Why does the abdomen hurt at 36 weeks gestation?

By the 36th week of pregnancy, the likelihood of beginning labor is increased, so it is recommended that a woman prepare for the birth of the baby. At this time, you need to pay special attention to your mental and physical health.

Despite the fact that all the organs and systems of the child have already been formed, it still needs to gain weight, so the birth of it will be still premature. If the abdomen is very bad for 36 weeks of pregnancy, then it is necessary to consult a doctor to exclude the development of pathology.

Why does the stomach ache

Abdominal pain during child bearing occurs as a result of the course of physiological processes. In the late weeks of pregnancy, women tend to exaggerate the intensity of pain, because they are waiting for the forthcoming birth, and any sensation that was not previously observed, whether a stool or tingling in the abdomen, is perceived as the beginning of labor.

But not all future young mothers are rushing to consult an obstetrician, but waiting for the appearance of regular fights, the removal of cork or water, while being confident that pain, nausea or diarrhea, this is the beginning of the process and the delivery is about to begin.

That's why pregnant women go to the doctor late for the development of surgical pathology, and this leads to complications. To avoid unnecessary emotional distress and prevent the development of complications, a woman should know when to call the doctor immediately if she is concerned about the pains in the abdomen for 36 weeks of pregnancy.

Natural causes of

Many women during pregnancy occasionally have a sore stomach. Discomfortable sensations arise, as the uterus grows and the ligamentous apparatus supporting it is stretched.

Drawing pains are more intense in women who have undeveloped abdominal muscles

After the twentieth week of pregnancy the baby starts to move, and the older it becomes, the stronger its jerks are felt. The impact can sometimes come to the organs, and a strong sharp pain is felt, which gradually diminishes.

The uterus, increasing, begins to press on the neighboring organs of the abdominal cavity, which leads to disruption of their function and deterioration of the digestive process. Hormones that interfere with the tone of the uterus, have an effect on the rest of the smooth muscles. As a result, the peristalsis of the intestine and stomach is reduced, the bile ducts are not so active, because of which the secret can stagnate.

Therefore, during pregnancy, often there is a stool, pancreatitis and / or cholecystitis develops, concrements are formed, heartburn and belching.

Against the background of a decrease in the body's immune defense and worsening of fecal matter progression, an appendix may become inflamed. Appendicitis ranks first among surgical pathologies during pregnancy.

Food predilections change during pregnancy, and women can eat large amounts of salty, heavy, fatty or uncommitted food. The enzymatic system does not cope with incoming substances, hence indigestion, flatulence, heaviness in the abdomen.

By 36 weeks of pregnancy, abdominal pain during training bouts can become much more palpable. During such a false bout, the uterine walls are contracted, but there is no opening of the cervix and the passage of water.

Some training fights are painful, the stomach feels like stone, others cause slightly noticeable discomfort, but the contractions are irregular and short, usually begin against a background of emotional tension. Often the pain goes away after a change in body position or a short rest.

At the 36th week of gestation, the child has already turned head down, so the stomach drops and no longer presses against the diaphragm, which makes it easier to breathe and reduces heartburn. But the uterus presses hard on the bladder and intestines, which leads to frequent urge to urinate and difficulties with bowel movement.

To reduce the burden on the spine and pelvic bones, with the permission of the doctor you can wear a bandage

In late pregnancy, the hormone relaxin is intensively produced, which is necessary to soften the connective tissue and ensure the divergence of the pelvic bones by 5-6 mm. When bones move, there is a drawing or aching pain in the pelvis, the intensity of which does not increase.

Normally, pain disappears with a full rest. If the bones become too mobile, then they talk about symphysiopathy. With pathology, pain increases with the course of pregnancy and becomes even more palpable when the position of the body changes.

The hormone affects not only the ligamentous tissues of the pubic bones, but also the others, for example, softens the joints of the limbs, which causes leg pain and increased risk of dislocation in the late stages of pregnancy, even with a slight external effect. The abdominal circumference at 36 weeks gestation reaches a maximum. It is difficult to bend pregnant, because the walls of the uterus abut against the ribs.

Obstetric pathologies that cause pain

If the stomach has become stony, it indicates that the uterus is strained and the birth process can begin. To reduce the tone, you need to take a No-Shpa or Papaverina pill, lie down and calm down. In such a situation it is important to remain calm and breathe slowly, so that the child does not have a rapid heart beat.

If the loin is bad, the abdomen is stony, there are fights and spotting from the vagina, then it is urgent to go to the maternity department of the hospital. On obstetric pathology can indicate uterine bleeding, water leakage, low water or polyhydramnios, leakage of amniotic fluid.

At the 36th week of gestation, the mucous plug can gradually escape, preventing the penetration of infection into the uterus. It is normal if the discharge is milky or almost transparent without inclusions. Mucous plug can be removed in parts, pink or brown veins are visible in it.

If the discharge is bloody, it is a sign of placenta retreatment or the onset of labor. With detachment of the placenta, in addition to excretions, there is pain in the abdomen, nausea, pallor, dizziness. If there is a pathological discharge( with a sharp odor, green, gray or yellow, curd or foamy), it is also necessary to see the doctor immediately, as this indicates infection and if it is started, it can go to the fetal water.

If the microflora is broken, there is burning and itching in the perineal region. In case of low water, it is possible to determine by touch how the child is lying, where his hands or head are located, the heartbeat is audible distinctly, the motion in the crumb is limited. In case of polyhydramnios, inverse symptoms appear( the abdomen is greatly enlarged, fluid is felt under the hands, the baby is palpable with difficulty, his heartbeat is muffled).

With polyhydramnios due to excessive stretching of the uterine wall, the premature delivery of

is increased. If the integrity of the bladder is compromised, the amniotic fluid flows. If this process has begun, then the delivery should take place within the next 24 hours, otherwise the child will die because of hypoxia.

When the amniotic bladder ruptures, the fluid can come out immediately( and then the pathology is obvious), or it may leak periodically, but it appears that it is incontinence. Amniotic fluid has no smell and color, while the consistency is more like slime, not water. If amniotic fluid flows, then the abdomen is significantly reduced in size.

Acute abdomen during pregnancy

A woman at 36 weeks of gestation needs urgent medical attention if signs of an "acute abdomen" appear. In this state, there is a delay in the emptying of the intestine from fecal masses and gases, acute or cutting pain in the abdomen and involuntary tension of the peritoneum. Similar signs indicate the development of surgical pathology.

During pregnancy it is very difficult to recognize a surgical pathology for several reasons:

• the location of the organs is changed;
• palpation is difficult or impossible;
• erased symptomatology;
• decreased the reactivity of the body;
• discomfort during pregnancy is similar to signs of diseases of the digestive system( nausea, stool, abdominal and back pain);
• difficulties of surgical differentiation from obstetrical pathology.
• changed the hormonal background.

This is why the examination of a pregnant woman should be performed by a surgeon and obstetrician-gynecologist, and the number of probes of the abdomen should be as small as possible so as not to provoke an increased tone of the uterus. The main complaint with an "acute abdomen" is a painful sensation.

When carrying a child, in addition to cesarean section, operations are performed in 0.2-2.2% of pregnancies of

. At their location, one can assume where the pathological process develops. Soreness in the whole abdomen arises with peritonitis due to bleeding, exudate or the presence of intestinal contents in the abdominal cavity. The pain in the center at the very bottom of the abdomen is often caused by the tone of the uterus, and at the bottom of the side by torsion or violation of the integrity of the tumor.

Pain in the middle of the abdomen speaks of the pathology of the intestine, and in the upper part it occurs when the spleen, stomach, liver, pancreas, gallbladder, duodenum are broken. Most often, the acute course of appendicitis, cholecystitis, intestinal obstruction, pancreatitis is diagnosed( in descending order).

Inflammation of the appendix

Appendicitis, in which the pus already begins to seep into the abdominal cavity, is diagnosed 2-3 times more often in women in the position than in the nonpregnant. Associate this with the late diagnosis, because a woman does not consult a doctor as soon as there are pains in the abdomen, nausea and lack of appetite, because she believes these are signs of pregnancy.

Since the uterus causes the appendix to go up, mild leukocytosis is normal for pregnancy, and probing and listening to the abdominal cavity are difficult, it leads to delay in the diagnosis and appendectomy.

Nausea with appendicitis occurs in 70% of pregnant women, and vomiting only in half of

Diagnosis can be diagnosed using diagnostic laparoscopy.

Diseases of the gall bladder

When the child is pregnant, the lithogenic properties of the secretion increase, in addition, the bile stagnates due to a violation of the contraction of the bile ducts, and with an increase in the body volume by a factor of 2, its ability to eject the bile nevertheless decreases. All this leads to the formation of stones and inflammation.

In case of pathology, the pregnant woman is disturbed by nausea, vomiting, a slight increase in body temperature, pain in the right part of the abdomen from the top, lack of appetite. Seizures occur usually after a meal and can last several minutes or hours. The gallbladder through the uterus can not be probed. The diagnosis is made using ultrasound and laboratory tests.

Pancreatitis

Disease occurs as a result of autolysis of the pancreas. Often pancreatitis is a complication of cholecystitis. It can also be caused by an anomaly of the structure of the gland, infection, abdominal trauma, drug therapy, alcoholism.

Predicting factors are bile stasis due to the action of pregnancy hormones, an increase in the number of enzymes and lipids in the blood, an increase in intra-abdominal pressure, spasm of the sphincter ducts occurs with spasm of the uterine muscles, metabolic disorders.

In case of a pathology, the following symptoms occur:

• sharp or worse, shrouding pain in the epigastric region;
• vomiting, nausea;
• prolonged slight increase in body temperature;
• tachycardia;
• peritoneal tension;
• BP changes depending on the position of the body.

The pathology is revealed during ultrasound. At the initial stage of the disease conservative treatment is shown, if complications develop, then surgical intervention is performed. If acute pancreatitis occurs over a period of more than 36 weeks, then after the symptomatology subsides, an early delivery is performed( in the absence of contraindications, delivery through the birth canal).

Intestinal obstruction

Pathology is caused by mechanical or dynamic obstruction of the intestinal lumen( vomiting, hernia, compression of the uterus, swelling).If there are spikes( and they arise after operations), the risk of formation of intestinal obstruction increases during the period of lowering the head of the child into a small pelvis, since the topography of the organs and their interrelations vary.

In the third trimester, if the uterus obstructs access to the intestine, the cesarean section of

is first performed. Pain at obstruction is constant or at intervals of every 4-5 or 10-15 minutes, depending on the site of obstruction of the lumen. With small intestinal blockage of pain, vomiting is stronger and more frequent, stool disruption may not be noted. The disease develops rapidly and within a day, fever, oliguria, shock, acidosis, and infection can occur.

Although surgery is rarely required for pregnancy, but if you miss the time, it threatens the life and health of the child and mother, which is why when you first suspect you need to seek medical help. Only a specialist after the diagnostic activities can answer, why pulls the lower abdomen or hurts his upper body.

Therefore, there is a threat to the life and health of the child and mother. It is considered the norm if the abdomen hurts at the 36th week of pregnancy is not more intensive than with the monthly ones, while unpleasant sensations pass after a full rest or a change in the position of the body, and do not grow with time.

If the discomfort is severe, then this should be warned by the doctor who leads the pregnancy. An ambulance is needed if, in addition to the growing pain in the abdomen, other symptoms of the pathological process are noted, such as vomiting, fever, genital secretions, nausea, severe diarrhea, weakness, dizziness.