How does your abdomen feel in early pregnancy

Stomach (abdominal) pains or cramps are common in pregnancy. They're usually nothing to worry about, but they can sometimes be a sign of something more serious that needs to be checked.

It's probably nothing to worry about if the pain is mild and goes away when you change position, have a rest, do a poo or pass wind. But if you have stomach pains and are worried, call your midwife or maternity hospital.

Harmless stomach pains, which can be dull or sharp, may be caused by:

  • ligament pain (often called "growing pains" as the ligaments stretch to support your growing bump) – this can feel like a sharp cramp on one side of your lower tummy
  • constipation – which is common in pregnancy (find out how to avoid constipation)
  • trapped wind

Urgent advice: Call your midwife immediately if you have stomach pain and:

  • bleeding or spotting
  • regular cramping or tightenings
  • vaginal discharge that's unusual for you
  • lower back pain
  • pain or burning when you pee
  • the pain is severe or does not go away after you've rested for 30 to 60 minutes

Any of these could be the symptoms of something that needs to be checked or treated urgently.

Possible causes of serious stomach pain

Some conditions that can cause stomach pain need to be checked urgently.

Ectopic pregnancy

This is when a fertilised egg implants outside the womb, for example in a fallopian tube. The pregnancy cannot survive and needs to be removed with medicine or surgery.

Symptoms typically appear between 4 and 12 weeks of pregnancy and can include:

  • tummy pain and bleeding
  • pain in the tip of your shoulder
  • discomfort when pooing or peeing

Find out more about ectopic pregnancy

Miscarriage

Cramping pains and bleeding before 24 weeks of pregnancy can sometimes be a sign of miscarriage or threatened miscarriage (when you bleed but the pregnancy normally continues).

Pre-eclampsia

Pain just under the ribs is common in later pregnancy due to the growing baby and uterus pushing up under the ribs.

But if this pain is bad or persistent, particularly on the right side, it can be a sign of pre-eclampsia (high blood pressure in pregnancy) which affects some pregnant women. It usually starts after 20 weeks or just after the baby is born.

Other symptoms of pre-eclampsia include:

  • severe headache
  • vision problems
  • swollen feet, hands and face

You'll need to be monitored in hospital.

Find out more about pre-eclampsia

Premature labour

If you're less than 37 weeks pregnant and are having regular abdominal cramps or tightenings, call your midwife.

This could be a sign of premature labour, and you'll need to be monitored in hospital.

Placental abruption

This is when the placenta starts to come away from the wall of the womb, usually causing bleeding and constant severe pain that does not come and go like a contraction pain.

It's sometimes an emergency because it means the placenta may not be able to support your baby properly.

You should go to the hospital so you and your baby can be checked.

Find out more about placental abruption

UTI (urinary tract infection)

UTIs are common in pregnancy and can usually be easily treated. They can cause tummy pain and sometimes, but not always, pain when you pee.

Find out more about UTIs

If your pregnant belly feels tight and heavy, it's usually because your uterus is expanding to accommodate your growing baby. As your uterus grows, it eventually pushes up against your abdominal wall, giving your belly that tight-as-a-drum look and feel. Toward the end of pregnancy, Braxton Hicks contractions can cause a repeated tightening sensation. These are normal as your body prepares for labor – but call your doctor or midwife if you have sharp pain, bleeding, or pain that doesn't stop after 30 to 60 minutes.

You expect your belly to get bigger during pregnancy. What nobody tells you is how it will feel as it expands, and how that feeling can change over time.

Depending on your stage of pregnancy, your body type, and even the time of day, sometimes your belly will feel soft and other times it will feel tight and hard.

The reality is, there's no normal to compare yourself with. Pregnant bellies come in all shapes, sizes, and firmness. Some women look more pregnant or show sooner; other women have a smaller bump or never have an obvious, basketball-shaped pregnancy belly. How your belly looks and feels can vary based on factors like your hormones, pre-pregnancy weight, height, body shape, muscle tone, and whether this is your first baby.

If your pregnant belly feels tight and heavy, it's probably completely normal and nothing to worry about. Late in pregnancy, you may also feel sensations of stomach tightening during Braxton Hicks contractions, when your body is practicing for labor. These are normal, as are brief sensations of pressure or cramps. But it's never a bad idea to check with your doctor or midwife if your belly doesn't feel like you think it should.

How does a pregnant belly feel in early pregnancy?

For most of your first trimester, you may not feel much, if any, difference in your belly. It will probably be soft and look a little bigger – similar to when you get bloated during your period or after you've eaten a large meal.

Your baby is still tiny – at the end of the first trimester, they weigh just half an ounce and measure around 2 inches long.

Your uterus is still nestled in your pelvis, well protected by those strong bones. In early pregnancy, a bigger belly or feeling of tightness is probably due to digestive changes. As your uterus takes up more room in your pelvis, it's pushing your intestines upward. In addition, hormonal changes are slowing your digestion, leading to increased gas and constipation.

You'll start to feel and look more pregnant as the weeks go on. By the end of this trimester or early in the second trimester, you may start to show.

When does your belly start feeling hard during pregnancy?

This varies, but it's usually during your second or third trimester. As your uterus grows, it eventually pushes against your abdominal wall, making your abdomen feel firm. The muscles and ligaments around your uterus stretch, too, which can cause mild cramping.

When you're about 20 weeks pregnant, your uterus is at your belly button. (Your ob-gyn or midwife will measure the growth of your uterus and evaluate your baby and body at each prenatal visit.)

Some women never get that hard, defined pregnancy belly, and that's okay. Just like our bodies are different before pregnancy, they're different during pregnancy, too! Tall women have more vertical space for their growing uterus, so often will show later. Full-figured or plus-size pregnant women have more padding, and the distinct outline of their bump is blurred. 

Belly hardness can also be caused by gas, a common pregnancy side effect. You get gassy because of hormone changes that slow the rate at which food passes through your digestive tract. Because of this slower pace, your food spends more time in your intestines, giving the bacteria that live there more time to produce gas.

Pregnancy exercise can help move the gas through, as can safe over-the-counter medications. Eating fiber-rich foods that are broken down can be helpful, too: Try applesauce instead of apples and cooked spinach instead of a raw salad. Carbonated beverages make some women feel particularly bad, since they add gas to their gas. 

My pregnant belly feels tight and heavy – what gives?

Stomach tightness during pregnancy is normal, especially toward the end of pregnancy. By the late third trimester, your belly can feel as tight and heavy as a watermelon.

As your belly expands, your skin will start to feel stretched and you may see new stretch marks on your belly (as well as other places, like your breasts and behind). Your skin may itch from rapid growth and stretching, and a good moisturizer or stretch mark cream may be a must-have.  

The heaviness and tightening are likely just signs of your baby growing and your uterus taking up more space in your body. At the end of pregnancy, the measurement from your pubic bone to the top of your uterus is around 15 inches. As your uterus expands, it crowds your internal organs. Pressure on your diaphragm and lungs can make it harder to breathe. And the pressure of your uterus against your bladder can make for more frequent bathroom visits.

If you feel sensations of stomach tightening or hardness that come and go, it could be Braxton Hicks contractions. These practice contractions are very normal and prepare your body for labor. They can be hard to tell apart from real contractions.

Cramping or brief, sharp pains on one or both sides of your belly might also be round ligament pain. It happens when ligaments that attach your uterus to the walls of your pelvis stretch and pull as your baby grows.

Although Braxton Hicks contractions and round ligament pain aren't anything to worry about, belly cramping or pain can sometimes signal a problem, such as preterm labor, severe preeclampsia, or placental abruption.

If you're more than 37 weeks pregnant, expect increasing tightness and discomfort as you approach your due date. But contact your provider if:

  • Your contractions are so painful you can't talk through them, every 5 minutes for an hour 
  • You have vaginal bleeding like a period 
  • Your think your water has broken 
  • You feel less fetal movement  

If you're less than 37 weeks pregnant, call your provider if you feel cramping or tightening and:

  • You're also bleeding or spotting
  • The tightening comes in regular intervals, with more than 4 to 6 contractions each hour for two hours 
  • You have vaginal discharge that's new or unusual for you, or you think your water may have broken 
  • The pain is severe, or continues even after you rest and drink water
  • You feel less fetal movement 

How does your lower stomach feel in early pregnancy?

Lower abdominal pain is normal during pregnancy and is most common between 18 and 24 weeks. Your growing uterus is pulling and straining the muscles that support it. You may feel sharp pains or just a mild pulling sensation. It often occurs when you cough, sneeze, stand up, sit down, roll over, or during sex.

What an early pregnant belly feels like?

How does a pregnant belly feel in early pregnancy? For most of your first trimester, you may not feel much, if any, difference in your belly. It will probably be soft and look a little bigger – similar to when you get bloated during your period or after you've eaten a large meal.

What part of your stomach hurts in early pregnancy?

Abdominal or tummy pain is common during pregnancy. In the first trimester (weeks 0 to 12) it is common to feel mild pains in the lower tummy area. These are caused by hormonal changes and by your growing womb.