Worried about cramping in early pregnancy? Let’s chat about what’s normal, what’s not, and how to ease those early pregnancy twinges.
Whether this is your first baby or your fourth, early pregnancy after you’ve seen those two little lines on the pregnancy test can bring a whirlwind of emotions. Together with joy and excitement might come a little worry.
One common concern many pregnant women share in those first few weeks is cramping. Is it normal? Should you be concerned? Or is it just your body adjusting to this brand-new chapter of growing a baby?
Let’s unpack what those twinges and cramps might mean, when to relax and when to call your doctor.
Why cramping happens in early pregnancy
Mild cramping in the early pregnancy stage is actually quite common. Think of it as your body’s way of stretching, adjusting and making room for your growing baby.
In the very beginning, after the fertilised egg implants itself into the lining of your uterus, you may feel what’s called implantation cramps. These are light twinges in your lower abdomen, sometimes paired with very mild spotting. Many women mistake this for period cramps or think their menstruation is about to start, only to realise later that it was one of the first early signs of pregnancy.
Once your pregnancy hormones, like progesterone and hCG, start to rise, your uterus begins to grow. The ligaments and muscles surrounding it need to stretch, which can lead to mild cramping or a pulling sensation on either side of your belly. This is often completely normal, especially during the first trimester.
Early pregnancy cramps versus period cramps
If you’ve ever had period cramps, you might notice the feeling is somewhat similar to a dull ache in your lower abdomen or back. The difference is that early pregnancy cramps are usually lighter and shorter-lived. They might come and go rather than stick around for hours.
You may also feel them when changing positions, sneezing, coughing or after walking for a while. This is your round ligaments stretching—something that becomes even more noticeable as your pregnancy progresses. Round ligament pain is a common symptom and tends to appear more often in the second trimester, around 20 weeks, as your baby grows and your uterus gets heavier.
When cramping can be a warning sign
While most cramps are harmless, there are times when they can signal something more serious. It’s important to listen to your body and never feel silly for calling your doctor or the early pregnancy unit if something doesn’t feel right.
Seek medical advice if you notice any of the following symptoms:
- Severe pain that doesn’t ease with rest
- Sharp pain on one side of your lower abdomen
- Heavy bleeding or clots
- Dizziness, fainting or shoulder pain
These can sometimes indicate an ectopic pregnancy, where the fertilised egg implants outside the uterus, most commonly in the fallopian tube. Ectopic pregnancies are rare, but they do require immediate medical attention.
Another concern could be a miscarriage or pregnancy complications, such as placental abruption, where the placenta starts to separate from the uterine wall. While these sound frightening, remember that mild cramping alone is not usually a cause for alarm. It’s all about the combination of symptoms.
Other common causes of cramps during pregnancy
Sometimes, your cramps may have little to do with your pregnancy itself. Urinary tract infections (UTIs), for example, are common among pregnant women and can cause discomfort or abdominal pain. If you notice a burning sensation when you urinate or if your urine smells strong, it’s best to see your doctor promptly.
Constipation and gas can also be culprits. Thanks to pregnancy hormones, your digestion slows down and that can cause bloating, stomach pain or mild pressure in your lower abdomen. Staying hydrated, eating fibre-rich foods and gentle movement like walking can help ease it.
Sometimes, hormonal changes themselves cause a general feeling of tightness or pulling. Your body is working overtime, after all. Between rising hormones, an expanding uterus and a developing baby, there’s a lot going on behind the scenes.
When cramps appear later in pregnancy
If you’re already into your second trimester, you might notice new kinds of cramps appearing. As mentioned earlier, round ligament pain is common at this stage and can feel like quick stabs or tugs near your hips or groin. While it might catch you off guard, it’s usually nothing to worry about.
Later still, in the third trimester, some women experience Braxton Hicks contractions, sometimes called “practise contractions”. These can feel like tightening or cramping across your lower abdomen, but are irregular and don’t lead to labour. They can occur after a busy day, if you’re dehydrated, or sometimes after intimacy.
The key difference between Braxton Hicks contractions and real labour contractions is that Braxton Hicks tend to fade when you change position or rest. Real contractions, however, grow stronger, closer together and don’t go away.
What helps relieve early pregnancy cramps
If your cramps are mild, here are a few ways to ease the discomfort:
1. Rest and gentle movement
Sometimes lying down, changing positions or taking a slow walk helps your muscles relax.
2. Warm (not hot) compress
A warm wheat bag or gentle heat pad on your lower abdomen can help soothe mild cramping. Just avoid excessive heat.
3. Stay hydrated
Dehydration can sometimes trigger cramps, so keep a water bottle handy.
4. Stretching
Gentle stretching helps relieve tension around your round ligaments and improves circulation.
5. Listen to your body
If something feels off or if the pain feels different from your usual pregnancy symptoms, check in with your doctor. It’s always better to ask than to worry.
The bottom line
Your body is incredibly smart. It’s stretching, rearranging and preparing to grow an entire human being. Mild cramping and abdominal pain are often just part of that transformation.
That said, it’s completely normal to feel anxious. Pregnancy can make you hyper-aware of every new symptom, every sharp pain, every flutter or ache. If you’re ever unsure, speak to your doctor, midwife or the early pregnancy unit. That’s what they’re there for: to guide you, reassure you and make sure you and your baby are safe.
Being cautious doesn’t make you anxious, it makes you a caring mum. Every pregnancy is different. You might have early pregnancy symptoms that your friend never experienced or none at all. Some women feel cramps from the moment of their missed period, while others feel nothing until later. Trust your instincts, take it one day at a time, and know that your incredible body is doing exactly what it needs to bring your little one into the world.
Read next: Make sure you have these postpartum essentials ready
Any advice given is general in nature and is not intended as a substitute for medical advice and must not be relied upon as such. Before beginning any new treatments or for any healthcare advice, always consult a healthcare practitioner.
Cramping in early pregnancy
