Most common causes are uterus, gas and labor
It is a relief to know that the reasons for colic are generally not worrisome. “The most common causes are the distentions of the ligaments that support the uterus, which is in the process of growing ,” Milca explains. According to the specialist, in the beginning of pregnancy the colic is usually mild and occasional, generated by the adaptation of the uterus, and should decrease after the tenth week. During gestation, gases are also cause for pain and discomfort.
In addition to these reasons, it is normal for women to feel pain when labor begins. According to Milca, the contraction of the uterus evolves throughout the gestation, until culminating in the hour of the child’s birth.“The uterine contractility (contractility) is remarkable for the patient at approximately 30 weeks, they are Braxton-Hicks mild contractions. They intensify close to labor and reach their peak and decrease in the postpartum period, “ he says.
How to avoid
Leading a healthy life (and pregnancy itself) is the best way to prevent colic. “Good nutrition and regular physical activity are important to promote an adaptation to the changes that occur with the body,” says Maria Belonia. In gestation, this can be translated to move, avoiding sedentariness, but in a responsible way – without strenuous exercises and without carrying weight.
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Another important direction is to control the feeding. Remembering that gases are frequent reasons for colic, since progesterone – a hormone of pregnancy – leaves the intestine slower.It is recommended to avoid foods that have difficult digestion, such as fried foods and pasta, and those of easy fermentation, such as beans, broccoli and sweet. Lying after eating is another habit that can help in the feeling of discomfort.
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How to act
If you have not had time to avoid colic, the medical recommendation is to rest, except in case of severe pain – which requires care. “Rest for muscle relaxation is the best alternative,” says Milca. “The severe pain, which does not relieve with simple measures like rest and is accompanied by fever and bleeding, should be reported to the doctor immediately,” he adds.
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Although cramping is common, it is important to pay attention. “When they are strong, intermittent, they reduce the interval progressively and the woman is less than 37 weeks, it can indicate a premature birth,” says Maria Belônia. To avoid problems, always seek medical help when the pain is severe.
Do not panic
Do not be surprised if the pain in the belly is also felt in the lower back. It is normal for cramps (which occur while the uterus is reassembling) and labor cramps cause back pain “because it changes the pelvic statics of the mother,” says Maria Angelica.
It is also within the expectation, although not very frequent, to experience slight cramps during and after sex in pregnancy, due to the muscular movements of the act.
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Another “curiosity” of the pains of gestation is that they do not necessarily end when the time comes for the child’s birth. “[After delivery] The reduction of the uterus must occur so that the organ returns to its original size and also compresses the blood vessels so that there is no bleeding. This process causes mild colic, “explains Milca. But Mom will still feel cramps for a little longer. “They return when the baby sucks the nipple from the mother’s chest and releases a substance we call oxytocin, which contracts the uterus to reduce bleeding and causes cramps,” says Maria Belônia. But in this moment of contact with the child, we return to speak of the delight of being a mother.