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At 34 weeks of pregnancy, the abdomen feels hard and is dropping down with some pain.

Mar 28, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, if the abdomen feels hard and heavy with mild pain at 34 weeks of pregnancy, it may be related to factors such as increased uterine volume, physiological uterine contractions, uterine prolapse, preterm labor, or placental abruption. It is recommended that patients promptly visit a正规 hospital for evaluation and receive treatment according to medical advice. Additionally, this could also be associated with pelvic tumors; therefore, detailed examinations at a hospital are advised, followed by active treatment under a doctor's guidance.

In general, at 34 weeks of pregnancy, a hard and heavy sensation in the abdomen accompanied by mild pain may be related to factors such as increased uterine volume, physiological contractions, uterine prolapse, preterm labor, or placental abruption. It is recommended that patients promptly visit a reputable hospital for evaluation and follow medical advice for treatment. Specific analyses are as follows:

1. Increased Uterine Volume

At 34 weeks of pregnancy, a hard and heavy feeling in the abdomen with slight pain is often caused by the enlarged uterus—due to fetal development—pressing on pelvic organs. This is usually a normal physiological phenomenon and generally does not require excessive concern; careful observation is sufficient.

2. Physiological Contractions

As pregnancy progresses, increasing levels of oxytocin in the uterus can lead to contractions characterized by a hardening of the lower abdomen, mild pain, and an overall tight, rigid sensation throughout the belly. Typically, no other discomfort occurs, and no specific treatment is needed. If symptoms are severe, using a maternity support belt (abdominal binder) may help relieve gravitational strain.

3. Uterine Prolapse

Uterine prolapse refers to the downward displacement of the uterus due to various causes, leading pregnant women to feel abdominal heaviness or a dragging sensation. Patients may follow medical advice to perform pelvic floor muscle exercises, primarily involving repeated contraction of the anal muscles, to enhance the tone of the pelvic floor muscle group.

4. Preterm Labor

This condition is mainly characterized by progressively prolonged episodes of abdominal tightening and hardening, with pain gradually intensifying, often accompanied by vaginal bleeding. For non-emergency cases, it is recommended that pregnant women rest in bed more, reduce physical activity and sexual intercourse, and avoid overexertion.

5. Placental Abruption

Symptoms include persistent abdominal hardness and tightness along with a heavy sensation, usually lasting a long time and accompanied by severe pain, vaginal bleeding, and abnormal fetal heart monitoring. Pregnant women at 34 weeks with this condition typically require cesarean delivery to terminate the pregnancy.

Besides the above, these symptoms could also be related to pelvic tumors. It is recommended to undergo thorough examinations at a hospital and actively receive treatment under a physician’s guidance to prevent delays in managing the condition.


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