Abdomen pressure in the lower

When not accompanied by other symptoms, a feeling of pressure in the lower abdomen is probably nothing to worry about. In the first trimester, this sensation is common. Most likely, you're feeling your uterus starting to grow. You may also be feeling increased blood flow. In the second or third trimester, the pressure likely has to do with the weight of the growing uterus. In all of these cases, the bladder and rectum are compressed by the growing uterus, which provokes feelings of pressure.

■ When to seek medical help for pressure in the lower abdomen

If the pressure is accompanied by pain, cramping or bleeding early in your pregnancy, these might be signs and symptoms of miscarriage or ectopic pregnancy. An ectopic pregnancy occurs when the embryo implants outside the uterus, usually in a fallopian tube. Later in your pregnancy, pressure in the lower abdomen could indicate preterm (before the 37th week) labor.

Contact your health care provider if the abdominal pressure lasts for four to six hours or longer or is accompanied by any of the following:

• Vaginal bleeding

• A low, dull backache that lasts four hours or longer

• Abdominal cramps

• Regular contractions or uterine tightening

• Watery vaginal discharge

• Ruptured membranes (your "water breaks")

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