Dolore nel quadrante inferiore destro in gravidanza

Even if you are pregnant, you can still have tummy pain caused by all the same conditions seen in non-pregnant women. See our separate leaflet called Dolore nel quadrante inferiore destro.

The rest of this leaflet looks only at common causes specific to pregnancy. Some examples of rarer causes are provided in Further Reading.

What causes right lower quadrant pain in pregnancy?

Aborto spontaneo

• This is very common in the first twelve weeks of pregnancy (first trimester) - about 1 in 4 recognised pregnancies end in miscarriage.

• It can happen later in pregnancy (second trimester) but this is less common.

• Miscarriage usually causes cramping pain, like period pain, over both sides of the lower tummy.

• It is often accompanied by bleeding, which can range from a small amount of dark blood to larger amounts of bright red blood with clots.

You can find out more in the separate leaflet called Miscarriage and bleeding in early pregnancy.

Costipazione

• Constipation is very common in pregnancy.

• It gives you crampy lower tummy (lower abdominal) pains.

• Avrai movimenti intestinali meno frequenti del solito e di solito evacuerai feci dure e simili a pellet.

You can read more about this in the separate leaflet called Constipation.

Dolore ai legamenti pelvici

• Typically this starts at around 14 weeks and goes on into late pregnancy.

• È dovuto al fatto che l'utero in crescita tira sulle strutture (legamenti rotondi e legamento largo) che lo tengono in posizione.

• It usually causes a stabbing pain down one or both sides of the tummy (abdomen) and sometimes down into the hips and genital area.

• Il dolore può essere piuttosto marcato.

You can read more about this in the separate leaflet called Common problems in pregnancy.

Infezione urinaria

• L'infezione urinaria è più comune in gravidanza.

• I sintomi usuali sono dolore durante la minzione e minzione più frequente.

• Potresti anche avere dolore addominale e una temperatura elevata (febbre) e notare sangue nelle urine.

• If you do get pain, it's usually across the lower tummy but can be on one side if you are developing a infezione renale (pielonefrite).

See the separate leaflet called Urine infection in pregnancy.

Gravidanza ectopica

• An ectopic pregnancy is a pregnancy that is not in the womb (uterus).

• Il dolore è spesso improvviso e può essere intenso, ma può manifestarsi nel corso di alcuni giorni.

• Potresti aver saltato il ciclo, ma puoi comunque avere una gravidanza ectopica anche se pensi di aver avuto il ciclo.

• Il sanguinamento vaginale si verifica spesso, ma non sempre.

• Occasionalmente puoi avvertire dolore sulla punta della spalla.

See the separate leaflet called Ectopic pregnancy.

What causes right lower quadrant pain in later pregnancy?

Pelvic girdle pain affects the joint connecting the two bones at the front of your pelvis, called the symphysis pubis. This joint becomes loosened during pregnancy, often as early as 14 weeks into pregnancy. The pain can be severe and is usually felt over the symphysis pubis, but can spread to the RLQ.

Find out more in the separate leaflet called Common problems in pregnancy.

In later pregnancy, RLQ pain can be caused by a placental abruption or by going into labour. Placental abruption happens when there is bleeding between the afterbirth (placenta) and the lining of the womb. Labour is too soon (premature labour) if it happens before 37 weeks.

Vedi i volantini separati chiamati Travail prematuro e Dolore pelvico nelle donne per maggiori informazioni.