Round Ligament Pain During Pregnancy
The ligament is a ribbon-shaped tissue composed of clay fibers consisting of connective tissue, which is supple and flexible. This composition binds one bone to another. The binding tissue binds the ends of the bones to form each other’s ligament joints to bring together the two ends of the bone to maintain stability. The Round Ligamentis located on the side of the uterus. This ligament crosses the peritoneal fold, passes through the digestive tract and enters the front (top) of the labia majora on the upper side of the perineum.
Ligament function limits joint movement, where the ligament is a strong fibrous link between bones, usually located in the joint, binding or holding the female reproductive organs to be properly fixed in place, immovable and associated with the surrounding organs.
Types of ligaments related to pregnancy:
- A ligament in the Ovary (Ovarian)
The ovary is the most important female hormonal cleft. Ovaries produce ovum each month. Women generally have 2 right and left ovaries. The ovary is located between the uterus and the pelvic wall.
- The ovarian ligament of proprium
Location: from the ovary to the back of the uterine fundus
Function: The place where the ovaries depend on the uterus (uterus)
- Infudibulo-pelvicum ligament (ovarian suspensory ligament)
Location: ovary to pelvic wall
Function: where the ovaries depend on the pelvic wall
Inside this ligament, there are nerve glands of the lymph glands and ovarian arteries and veins for blood that give to the ovary and uterus
- The ligament in the Fallopian tube
The fallopian tube is a longitudinal canal after the infundibulum. it is a place of fertilization and pathway for egg (ovum) to the uterus with the help of cilia on the wall. The fallopian tube originates from the tip of the long ligament running laterally with a length of about 12 cm. The ligaments in the fallopian tube are the left and the right Lymphament of the Latium. It located next to the right and left lateral of the uterus in the form of the peritoneal fold. It extends to the pelvic wall and pelvic floor so that it seems to hang on the fallopian tube. It has the function for covering the uterine tube and uterus, behind the latent ligament there is an ovary or ovary
- The ligament on the uterus (uterus)
The uterus is located in the small pelvis between the rectum. There is a bladder in front of it. The lower part of the uterus is supported by a strong ligament, so it is free to grow and develop during pregnancy. There are several ligaments found in the uterus called:
- Ligamentum Cardinale sinistra and dextra. Its location is left and right of the cervix. Function: prevent the uterus from falling. Inside there are arterial and uterine blood vessels
- Sacral ligament Cystic and dexterous Uterine
This ligament is a crescent-shaped fold formed from the lateral portion of the Douglas cavity as high as the rectum. It has the function for keeping the uterus from moving
- Rotundum ligament is left and is extra
Its location is in the uterine fundal area until the pelvic wall extends from each side of the uterine corn. The function of ligaments is a top hanger of the vagina and maintain the uterus in a normal position. Pregnant women often experience lower leg pain because the rotundum ligament is tense
- The ligament on the pelvis
The soft pelvis consists of the ligament muscles which cover the inner pelvic wall and which cover the lower pelvis. Important ligaments are the Sacro iliac ligament, Sacro spinosum, and Sacro tuberosum ligament.
Round Ligament pain during pregnancy
Lower abdominal ligament pain (round ligament) is piercing or sharp pain in the lower abdomen or groin. This complaint is very common during pregnancy and it is considered as a normal condition. Lower abdominal ligament pain most often recovers in the second trimester of pregnancy. Round Ligamentpain can be very disturbing but usually recovers after a few minutes. The Round Ligamentis one of several ligaments that hold the uterus in place in the stomach. This ligament is a rope-like structure less than half a centimeter at the time before pregnancy where the uterus is still as large as a pear. As the uterus gets bigger and heavier, the supporting ligament will become longer, thicker and tenser and stretch like a rubber band. If the mother moves suddenly, the Round Ligamentcan stretch causing pain in the lower pelvic area or between thighs.
Causes of lower abdominal ligament pain during pregnancy
Several thick ligaments will be staying around and support your uterus along with the development of the fetus and your pregnancy. One of them is the lower abdominal ligament that connects the front of the uterus to the groin. This ligament will normally tighten and relax slowly. Along with the growth of the fetus, these ligaments will stretch. Therefore, the ligaments will be more easily tense and injured. If a sudden movement can make the ligament tighten suddenly, like a stretched rubber and is released suddenly this can cause pain.
These symptoms including the pain are such as cramps in the stomach. It usually feels more pain on the right abdomen, but can occur on both sides. The pain may only be felt for a few seconds. More moving or exercising might trigger pain. Other activities such as sneezing, cough, laugh, roll on the bed and stand too fast are also potential to trigger pain.
What should be done to treat lower abdominal ligament pain while pregnant?
Although Round Ligamentpain causes discomfort this includes normal changes that occur during pregnancy. Depending on the condition of each pregnant woman, the doctor may recommend the following treatments.
- Sit or lie down when pain arises.
- Take pain relievers such as paracetamol (acetaminophen). However, always ask your doctor before taking any medication.
- Exercise so that the core muscles remain strong. Mothers can try prenatal yoga or do stretching exercises. Ask your doctor what exercise is safe for pregnant women and the fetus.
- Try the following movements: position yourself as if you want to crawl, with your palms and knees on the floor. Lower your head and lean the back of your back up.
- Avoid sudden movements. For example when you want to stand or sit.
- Move the hips, especially when coughing, sneezing, or laughing so the ligaments are not suddenly attracted.
- Compress with a cloth soaked in warm water to relieve pain. Again, ask the doctor first whether this is safe. Too hot temperature can harm the baby.
- Avoid the movements that can make the pain worse. Also, adjust your daily activities.
Mothers should contact a doctor immediately if there are any complaints of pain during pregnancy. However, seek medical attention immediately if you experience:
- Irresistible pain
- Pain does not relieve after a few minutes
- Fever, chills
- Pain when urinating
- Difficult to walk
Abdominal pain during pregnancy can occur due to various causes. Therefore, it is important for doctors to ensure that they do not have other serious conditions, including pregnancy complications such as placental abruption or other diseases such as Inguinal hernias, Appendicitis, Stomach, liver (liver), or kidney problems and the pain of preterm labor.