Pregnant women will experience fetal movements around four months of pregnancy, and it is necessary to count fetal movements to observe if they are normal. For pregnant women who are already in the late stage of pregnancy, if they experience severe fetal movement and small abdominal pain, they will definitely be worried. So, what is the reason for severe fetal movement and small abdominal pain in late pregnancy?
1. Physiological reasons
As the baby grows up, the expectant mother's uterus also gradually enlarges. The enlarged uterus constantly stimulates the lower edge of the ribs, which can cause dull rib pain in expectant mothers. Generally speaking, this is physiological and does not require special treatment. The left lateral position is beneficial for pain relief. In the late stage of pregnancy, expectant mothers may experience lower abdominal pain due to false contractions during nighttime rest, usually lasting only a few seconds with intervals of several hours. There is no feeling of heaviness, and the symptoms can be relieved during the day.
2. Placental abruption
The incidence of placental abruption in late pregnancy is 0.5-1%, and it is generally more common in pregnant women with hypertension, smoking, and multiple pregnancies. The pain caused by placental abruption is usually severe lower abdominal tearing pain, often accompanied by vaginal bleeding. The degree of abdominal pain is influenced by a combination of factors such as the size of the area of premature ejaculation, the amount of blood, the pressure inside the uterus, and whether the uterine muscle layer is damaged. In severe cases, the abdominal pain can be unbearable, the abdomen becomes hard, fetal movement disappears, and even shock occurs. When placental abruption exceeds 50%, it usually causes abnormalities in the coagulation mechanism of pregnant women and fetal death.
3. Threatened uterine rupture
Uterine rupture refers to the rupture of the uterine body or lower segment during late pregnancy or childbirth, which is an obstetric complication that directly threatens the lives of pregnant women and fetuses. Uterine rupture is more common in patients who have had previous wounds to the uterus. Uterine rupture often occurs instantaneously. Previously, pregnant women felt severe pain in the lower abdomen, extreme anxiety, flushed complexion, and rapid breathing, which is a precursor to uterine rupture.
What is the reason for severe fetal movement and small abdominal pain in late pregnancy? Generally speaking, this situation can be divided into two types. One is due to physiological reasons. For this situation, the most common one is pseudo uterine contractions, which can be observed carefully. Another reason is pathological, mainly divided into placental abruption and threatened uterine rupture. For this situation, it is necessary to seek medical attention in a timely manner.
