What could cause mild abdominal pain during sleep at 17 weeks of pregnancy, and what should be done about it?
Aug 11, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
In general, mild abdominal pain during sleep at 17 weeks of pregnancy may be caused by factors such as uterine enlargement, placental abruption, acute gastroenteritis, pelvic inflammatory disease, or threatened miscarriage. Pregnant women can receive symptomatic treatment under the guidance of a doctor based on the specific cause. If a pregnant woman experiences any discomfort, she should seek medical attention promptly. It is recommended that pregnant women maintain a positive mood and communicate frequently with family and friends.
Generally, during week 17 of pregnancy, mild abdominal pain at night may be caused by factors such as uterine enlargement, placental abruption, acute gastroenteritis, pelvic inflammatory disease, or threatened miscarriage. Pregnant women should seek symptomatic treatment under the guidance of a doctor based on the specific cause. If discomfort occurs, it is recommended to seek medical attention promptly. The detailed analysis is as follows:
1. Uterine Enlargement
As pregnancy progresses, the uterus gradually enlarges, exerting pressure on surrounding tissues and organs. While sleeping at night, when the body is at rest, this increased uterine size may place additional pressure on adjacent structures, causing a dull ache or mild discomfort. This is a normal condition that does not require special treatment. It is advised to get adequate rest and avoid overexertion.
2. Placental Abruption
Placental abruption refers to partial or complete detachment of a normally positioned placenta after 20 weeks of gestation but before delivery of the fetus. This condition is usually accompanied by abdominal pain and may involve vaginal bleeding and other pregnancy-related complications. A pregnant woman might feel a vague abdominal ache at night. However, if severe pain, excessive bleeding, or other abnormal symptoms occur, medications such as methylergonovine maleate injection, ritodrine hydrochloride injection, or oxytocin for injection may be used under medical supervision. Heavy lifting should also be avoided.
3. Acute Gastroenteritis
Acute gastroenteritis is an intestinal infection caused by viruses, bacteria, or other pathogens. It commonly presents with symptoms such as abdominal pain, diarrhea, and nausea. These inflammatory symptoms and discomfort may become more noticeable at night, as the body’s relaxation can heighten sensitivity to pain. Pregnant women are advised to take medications such as norfloxacin capsules, levofloxacin tablets, or smectite powder under a doctor's guidance, while maintaining good dietary hygiene.
4. Pelvic Inflammatory Disease
Pelvic inflammatory disease (PID) is an infection and inflammation of the organs within the pelvic cavity, often caused by bacterial infection. This inflammation can lead to lower abdominal pain and discomfort, including vague abdominal pain during sleep. Treatment may include penicillin potassium for injection, Fuyankang capsules, or Puleng Penyan Kang granules under medical supervision. Regular bathing is also recommended.
5. Threatened Miscarriage
Threatened miscarriage refers to early signs during pregnancy that could potentially lead to pregnancy loss. It may be accompanied by mild discomfort or pain, which may become more noticeable at night. Uterine contractions or temporary cervical dilation may cause a dull ache. Treatment options under medical supervision include magnesium sulfate injection, dydrogesterone tablets, or progesterone injection. Maintaining a positive mood is also recommended.
Pregnant women are advised to maintain a cheerful mindset and communicate regularly with family and friends to avoid excessive psychological stress, which may negatively affect fetal development.
