Pregnant Pain

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It can be stressful, especially for first-time mothers, to discern between normal pregnancy pains and when there is a possible complication from a sharp pain during pregnancy. During pregnancy, your body will undergo many changes as it adapts to the growing life inside of you. You will gain weight and your body will grow to accommodate your new baby. While this is natural and necessary, it can cause some discomfort.
One of the most common sharp pains that women report is a stabbing pain in and around the uterus, stomach or groin area. While this can be uncomfortable, in many cases it can be explained by normal changes that occur during pregnancy.
Some common causes include:
Although the above conditions are part of normal pregnancy, they typically don’t cause sharp pain. If the sharp pain you are experiencing is localized on one side, it could be indicative of an ectopic pregnancy . This is a serious condition and requires urgent medical attention.
A pending miscarriage can also result in a sharp pain from the cramping. This raises concerns for expecting mothers who want to know the difference between normal cramping associated with the expanding uterus and cramping from a pending miscarriage.
Contacting your healthcare provider to discuss your symptoms is always the right choice.

Despite the fact that sharp pain can be the result of normal pregnancy change, there are some warning signs that you need to watch out for in case the sharp pain is the result of a complication.
If you experience any of the above symptoms contact your healthcare provider immediately.
If you are experiencing sharp or stabbing pain during pregnancy, there are some possible solutions that you can try to alleviate the pain:
Again, if the pain becomes too intense or prevents you from doing day-to-day activities, contact your health care provider immediately. Consult with your doctor for more pregnancy-safe pain management ideas.
Get the Fetal Life App for Apple and Android endorsed by the American Pregnancy Association. It features meal recommendations, kicks counter, blood glucose tracking, and more.
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Gibbs, R. (2008). Prenatal Care. In Danforth’s obstetrics and gynecology (10th ed., p. 18). Philadelphia: Lippincott Williams & Wilkins.
Harms, R. (2004). Mayo Clinic guide to a healthy pregnancy (1st ed.). New York: HarperResource.
Jordan, R. (2014). Exercise, Recreational and occupational issues, and intimate relationships in pregnancy. In Prenatal and postnatal care: A woman-centered approach (pp. 274-279). Oxford: Wiley Blackwell.
 
 
 
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Pain Management
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Pain in Pregnancy

Rachel E. Bridwell, MD | Brooke Army Medical Center Alex Koyfman, MD | UT Southwestern Medical Center Brit Long, MD, FACEP | San Antonio Uniformed Services Health Education Consortium
Headaches, back pain, and abdominal/pelvic pain are the most common presenting pregnancy-related pain complaints in the emergency setting, and under 15% of pregnant women receive opioid prescriptions for these pregnancy-related complaints at some point during their pregnancy. 3 Given the frequency of these presentations, a concern for opioid-overuse, and the additional concern for fetal safety, it is essential that emergency providers be adept at managing pain in this unique population.
Before considering the more common (benign) causes of pain, it is essential to consider the can't-miss diagnoses that often masquerade during pregnancy. Example include:
Once the life-threatening causes have been thoroughly considered and ruled out, efforts can focus on treating the underlying cause of pain.
Headaches: Headaches are frequent during pregnancy and most notable in the first trimester. Whereas a history of similar headaches may provide reassurance, new-onset headaches during pregnancy (particularly at >20 weeks' gestation) should raise a red flag. Particular attention should be given to headaches unresponsive to analgesia prior to ED arrival. A full assessment of visual acuity, vital signs, and basic labs should be conducted for further assessment. A lumbar puncture may also be warranted. 
Back pain: Occurring in half of all pregnancies, low back pain is common and the result of regular physiologic changes of pregnancy, secondary to growth of the gravid uterus and subsequent lumbar lordosis. In combination with the release of increased relaxin, which causes ligamentous laxity, the increased mechanical and gravitational load placed on the paraspinal muscle beds adds to the stress to the lower lumbar spine. 4 Radicular symptoms may be present as the gravid uterus compresses spinal roots. Evaluation is generally elicited through history and examination with symptom relief with heat, mechanical offloading, and massage and avoiding aggravation with axial loading. Careful evaluation should be directed at both evaluations for cauda equina syndrome, as well as sacroiliitis, highlighted by unilateral low lateral spinous pain. 5 While MRI is considered safe during pregnancy, there are currently no studies to evaluate long term effects of ferromagnetic exposure on a fetus, and thus imaging should be conducted with extreme caution. 4
Abdominal/pelvic pain : Abdominal pain is a common symptom during mid to late pregnancy. Fetal growth and round ligament stretching are associated with the sensation of contractions and self-resolving pain. However, moderate to severe pain associated with fever, vital sign abnormalities (tachycardia, hypotension, respiratory distress), syncopal episodes, or vaginal bleeding warrants further consideration of the previousl
https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/sharp-pain-pregnancy/
https://www.emra.org/books/pain-management/pain-in-pregnancy/
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