When Should I Worry About Stomach Pain in My Third Trimester?

As you approach the final weeks of your pregnancy, your body undergoes significant changes to accommodate the growing baby and prepare for birth. It’s common to experience various aches and pains, including stomach pain. But when does stomach pain become a cause for concern in the third trimester? This article will guide you through the types of stomach discomfort that are normal and when you should seek medical advice.

Your third trimester is a crucial time for antenatal care, and understanding when to worry about stomach pain can help ensure both you and your baby stay healthy. This article will also explore how your antenatal appointments, lifestyle choices like antenatal yoga, and complementary practices like prenatal massage can help alleviate normal pregnancy discomforts.

Common Causes of Stomach Pain in the Third Trimester

Stomach pain in the third trimester is usually a normal part of your body’s changes. As your baby grows, your organs are pushed upwards and the ligaments that support your uterus stretch, which can lead to discomfort. Here are some common, non-concerning reasons for third-trimester stomach pain:

1. Braxton Hicks Contractions

Braxton Hicks contractions, also known as “practice contractions,” are mild contractions that can begin as early as the second trimester but become more frequent in the third trimester. These contractions are usually irregular and do not increase in intensity or duration. They are your body’s way of preparing for labour.

Braxton Hicks contractions should not be painful, though they may cause discomfort and a tightening sensation in your abdomen. If the contractions become regular or progressively more painful, this could be a sign of preterm labour, and you should contact your antenatal clinic or midwife right away NHS: Braxton Hicks.

2. Round Ligament Pain

As your uterus grows, the round ligaments that support it stretch, which can cause sharp, stabbing pains in the lower abdomen or groin area. This pain is typically triggered by sudden movements, like standing up too quickly or rolling over in bed.

Round ligament pain is common and typically harmless, but if the pain is severe or persistent, it’s a good idea to mention it during your next antenatal checkup to rule out any other potential issues.

3. Indigestion and Gas

Pregnancy hormones, particularly progesterone, relax the muscles in your digestive tract, which can slow down digestion and lead to gas, bloating, and heartburn. As your baby grows, your stomach is pushed upwards, contributing to indigestion.

While this type of stomach pain can be uncomfortable, it’s usually not a cause for concern. Simple lifestyle changes, such as eating smaller, more frequent meals and avoiding spicy foods, can help manage indigestion. If the discomfort becomes severe, consult your midwife or doctor for advice.

4. Constipation

Constipation is a common issue in pregnancy due to the hormonal changes that slow down your digestive system and the pressure your growing baby places on your intestines. This can lead to stomach cramps and discomfort.

Drinking plenty of water, eating a fibre-rich diet, and staying active with activities like prenatal yoga can help alleviate constipation. Antenatal yoga is a safe and effective way to stay active, stretch, and reduce tension in your body during pregnancy. It can also improve your digestion and reduce abdominal discomfort.

When Should I Be Concerned About Stomach Pain?

While many causes of stomach pain in the third trimester are normal, some signs indicate the need for immediate medical attention. Severe or persistent abdominal pain can be a sign of a more serious condition. If you experience any of the following symptoms, you should contact your antenatal clinic or midwife right away:

1. Severe Abdominal Pain

Severe or sudden abdominal pain in the third trimester could indicate a serious condition, such as:

Placental abruption: This occurs when the placenta detaches from the uterine wall before delivery. It can cause severe abdominal pain, back pain, and heavy vaginal bleeding. Placental abruption is a medical emergency, and you should seek immediate care NHS: Placental Abruption.

Preterm labour: If you experience regular, painful contractions before 37 weeks, this could be a sign of preterm labour. Other signs include a change in vaginal discharge, pressure in the pelvis, and back pain.

2. Decreased Fetal Movements

By the third trimester, you should be familiar with your baby’s movements. A significant decrease in fetal movements could indicate a problem. If you notice a change, try lying down on your side and drinking something cold to encourage movement. If there is still little to no movement, contact your midwife or antenatal clinic immediately Tommy’s: Baby Movements.

3. Pre-eclampsia

Pre-eclampsia is a condition characterised by high blood pressure and can occur after 20 weeks of pregnancy. One of its symptoms is severe upper abdominal pain, particularly under the ribs on the right side. Other symptoms include headaches, blurred vision, and swelling of the hands and feet. If you suspect pre-eclampsia, seek medical attention immediately NHS: Pre-eclampsia.

4. Urinary Tract Infections (UTIs)

UTIs are more common during pregnancy due to changes in the urinary tract. Symptoms of a UTI include lower abdominal pain, burning during urination, and frequent urges to urinate. Left untreated, a UTI can lead to kidney infection, which is more serious and can cause fever, back pain, and nausea. If you suspect a UTI, see your doctor for treatment.

How Can You Manage Stomach Pain in the Third Trimester?

For non-serious causes of stomach pain, there are several ways to manage discomfort and keep yourself comfortable during the third trimester:

1. Practice Relaxation Techniques

Stress and tension can exacerbate stomach pain, so it’s important to practice relaxation techniques. Antenatal yoga or prenatal massage are great options to help relax your muscles and relieve stress. Prenatal massage can offer pregnancy massage benefits like reducing muscle tension and improving circulation, helping to alleviate some of the aches and pains associated with pregnancy.

2. Stay Active with Prenatal Exercises

Gentle exercises, such as walking, swimming, or yoga for pregnancy, can improve circulation and reduce stiffness in your abdomen. Many expectant mothers find that yoga during pregnancy not only strengthens the body but also reduces pain and helps maintain flexibility. You can check for pregnancy yoga classes or antenatal fitness groups near you for specialised instruction.

3. Maintain a Healthy Diet

Eating a balanced diet and avoiding foods that trigger indigestion, such as spicy or fatty foods, can help manage stomach discomfort. Antenatal vitamins are also essential during pregnancy to support your baby’s growth and ensure you’re getting the right nutrients to stay healthy.

4. Get Regular Antenatal Checkups

Your antenatal checkups provide an opportunity to discuss any concerns you may have, including stomach pain. It’s important to attend all of your pregnancy clinic visits to ensure your baby’s development is on track and to catch any potential issues early. Your midwife or doctor can also offer advice on managing any discomfort you’re experiencing.

When in Doubt, Trust Your Instincts

It’s always better to err on the side of caution when it comes to your health and the health of your baby. If you’re ever in doubt about whether stomach pain is normal or something more serious, trust your instincts and contact your midwife or antenatal clinic for advice.

While most stomach pain in the third trimester is harmless, certain symptoms—such as severe pain, bleeding, or changes in fetal movement—should always be addressed immediately. Attending your regular antenatal appointments and staying informed about your body’s changes can help you feel more confident as you approach delivery.