If you are in your second trimester of pregnancy, you are likely experiencing something called round ligament pain. While this may seem worrisome, it just means your body is making more room for that growing baby of yours! Throughout this article, we will discuss: what round ligament pain is from a physiological standpoint, how to alleviate it, and when to call a doctor.
What is Round Ligament Pain?
Every woman has two round ligaments on either end of her uterus. These ligaments hold the uterus in place and attach in the groin. They are designed to stretch and thicken during pregnancy to accommodate your growing baby. While this may happen at any point during pregnancy, it is most common during the second trimester. Round ligament pain might feel like occasional sharp or stabbing pain, particularly if you change positions too quickly. This sharp pain is typically brief, and does not last for more than a few seconds at a time. It also may feel like a dull ache in the lower abdomen or groin area. Both sensations are harmless, albeit uncomfortable. You might notice that round ligament pain happens more often if you stand up too quickly, roll over in bed, or cough and laugh too hard.
How Can I Combat Round Ligament Pain?
There are some ways to relieve round ligament pain when it becomes especially bothersome. The first thing I recommend is slowly changing positions and see if that helps. We want to avoid any positions that worsen the pain. Personally, I find that laying on my side with my knees tucked up is the best position to relieve my pain. Applying some gentle pressure or massaging the aching area may help as well. Try doing some gentle stretches or relaxing prenatal yoga if resting does not take care of it! Remember to breathe and move in a slow and controlled manner. Any quick or sudden movements might cause the pain to return or worsen. As pregnancy progresses, some expectant mothers find it helpful to wear a belly support band; only a small investment to help lift up your belly and take some pressure off of your round ligaments! If all else fails, I find that taking a warm – not hot – shower helps to relax the muscles and ligaments in my pelvis. It is important to go easy on your body during this time. Oftentimes, round ligament pain presents itself when your baby is going through a growth spurt. Just remember that your body is doing miraculous things in order to support your precious baby.
When Should I Call My Doctor?
It is difficult to distinguish which pains are normal during pregnancy and which pains require a chat with your birth team. Here are some symptoms that might tell you it is time to reach out to your doctor or midwife:
- Severe pain or cramping that persists
- Fever or chills
- Bleeding or spotting
- Nausea or vomiting
- Pain with urination
- Sudden and extreme low back pain
- Sudden onset of contractions or other labor symptoms
It is always better to be safe than sorry. If you feel something is wrong, there is no harm in contacting your birth team. They are there to help!
Sara French, ACSM CPT, NASM CNC
Sources
https://my.clevelandclinic.org/health/symptoms/21642-round-ligament-pain
https://www.babycenter.com/pregnancy/health-and-safety/round-ligament-pain_205
