Needlesticks in the cervix during pregnancy: why this pain?

The expert: Odile Bagot, obstetrician and gynaecologist

Various abdominal pains can occur during pregnancy. When it pulls, we spontaneously think of labor. We can then fear complications for her pregnancy and premature birth. We are reassured, this pain cannot have anything to do with the contractions.

During pregnancy, localized pain in the abdomen can be due to digestive disorders, for example, in the case of gastrointestinal inflammation, pain in the back or sacrum that radiates forward. They can also be a sign of a bladder infection. « renal colic can also cause abdominal pain, more common in pregnancy on the right. We also have pubalgiawhich leads to a painful joint at the level of the pubic bone when pressed”, explains Dr. Odile Bagot, obstetrician-gynecologist and author of “Vagina & Cie, we tell you everything”, published by Mango. Pubalgia can cause it Pain from abdominal muscles to perineum. It generally affects athletes.
This pain can also indicate contractions, real or fake. But more often than not, these pinprick sensations are due to ligament pain.

What does ligament pain look like during pregnancy?

Most of the time it is ligament pain, also parietal pain or Lacomme Syndrome, which are perceived by the mother-to-be. Ligament pain is a type of tendinitis of the rectus muscles, which are located under the ribs and go to the pubic bone. This pain mainly occurs when the pregnant woman stands up and moves. « The muscles of the abdominal wall, especially in the first two trimesters of pregnancy, are under a lot of strain because they haven’t fully stretched their fibers yet. Paradoxically, in the ninth month the abdomen is less tense because the muscle fiber is longer, while in the second trimester the belly has already grown but the muscle is still under tension because it hasn’t stretched yet”, adds the gynecologist. Ligament pains can give the impression of tearing, pins and needles in the abdomen, dull pain, especially when moving, permanent tension in the abdomen… These pains are quite atypical. you can give the impression that the baby is very low and is ready to go when it isn’t. These fears are natural, especially during a first pregnancy. But as embarrassing as they are, they don’t pose any particular pregnancy risk, either for the baby or for the mother-to-be.

Pregnancy: where is ligament pain localized?

For abdominal pain during pregnancy eliminate the first possible cause, these are contractions. They are characterized by pain comparable to that experienced during menstruation. The contraction corresponds to a tightening of the uterus. When contracting, the stomach becomes hard, which is not the case with ligament pain. Contractions occur intermittently : They last a few seconds before stopping. Ligament pain is longer and can be stabbing. While contractions can occur at any time, ligament pain is most common in the morning upon waking or in the evening after a long day or with particular exertion.

If in doubt, consult your doctor. He will then question the patient carefully, examine the cervix and See if those contractions affected the cervix. From the third trimester, he may also monitor for labor present.
If it’s not labor, he or she will direct you to other appropriate tests. If it causes joint pain, pelvic bone pain, we can be brought see a rheumatologist. If cystitis is suspected, a urinalysis may be done, as it can manifest itself in labor.

False contractions, also called Braxton Hicks contractions“, is felt throughout pregnancy. Of low intensity, their role is to help the body prepare for childbirth, but they do not pose any consequences or danger to the cervix. To relieve them, we give antispasmodics (or antispasmodics) like Spasfon. Often these small contractions are triggered by exertion. It is therefore advisable to take a short break to calm down. The mother-to-be is likely to have a walkout if these contractions are too frequent.

We often give for ligament pain magnesium to relax the muscles. The mother-to-be can also wear it a maternity belt to relieve tension.

How does it feel when the baby presses on the collar?

The pain felt may also indicate that the baby is pressing on the cervix. But dr Odile Bagot disputes this hypothesis: « There is no specific feeling when the baby presses the collar. It is an impression, a representation, but there are no specific symptoms to show it. If the baby is high, then the entire uterus will tilt forward, that is, the entire volume of the uterus will tilt outward, there will be a lot ligament tensionsbut it doesn’t press on the cervix”, She explains. The only way to find out if the baby is pressing on the cervix is ​​to do a vaginal examination. We do not hesitate to share our doubts with our health expert.

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