What causes brief stabbing pain in the abdomen during mid-pregnancy, and what should be done about it?

Nov 15, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
A few seconds of sharp pain in the abdomen during the second trimester may be caused by uterine expansion pulling on ligaments, false labor contractions (Braxton Hicks), acute gastroenteritis, urinary tract infection, or adnexitis. Symptoms can be improved with rest, dietary adjustments, or medication. If the pain becomes frequent, worsens, or is accompanied by bleeding, prompt medical attention is necessary. The growing uterus, due to fetal development, stretches the surrounding ligamentous tissues.

During mid-pregnancy, brief stabbing pains in the abdomen may be caused by uterine expansion and stretching, false labor contractions, acute gastroenteritis, urinary tract infections, or adnexitis. These symptoms can be improved through rest, dietary adjustments, and medication. However, if the pain becomes frequent, worsens, or is accompanied by bleeding, prompt medical attention is necessary.

1. Uterine expansion and stretching: As the fetus develops, the growing uterus stretches surrounding ligaments and tissues, causing brief episodes of pain, often triggered by changes in body position. It is recommended to avoid sudden twisting or bending movements. Rest immediately when pain occurs to reduce abdominal strain.

2. False labor contractions (Braxton Hicks contractions): In mid-pregnancy, increased uterine sensitivity may lead to irregular, mild contractions that manifest as short-lived, unpredictable stabbing pains. It is advised to stay relaxed, rest in bed, avoid fatigue, and most cases will resolve spontaneously.

3. Acute gastroenteritis: Consuming contaminated, raw, or cold food can cause inflammation of the gastrointestinal mucosa, leading to abdominal stabbing pain accompanied by diarrhea and bloating. Under medical guidance, medications such as smectite powder, bifidobacterium triple viable capsules, and oral rehydration salts may be used to relieve symptoms.

4. Urinary tract infection: Bacterial invasion of the urinary system causes infection and inflammatory irritation, resulting in lower abdominal stabbing pain along with frequent and urgent urination. Under medical guidance, medications such as amoxicillin capsules, cefaclor capsules, or Sanjin tablets may be used to improve symptoms.

5. Adnexitis: Bacterial infection of the pelvic adnexa causes inflammation, leading to stabbing pain on one side of the lower abdomen, which may worsen after physical exertion. Follow medical advice to use medications such as cefixime dispersible tablets, metronidazole tablets, or Gynecological Qianjin tablets to alleviate symptoms.

Maintain hygienic, light, and easily digestible diet; avoid strenuous exercise; keep the external genital area clean; maintain regular作息 (daily routines); promptly record any discomfort symptoms. Gentle self-care supports a healthy pregnancy.