Doctors and providers who treat this condition


Pelvic Pain in Pregnancy: Unclear (2–3 Trimester)

You are well into your pregnancy and are having pain and pressure in your pelvic area. This is your lower belly (abdomen). Mild pelvic pressure or heaviness is very common in the latter stages of a healthy pregnancy. This is due to the growing uterus (womb). Although the exact cause of your pain is not certain, it does not appear to be dangerous. It may be due to ligaments in your belly stretching to support your uterus as it grows. The weight of your baby may also be causing pressure and pain. Pain can be caused by the bones of your pelvis shifting as your body makes room for the baby to pass through. This is known as symphysis pubis dysfunction (SPD). SPD can cause quite a bit of pain and discomfort as the due date nears.

Home care

The following are general care guidelines:

  • Avoid strenuous activities and long periods of standing. Bed rest is not needed unless your doctor has recommended it.

  • Exercise for 30 minutes all or most days of the week. This will promote muscle tone, strength, and endurance. Ask your healthcare provider what exercises to do and to avoid.

  • Sit in a warm (NOT hot) bath. This helps relax tight, painful muscles.

  • Sleep on your side with a pillow between your legs. This helps align your pelvis.

  • Eat frequent, light meals. Choose foods that are easy to digest.

  • Ask your doctor whether a pregnancy support belt could help you.

  • If told to by your healthcare provider, take an over-the-counter medicine, such as acetaminophen, to relieve pain. Follow instructions carefully for how much to take and how often to take it. Do not take aspirin or nonsteroidal anti-inflammatory medicines (like ibuprofen) unless you have been told to do so by your healthcare provider.

Follow-up care

Follow up with your healthcare provider, or as advised.

When to seek medical advice

Call your healthcare provider right away if any of these occur: 

  • Sudden or gradual worsening abdominal pain

  • Fainting, dizziness, or weakness when standing

  • Any vaginal bleeding

  • Leakage of fluid from the vagina

  • Decreased fetal motion

  • Repeated vomiting or diarrhea

  • Pain that seems to settle in one area, especially the lower right abdomen

  • Blood in vomit or bowel movements (dark red or black color)

  • Fever of 100.4°F (38°C) or higher


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