Navigating Round Ligament Pain in the Third Trimester: A Guide for Expectant Moms
- Push Doulas
- Oct 23, 2023
- 3 min read
Updated: Jan 9, 2024

As the magical journey of pregnancy progresses into the third trimester, expectant moms may find themselves facing a new set of challenges, one of which is round ligament pain. This discomfort, though common, can be concerning for many moms-to-be. In this blog post, we'll explore the causes of round ligament pain, effective ways to manage it, and whether prevention is possible.
Understanding Round Ligament Pain: The round ligaments are two bands of tissue that support the uterus and stretch as the baby grows. During the third trimester, as your baby becomes larger and more active, the round ligaments are pulled and stretched, causing a sharp, stabbing pain on one or both sides of the lower abdomen. This pain is often described as a quick, shooting sensation and is completely normal.
Causes of Round Ligament Pain:
Uterine Expansion: As your uterus expands to accommodate the growing baby, the round ligaments undergo considerable stretching, leading to pain and discomfort.
Physical Activity: Sudden movements, changes in position, or engaging in strenuous activities can trigger round ligament pain. It's essential to move slowly and avoid abrupt changes in posture.
Position of the Baby: The position of your baby in the uterus can also contribute to round ligament pain. As your baby moves and changes position, the ligaments may be pulled and cause discomfort.
Managing Round Ligament Pain

Gentle Movements: When changing positions, make slow and deliberate movements to minimize strain on the round ligaments.
Heat and Cold Therapy: Applying a warm compress or taking a warm bath can help relax the muscles and alleviate pain. Alternatively, a cold pack can reduce inflammation and numb the area.
Prenatal Yoga and Stretching: Engaging in prenatal yoga or gentle stretching exercises can improve flexibility and strengthen the muscles, reducing the likelihood of round ligament pain.
Supportive Belly Bands: Consider wearing a maternity support belt to provide additional support to your growing belly and relieve pressure on the round ligaments.
Can Round Ligament Pain Be Prevented?

While it's challenging to completely prevent round ligament pain, there are measures you can take to minimize its occurrence:
Maintain Good Posture: Practice good posture to reduce unnecessary strain on your ligaments.
Stay Active: Regular, moderate exercise can help keep your muscles and ligaments toned, reducing the risk of sudden pain.
Hydration: Proper hydration is crucial for maintaining the elasticity of tissues, including the round ligaments.
When to Contact Your Doctor:
While round ligament pain is generally a normal part of pregnancy, there are instances where it's essential to contact your healthcare provider:
Severe or Persistent Pain: If the pain is severe, doesn't subside with rest, or is persistent, it's crucial to consult your doctor.
Accompanied by Other Symptoms: Contact your healthcare provider if round ligament pain is accompanied by symptoms such as bleeding, fever, or changes in vaginal discharge.
Contractions: If you experience contractions along with round ligament pain, especially if they follow a pattern, inform your doctor promptly.
Decreased Fetal Movement: Any significant reduction in your baby's movements should be reported to your healthcare provider.

As you savor the precious moments of your pregnancy journey, including the occasional discomfort of round ligament pain, know that each twinge is a reminder of the miraculous process unfolding within you. Embrace the gentle stretches, the warmth of self-care, and the soothing support of those around you. As you prepare for the joyous moment of childbirth , remember that every sensation, every movement, is a testament to the love growing within.—your body, your baby, and your support team are all woven together in a tapestry of love, ready to welcome the newest member of your family with open hearts.
Happy Birthing, The Push Doula Team