What causes the tearing pain near the navel at more than seven months of pregnancy, and what should be done?

Generally, tearing pain near the navel in the seventh or eighth month of pregnancy may be caused by factors such as fetal growth, uterine contractions, round ligament strain, indigestion, or omphalitis. If discomfort occurs, it is recommended to seek medical attention promptly. Detailed explanations are as follows:

1. Fetal Growth

As the fetus grows, the expanding uterus may stretch the skin and nerves around the navel. Because the skin in this area is thin and sensitive, tearing pain may occur. Pain can usually be relieved by controlling diet, engaging in appropriate physical activity, wearing loose clothing, and performing local massage.

2. Uterine Contractions

During pregnancy, the uterus may experience contractions of varying degrees, which is a normal physiological phenomenon that may cause tearing pain near the navel. It may be accompanied by a feeling of tightness in the abdomen. If contractions are frequent or pain is severe, prompt medical evaluation is recommended. Doctors may suggest rest, postural adjustments, or medications to relieve pain and contractions.

3. Round Ligament Strain

As the fetus grows, the uterus expands. Sudden changes in position or physical activity may cause overstretching or minor injury to the round ligaments, resulting in pain. It is important to rest and avoid strenuous activity. Applying heat may help relieve muscle tension.

4. Indigestion

Due to hormonal changes and pressure from the growing uterus, pregnant women may experience indigestion, which can lead to increased intestinal gas and tearing pain near the navel. Symptoms may include bloating and nausea. Treatment may include medications such as digestive tablets, hawthorn pills, or probiotics (e.g., Bifidobacterium triple viable capsules), as directed by a physician.

5. Omphalitis

Poor hygiene may allow bacterial infection to develop in the navel area, causing redness, swelling, pain, and possibly discharge. Treatment may include hydrogen peroxide solution, erythromycin ointment, or mupirocin ointment, as recommended by a doctor.

Maintaining a healthy lifestyle during pregnancy—including dietary control, moderate physical activity, wearing loose clothing, performing local massage, keeping the navel area clean, and attending regular prenatal checkups—is recommended.