Cramping in pregnancy

Many women experience cramping in pregnancy for a variety of reasons depending on the stage of pregnancy.

Early pregnancy cramping (weeks 0-12)

In the early weeks of pregnancy cramping is most likely caused by implantation or by the early growth of the uterus. If your cramping is not severe and is not accompanied by spotting or bleeding, it is most likely nothing to worry about. If, however, your cramps are severe (possibly classed as more severe than period pain) or you are having spotting you should contact your doctor as soon as possible. If you have severe pain or heavy bleeding your should go to your nearest hospital or if this is not possible call the emergency services to rule out ectopic pregnancy or miscarriage.

Mid pregnancy cramping (weeks 12-24)

 

Mild cramps and pulling sensations in the middle part of pregnancy are a common complaint. By now your baby is really starting to put pressure on the muscles and ligaments surrounding your tummy and cramps are a result of this. As with cramping in the early months of pregnancy if the cramps are severe or are accompanied by bleeding it is a good idea to contact your doctor or go to your nearest hospital. Cramping in the last half of pregnancy can also be caused by sex, don’t worry this is normal and will not harm your baby.

 

 

 

Late pregnancy cramping (weeks 24+)

In Late pregnancy you will probably still have the discomfort of cramping from the weight of your baby, you may also begin to experience Braxton Hicks contractions, and towards the end you could have pre-labor contractions. Braxton Hicks contractions are not normally very painful and are irregular. If you have regular painful contractions before your baby is full term you should go to your maternity department for monitoring to rule out premature Labor.

Braxton Hicks (false contractions) or real labour?

 

False labour (braxton hicks) contractions	Real Labour contractions
Irregular	Regular
Do not get closer together	Get gradually closer
Often weak do not get stronger	Get stronger over time
No vaginal pressure	Possible vaginal pressure
Front only pain	Often felt all over back and front
A change in position may stop contractions	Contractions will continue regardless of position

 

Please note :These symtoms are only a guide, in general if you suspect labour especially if your baby is not full term you should contact your doctor or midwife.

Ways to ease pregnancy cramping

Cramping in pregnancy is often eased by a simple change of pace, if your are standing up or walking try sitting down and resting, or alternatively if you are sitting or lying down some gentle exercise such as walking may help. A back massage (especially in later pregnancy) will often ease aches and pains and it is very important to ensure that you drink plenty of fluids as dehydration can cause contractions and cramping.