Tightening and hardening of the abdomen while walking at four months pregnant
Jan 26, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
The term "abdomen" usually refers to the belly. If a pregnant woman at four months gestation experiences tightness and hardening of the abdomen while walking, it may be related to factors such as uterine contractions, uterine enlargement, indigestion, placental abruption, or threatened miscarriage. It is important to seek timely medical evaluation at a hospital, where a doctor can perform examinations to establish an accurate diagnosis and provide appropriate treatment. Pregnant women should actively maintain adequate nutrition and avoid strenuous physical activity, which helps support healthy fetal development.
The term "stomach" usually refers to the abdomen. During the fourth month of pregnancy, tightness and hardness in the abdominal area while walking may be related to factors such as uterine contractions, uterine enlargement, indigestion, placental abruption, or threatened miscarriage. It is important to seek timely medical evaluation at a hospital so that a doctor can make an accurate diagnosis and provide appropriate treatment. The specific causes are analyzed as follows:
1. Uterine Contractions
If a pregnant woman is overly anxious or has not rested well, and if her uterus is particularly sensitive, touching the uterus may trigger contractions, leading to the aforementioned symptoms of abdominal tightness and hardness. However, this typically does not negatively affect the fetus or mother and will not lead to miscarriage. Symptoms usually ease or disappear after adequate rest and emotional relaxation.
2. Uterine Enlargement
During the fourth month of pregnancy, the fetus gradually grows and the uterus enlarges, which may cause abnormal contractions in the abdomen, resulting in the symptoms described above. If no other abnormalities are present, this is generally considered normal. Pregnant women are advised to get proper bed rest to prevent worsening discomfort. Additionally, maintaining adequate nutrition in daily life helps support fetal development.
3. Indigestion
If a pregnant woman frequently overeats or experiences cold exposure to the abdominal area during the fourth month of pregnancy, indigestion may occur, causing the aforementioned symptoms. Some pregnant women may also experience increased bowel movements, constipation, or bloating. It is recommended that pregnant women take medications such as Jianwei Xiaoshi Tablets (digestive aid) or Lactobacillus tablets under medical guidance.
4. Placental Abruption
When part of the placenta separates from the uterine wall, it can cause vaginal bleeding. This internal bleeding can stimulate the uterus, triggering contractions and resulting in abdominal tightness and hardness. However, placental abruption is usually accompanied by significant abdominal pain. In severe cases, immediate medical attention at a qualified hospital is required, and delivery via cesarean section may be necessary.
5. Threatened Miscarriage
In cases of threatened miscarriage, vaginal bleeding is often more pronounced, which can reflexively cause the uterus to contract and become hard. Most pregnant women also experience abdominal pain. In such situations, doctors may prescribe medications such as progesterone capsules, Baotai Ling capsules, or Baotai Wuyou tablets to help maintain the pregnancy.
Pregnant women should actively maintain good nutrition and avoid strenuous physical activity, both of which contribute to healthy fetal development.
