Round Ligament Pain in Pregnancy: Causes, Symptoms, and Natural Relief

Round ligament pain is a common experience during pregnancy, especially as the body changes to support the growing baby. This article explains what round ligament pain is, its causes, common symptoms, and practical ways to ease discomfort. This article will explore simple, natural approaches for relief and knowing when to seek medical attention.

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round ligament pain
Pregnancy is a journey marked by numerous physical changes. Some of these changes may bring unexpected discomfort, and one of the most common is pain in the round ligaments. While it may sound alarming, it is usually harmless and part of the body’s natural adjustments. Knowing what it is, why it happens, and how to manage it makes the experience less worrying.

What is Round Ligament Pain?

The round ligaments are two cord-like structures that connect the uterus to the groin area. They help hold the uterus in place. As pregnancy progresses and the uterus grows, these ligaments stretch and become strained. This stretching can cause sudden or sharp pain, often felt on one or both sides of the lower abdomen.

Causes of Round Ligament Pain

Round ligament pain typically begins in the second trimester, but it may occur earlier or later. Common causes include:
  • Uterine growth: The uterus expands rapidly during pregnancy, pulling on the ligaments.
  • Sudden movement: Quick actions, such as standing up, coughing, sneezing, or turning in bed, may abruptly stretch the ligaments.
  • Physical activity: Walking fast, climbing stairs, or light exercises may sometimes trigger discomfort.
  • Increased weight and posture changes: The shifting centre of gravity adds extra strain on the ligaments

Common Symptoms

You may notice round ligament pain in the following ways:
  • Sharp, stabbing, or pulling pain on one or both sides of the lower abdomen.
  • Pain that comes suddenly with quick movement and eases when the person rests.
  • A dull ache that may last for a few minutes.
  • Discomfort that increases after physical activity or when standing for long periods.
It is important to note that the pain is usually short-lived and harmless. However, persistent or severe pain should always be checked by a doctor.

How to Ease Round Ligament Pain

Although round ligament pain is common, several natural ways can help you manage it better:

1. Gentle Movement and Posture Awareness

  • Avoid sudden twisting or jerking movements.
  • Stand up slowly from a sitting or lying position.
  • Be mindful of posture while walking or standing.
  • Rest frequently if activities increase the pain.

2. Stretching and Light Exercises

Simple stretches and prenatal exercises may help strengthen the muscles and reduce strain:
  • Gentle pelvic tilts.
  • Light yoga stretches designed for pregnancy.
  • Slow breathing exercises to relax the abdominal area.
Always ensure that any exercise is safe during pregnancy and avoid overexertion to prevent complications.

3. Heat Application

  • Applying a warm (not hot) compress to the lower abdomen may soothe discomfort.
  • Warm water baths can also relax tense muscles and ligaments.

4. Supportive Practices


5. Rest and Relaxation


When to Seek Medical Help

Round ligament pain is common, but it is essential to recognise when the discomfort may indicate a more serious issue. Contact a healthcare provider if:
  • Pain is severe, persistent, or does not improve with rest.
  • Pain is accompanied by fever, chills, or nausea.
  • There is vaginal bleeding, spotting, or unusual discharge.
  • Pain occurs with contractions or pressure in the pelvis.
Seeking medical advice ensures the safety of both parent and baby.

Tips to Prevent Frequent Discomfort

While not all pain can be prevented, small steps may reduce its frequency:
  • Stay active with safe, low-impact activities, such as walking or prenatal yoga.
  • Practise controlled movements—avoid sudden posture shifts.
  • Stay hydrated and maintain a balanced diet to support the health of your muscles and ligaments.
  • Ensure regular rest to give the body time to recover.

The Indian Context: Simple Everyday Support

In Indian households, traditional practices often align with modern recommendations :
  • Warm baths with water at a safe temperature are commonly suggested for relaxation.
  • Resting on a firm surface with pillows for support helps reduce abdominal strain.
  • Balanced meals that include dals, leafy vegetables, fruits, and nuts provide essential nutrients that help keep muscles strong and healthy.
  • Family support in daily chores helps reduce unnecessary strain, allowing more rest and care.
These simple practices, when combined with modern medical advice, create a holistic approach to pregnancy comfort.
Round ligament pain is a regular part of pregnancy and is caused by the natural stretching of ligaments that support the uterus. While it can be uncomfortable, it is usually harmless. By being mindful of movement, practising light stretches, applying warmth, and resting adequately, you can effectively ease the pain. Always consult a healthcare provider if pain becomes severe or unusual. Remember, this phase is temporary, and with the proper care, you can move through it more comfortably and with confidence.
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FAQs on Round Ligament Pain in Pregnancy: Causes, Symptoms, and Natural Relief

  1. Does round ligament pain affect the baby?
    No, round ligament pain does not affect the baby. The stretching of ligaments does not harm the pregnancy.
  2. Can round ligament pain occur on both sides?
    Yes, it may occur on either one side or both sides of the lower abdomen, depending on how the ligaments are stretched.
  3. How long does round ligament pain last during pregnancy?
    It typically occurs in the second trimester and may persist into later months. The pain itself lasts only a few seconds to minutes, but may recur.
  4. Can round ligament pain happen at night?
    Yes, it can happen at night, especially when you turn in bed or change your sleeping position suddenly.
  5. Is round ligament pain the same as labour pain?
    No, round ligament pain is sharp and short-lived, while labour pain is rhythmic, increases in intensity, and may be accompanied by other signs, such as contractions or pressure.
Disclaimer: Dr Astha Dayal, Director - Obstetrics & Gynaecology, CK Birla Hospital, Gurugram