Abdominal Pain: Preventable Measures

Pregnant women often ask me what could be causing intense pain in their lower abdominal area. They describe it as a strong pulling sensation or tearing feeling on one or both sides of the lower abdominal area as they roll over or move suddenly. They also report that it can be triggered by sneezing or coughing. Some women experience intense, sharp episodes of discomfort, while others describe the pain as constant, but dull.

The round ligaments are often responsible for all of the above mentioned symptoms. These ligaments have a pretty important job. They hold the uterus in suspension by connecting the top of the uterus to the pubic area. As the uterus grows, these ligaments stretch out like rubber bands and can sometimes create pressure on nearby nerves and tissue. Although the associated sensations of these stretching ligaments can be quite intense and worrisome, they are quite common.

Once you have been checked by your midwife or obstetrician to rule out other possible causes for the discomfort, go ahead and try some of these tips to help ease soreness. You can also use them as preventative measures to ensure balance and proper motion of the pelvis leading up to birth.

1) Trigger point therapy: Since the round ligaments contain smooth muscle fibers, they can tighten up and become quite uncomfortable. You can perform this easy "trigger point" work on your own round ligaments, or better yet, have your partner assist you!

To find your round ligaments, move your fingers along either side of the bottom of your belly. As you palpate this area, you might locate nodules which may or may not be tender. Apply light pressure to these points, aiming the pressure up towards the opposing shoulder. Hold for one minute on each side. Perform this routine once per day.

2) Neutral posture: It is important to assume a neutral posture as much as possible during your day-to-day activities. This will minimize stress on all pelvic structures, and will minimize excess tension on the round ligaments. You can also reduce stress on pelvic structures by avoiding crossing your legs while sitting and by sleeping in a neutral side-lying posture with a pillow between your knees.

3) Support your belly: When lying down on your side, try placing a pillow or a rolled-up towel between your belly and the bed. This will help you avoid the pull of gravity on your belly, which can further strain the round ligaments.

4) See a chiropractor: Misalignments or reduced motion of the pelvic bones can worsen round ligament pain. It is beneficial to maintain proper motion of the pelvis leading up to a birth so that all pelvic structures, including your round ligaments, are balanced. The moms seated in any chiropractic clinic's reception area will tell you that their chiropractic care directly contributed to an easier birth.