Pregnancy Symptoms

Round Ligament Pain in Pregnancy

Chelsea Mynyk

Round ligament pain is a sharp, jabbing, or dull aching sensation commonly felt on one or both sides of the lower abdomen or groin. It typically begins during the second trimester of pregnancy as your body adapts to rapid growth.

What Causes Round Ligament Pain?

  • The round ligaments are thick bands of tissue that connect the front of your uterus to your groin.
  • Before pregnancy, these ligaments are short and firm. As your uterus expands, they stretch, lengthen, and thin out to support the increasing weight.
  • When you make sudden movements—such as coughing, sneezing, laughing, standing up quickly, or turning over in bed—these taut ligaments contract rapidly, pulling on nearby nerves and causing a brief jolt or spasm of discomfort.

Common Symptoms

  • Sharp, sudden jabbing pain: A brief spasm in the lower belly or groin area triggered by sudden position changes.
  • Dull, lingering ache: Discomfort that persists after prolonged activity, walking, or a long day on your feet.
  • Position-dependent pain: Discomfort that is localized to one or both sides of the lower abdomen.

Self-Care & Relief Strategies

  1. Change positions slowly: Take your time when standing up, sitting down, or turning over in bed. Flex your hips slightly before coughing, sneezing, or laughing to reduce pulling on the ligaments.
  2. Rest and gentle warmth: Sit or lie down in a comfortable position when discomfort occurs. A warm bath (not hot) or applying a warm heating pad on low heat to the lower abdomen can help relax the muscle.
  3. Prenatal support & movement: Gentle prenatal stretching (such as cat-cow exercises) can relieve tension. Wearing a maternity support belt during daily activities can also provide physical support to the lower abdomen.

⚠️ When to Contact Your Healthcare Provider

While round ligament pain is normal and harmless, notify your doctor or midwife immediately if your pain is accompanied by any of the following:

  • Constant, severe abdominal pain or cramping that does not improve with rest
  • Fever, chills, or burning/pain during urination
  • Vaginal bleeding, spotting, or unusual fluid discharge
  • Regular uterine tightening or contractions (more than 4 in an hour)
  • Difficulty walking or severe pain localized in the lower back