Pelvic pains during pregnancy are common, as most pregnant women suffer from these pains in our stage, especially in the last trimester of pregnancy when the pressure on the pelvic area increases. These symptoms can be caused by several factors, most of them are natural and harmless. However, sometimes pelvic pain may indicate a problem that requiresDalili Medical, care. How can extremes be reduced? It is possible to take acetaminophen during pregnancy, but it is necessary to consult your doctor first to make sure there is no risk to pregnancy.

Am I the most prone to pelvic pain during pregnancy?

There is a group of women who are considered more prone to pelvic pain during pregnancy. This category includes women who have a medical history that includes previous fractures in the pelvic region, or who are prone to serious injuries as a result of accidents or falls. Also, pregnant women who do heavy physical exertion during pregnancy, or pregnant women for several times, or suffer from obesity or excessive weight gain, are also more prone to these ailments.

** Causes of pelvic pain at the beginning of pregnancy **

**Natural changes in pregnancy:** In the first stage of pregnancy, especially during the first trimester, the uterus naturally expands to accommodate the growing fetus. By the twelfth week, the size of the uterus becomes almost the size of an aljarib fruit. This lengthening of the height consciously causes tingling, pain and discomfort in the lower abdomen and pelvic area, which is a natural sign that the pregnancy is going well.

**Spontaneous miscarriage:** Spontaneous miscarriage is defined as the loss of the fetus before the twelfth week of pregnancy, and it occurs naturally without any direct or intentional cause. One of the possible signs of miscarriage is pelvic pain, especially if the pain is severe and accompanied by bleeding.

Ectopic pregnancy: Ectopic pregnancy, or congenital pregnancy, refers to the occurrence of pregnancy in a place other than the endometrium, which leads to many problems and pains, most notably continuous and severe pain in the pelvic area. This is considered one of the most dangerous causes of pelvic pain at the beginning of pregnancy, and it requires urgent medical intervention due to the danger it poses to the pregnant woman's life.

**Twin pregnancy:** Pelvic pain symptoms appear early in twin pregnancy, as a result of the rapid growth of the uterus compared to a single fetus.

**Urinary tract infection:** Urinary tract problems are among the common conditions during pregnancy, especially urinary tract infections that consciously cause pain and discomfort in the pelvic area and the upper part of the pubic bone. This infection is associated with other symptoms such as fever, chills, and heartburn. Pregnant women must not ignore urinary tract problems, as they may lead to the risk of miscarriage and premature birth.

Bloating and digestive problems: Some of these problems are common during the first three months of pregnancy, such as constipation and gas formation. Also, the increase in hormone levels affects the movement of the intestinal muscles, which leads to a slight slowing down of the movements, which consciously causes pressure and discomfort in the lower part of the abdomen, and also affects the pelvic muscles, which causes pain and discomfort.

**Change in the ratio of hormones:** In the early stages of pregnancy, there is a big change in the behavior of hormones inside the woman's body, which affects some of the body's functions, especially the muscles in the pelvis and intestines, which leads to multiple and annoying pains for the pregnant woman.

Pelvic pain in pregnant women in the first three months?

Usually, pelvic pain occurs in pregnant women in the first three months as a result of the body's adaptation and stretching of the tissues to accommodate the fetus. And there are other reasons that may lead to these symptoms:

1. **Digestive and urinary tract disorders** Pelvic pains can be related to digestive problems that worsen during pregnancy, such as esophageal reflux disease, and irritable bowel syndrome, in addition to urinary tract diseases such as urinary tract inflammation and alcoholic stones.

2. **Miscarriage** Prolonged pelvic pain is a sign of miscarriage, and it is often associated with major symptoms such as vaginal bleeding, lower abdominal pain, and uterine contractions.

3. Ectopic pregnancy is considered an ectopic pregnancy, which occurs in a place outside the uterus, such as the fallopian tube, among the most dangerous causes that lead to pelvic pain at the beginning of pregnancy.

** Pelvic pains in pregnant women in the second trimester of pregnancy **

Round ligament pain is considered to be the most common cause of pelvic pain during the second trimester of pregnancy. The round ligaments work to support the uterus and stretch during pregnancy to suit the growth of the embryo. Usually, the pain lasts for a few seconds and begins to improve as the last trimester of pregnancy approaches.

**Pelvic pains in pregnant women during the last trimester of pregnancy**

Pelvic girdle pain (PGP), which is sometimes known as symphysis pubis dysfunction (SPD), can appear at any stage of pregnancy, but it is more common in the last trimester. The pain is near the lower back or the genital area between the vagina and the opening of the abdomen, and it can also spread to the thighs. Although the pain of the pelvic girdle does not affect the fetus, it may be very disturbing for the pregnant mother.

**Symptoms of pregnancy pains during childbirth**

- Awareness of pain in the pubic area and thighs, which is the most common symptom.

- Pain in the back, pelvic girdle, valvular.

- Crackling or creaking sensation in the pubic area.

- Pain in the lower part of my thighs, inside or between the legs, and this pain increases when opening the legs, or walking, or going up the stairs, or going down, or when lying in bed.

Pain occurs in the worst cases during the night, which affects the quality of sleepGetting up at night to go to the bathroom is particularly painful.

Increased severity of pelvic pain during pregnancy in the following cases:

- Ascent and descent of Salalam.

- Standing one step at a time (like when getting dressed).

- Uncomfortable sitting positions (such as the upper leg position).

- Walking quickly or al-Harulah.

Where does pelvic pain appear at the beginning of pregnancy?

Pelvic pains in pregnant women refer to the pains that affect the lower part of the abdomen, and these pains can appear in different areas during the beginning of pregnancy, such as:

1. **Pain above the pubic bone**: The pubic bone is the front lower internal bone in the pelvis, and it is more obvious in women compared to men. Changes occur in the position of this bone in preparation for accommodating the fetus and in preparation for childbirth, which leads to the woman's awareness of pain, pressure and discomfort in this area, whether at the beginning of pregnancy or in the advanced stages. The pain is centered above the pubic bone in the front and middle region, i.e. almost at the level of the elbow.

2. **Pain in the sides of the lower back**: This pain occurs as a result of the stretching of the uterus, especially after the second month of pregnancy, which causes pressure on different areas of the pelvis, lower abdomen and back. Pain can appear in the lower back on one side or on both sides.

3. **Pain in the genital area**: The genital area is the area between the opening of the vagina and the anus, which is a tissue-muscle area that is affected by pelvic, joint and muscle pains caused by the expansion of the uterus in pregnant women.

Conditions that call for concern about pelvic pain:

- Consciousness of the pregnant woman with fainting or confusion, like the symptoms of delirium.

- Acceleration of heartbeats.

- The appearance of symptoms indicating an acute drop in blood pressure.

- Al-Hami and al-Qasharirah with secretions from the uterus containing pus.

- Nazeef Man-ur-Rham.

- Severe pain with movement.

**Alleviation of pelvic pain during pregnancy:**

A pelvic support belt can be used to provide quick comfort.

Exercises, especially abdominal exercises and lower pelvic muscle exercises, help relieve pelvic pain. You can also practice some water exercises that contribute to it.

Avoid spreading your thighs apart when bending over or lying down on the bed. Be careful when entering and exiting the car, bed or bathtub.

Avoid carrying or disposing of heavy objects.

When climbing the stairs, take the whole step one by one, put the proper foot first, then raise the other foot to meet. Repeat this step with all degrees, and use the stairs only when necessary.

Always wear flat shoes and avoid shoes with high or uncomfortable heels.

If you want to sleep in a comfortable way, you can put a small pillow between your legs, and try to avoid tedious household chores.

Enjoy my warm bath until the end, avoiding hot or cold water, as it can increase pelvic pain.

Make sure to drink enough water to keep your body hydrated.

**Treatment of pelvic pain in the early stages of pregnancy**

The doctor begins to perform a pregnancy test to confirm the presence of pregnancy, and to confirm that the woman is tall, the examination accurately records it.

Then the doctor performs an ultrasound scan of the pelvic area to make sure that the pregnancy and its components, such as the first gestational sac, are naturally present in the uterus. In some cases, an ectopic pregnancy may occur, which requires the use of an ultrasound imaging device either on the abdomen or inside the uterus, or both, to confirm the presence of an intrauterine pregnancy cyst. If there is bleeding associated with pelvic pain, the doctor will perform several blood tests. . Also, it is checked for the presence of erysasis in the blood, which is an important test to protect pregnant women in future pregnancies.

The length of time the pregnant woman needs to be transferred in the presence of ectopic bleeding.

In some cases, the pelvic pain may be caused by problems in the ovary, and in this case, the doctor will perform measurements of the placenta produced in the early stages of pregnancy, which will help determine if there is an ectopic pregnancy or not.

**Physical therapy for pelvic pain during pregnancy:** Physical therapy can include exercises recommended by the doctor, where pregnant women are advised to practice some safe exercises that help strengthen the muscles of the pelvic floor, hips, abdomen, and back. These exercises strengthen the stability of the pelvic joints and help to adapt to the development of the fetus and the expansion of the uterus, which reduces pelvic and pelvic pain. It is also possible to hire assistive devices such as pelvic support belts and crutches.

**Antibiotics:** It is used to treat urinary tract infections that can cause pelvic pain in pregnant women. It must be done under medical supervision to avoid any health risks that may affect the mother and the fetus as a result of improper use of drugs.

**Drinking more water:** It is recommended to drink sufficient amounts of water, as it helps to relieve constipation and facilitate the process of excretion, which reduces pressure and pain in the pelvic area of ​​pregnant women. Kama contributes to the regulation of body temperature in inflammatory and infectious states.

**Abortion of the pregnancy in the case of an induced pregnancy:** If there is an ectopic pregnancy that causes severe pain in the pelvic region in the early stages of pregnancy, it becomes necessary to abort this pregnancy due to the many health risks that the pregnant woman may face, which may reach the limit death Therefore, urgent medical intervention is required.

Sleeping in a comfortable position: choosing a comfortable sleeping position for pregnant women helps to reduce the natural pelvic pain episodes that occur as a result of the natural stretching of the tissues and ligaments and the increase in the volume of the uterus. You can sleep on your side with a pillow between your knees.

**Commitment to a comfortable life routine:** It includes choosing comfortable shoes and maintaining a moderate level of physical activity that does not lead to aggravation of pain. It is preferable to avoid strenuous activities such as lifting weights, standing for long periods of time, climbing stairs, and sitting for long periods of time. It is also recommended to enter and exit the car with your knees together, and take rest periods when needed.

** BathingWith warm water:** Bathing with warm water helps to relieve spasms in the pelvic area and relax the muscles, which reduces the pain caused by the stretching of the uterus during pregnancy.

**Acupuncture:** Acupuncture is considered to be the most common method among pregnant women, as it shows great effectiveness in reducing the pain associated with pregnancy. Seeking help from a specialist in this area can help ease the pain and facilitate this stage.

**Abdominal support:** There are tools such as support or abdominal support that help distribute the weight of the abdomen, which provides comfort to the pelvic muscles. Also, the abdominal straps are a big help in these cases.

When does pelvic pain become dangerous for a pregnant woman at the beginning of pregnancy?

. **Vaginal bleeding**: Vaginal bleeding accompanied by pain in the pelvic region is considered a warning sign during the first months of pregnancy, as it indicates the possibility of miscarriage, especially if the bleeding is continuous and frequent and the pain is severe. It can also indicate the existence of an ectopic pregnancy, and both cases require urgent medical attention. In addition, frequent bleeding can lead to low blood pressure and lead to life-threatening spinal cord injury.

. **Al-Hami**: A high temperature in a pregnant woman with bouts of pain in the pelvis indicates the presence of an infection in the urinary tract or an intestinal infection. This condition requires specialist treatment using drugs, so it is necessary to see a doctor.

. **Increasing pain in the pelvis**: If the pain in the pelvis suddenly increases or worsens while walking or moving, it may be an indication of other health problems that the pregnant woman suffers from, such as an ectopic pregnancy, which poses a risk to her.

**Digestive Bleeding:** Digestive bleeding appears in pregnant women when there is tail in the stool, and when it is associated with pain in the pelvic area, it may indicate a problem in the digestive system that affects the pelvic muscles as a result of pregnancy, which causes pain in it. It requires medical intervention, especially if the bleeding is frequent, because it can negatively affect the health of the mother and fetus.

**Pains and bleeding during urination:** If a pregnant woman feels pain and burning during urination, with the appearance of tail in the bladder, in addition to convulsions and pains in the pelvic area, this may indicate the presence of inflammation or infection in the urogenital system, which requires urgent medical intervention and treatment. .

**Previous pelvic injury:** Although pelvic pain at the beginning of pregnancy is considered normal and common, women with a history of injuries or surgeries in the pelvic area may face greater risks. Even the natural pains of height negatively affect the muscles, joints and bones in this case, which calls for continuous monitoring.

Exercises to strengthen the pelvic floor and thigh muscles:

1. The first exercise: deep breathing. Inhaling air from the nostrils with raising the abdomen upwards (Raqbi movement of the hand). Then rest during the breath and exhale slowly.

2. **Exercise to strengthen inner thigh muscles**

While sitting, put a small pillow between your thighs and press it firmly, then rest.

3. **Exercise to strengthen pelvic muscles**

Resting with back support and leg support. Bend your knees towards your abdomen, place your hands on your knees to stabilize and prevent movement for 10 seconds, then rest and repeat the exercise with the other leg. You should consult your doctor before doing any exercise during pregnancy, as these exercises are suitable during pregnancy and after childbirth.