampsia if you have high blood pressure and protein in your urine after 20 weeks of pregnancy.

Symptoms may include swelling in your face or puffiness around your eyes, more than slight swelling in your hands, and excessive or sudden swelling of your feet or ankles. (This water retention can lead to a rapid weight gain.)

With severe preeclampsia, you may have intense pain or tenderness in the upper abdomen, a severe headache, visual disturbances (such as blurred vision or seeing spots), or nausea and vomiting. If you have symptoms of preeclampsia, call your doctor or midwife immediately.

    7.  Urinary tract infections

Being pregnant makes you more susceptible to urinary tract infections of all kinds, including kidney infections.

Symptoms of a bladder infection may include pain, discomfort, or burning when urinating; pelvic discomfort or lower abdominal pain (often just above the pubic bone); a frequent or uncontrollable urge to pee, even when there's very little urine in the bladder; and cloudy, foul-smelling, or bloody urine. Call your caregiver if you have any of these symptoms because an untreated bladder infection can lead to a kidney infection and premature labor.

Signs that the infection has spread to your kidneys – and that you need medical attention immediately – include a high fever, often with shaking, chills, or sweats; pain in your lower back or in your side just under your ribs, on one or both sides (and possibly in your abdomen as well); nausea and vomiting; and possibly pus or blood in your urine.

   8.  Other causes

Many other conditions can cause abdominal pain, whether you're pregnant or not. Some of the most common causes of abdominal pain that your practitioner will consider are a stomach virus, food poisoning, appendicitis, kidney stones, hepatitis, gallbladder disease, pancreatitis, fibroids, and bowel obstruction.

Both gallbladder disease and pancreatitis are often a result of gallstones, which are more common during pregnancy. Fibroids may grow during pregnancy and cause discomfort. And the pressure of the growing uterus on previously scarred intestinal tissue may cause bowel obstruction, which is most likely to occur in the third trimester.

Should I Call My Doctor if I Have Pain During Pregnancy?

If there is bleeding, cramping or severe back pain, it is important to call the obstetrician’s office. Most of the time, there are no medical issues, but as the latter part of the pregnancy approaches, these symptoms of pain during pregnancy can signal labor.

What Symptoms Associated with Pain During Pregnancy are Most Important?

The most important symptoms associated with pain during pregnancy are cramping and bleeding. Early in the pregnancy this could be the first signs of an ectopic pregnancy or miscarriage. After the first trimester or so, cramping and bleeding may be associated with pre-term labor or labor.

Women will feel pain during pregnancy, but not all pain is created equal. There are also symptoms associated with pain during pregnancy that women need to watch out for from the first weeks until birth. It is important to notify the obstetrician of any pain during pregnancy either by phone or at the next scheduled appointment. 



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