Cramping During Pregnancy: Should I Be Worried?

You were never one to panic or overreact to things in your life, but then again, you have never been pregnant before. Life has changed, and your “panic meter” may be set differently. Time to find out about cramping during pregnancy: should I be worried?

woman cramping during pregnancy Cramping in Early Pregnancy

If this is your first time, you are less knowledgeable about how you will feel through your first and second trimester, plus what is normal and not normal. Your body begins to change almost immediately and is making room for your little one to get settled in the uterus. This may involve stretching of muscles and ligaments giving you aches and pains.

Your first thought might be that cramping means you are having a miscarriage. It is common for a miscarriage to occur in early pregnancy. However, if the cramps are mild, similar to having your period, and with increased pressure in your pelvic region, this is normal and nothing to be worried about.

Unless there is bleeding, it is most likely normal and of no concern. If you still have worries, contact Women’s Care for some reassurance.

Normal mild cramping during pregnancy can be caused by the following non-threatening causes:

  • Gas, bloating, and constipation
  • Sex
  • Exercise
  • Implantation bleeding (light spotting or bleeding 1 to 2 weeks after conception)
  • Braxton Hicks contractions (false labor pains lasting from 30 seconds to 2 minutes)

Changing position, rest, and staying well hydrated will usually help.

When to Worry About Cramping During Pregnancy

Cramping that is severe, is occurring at regular intervals, and is getting progressively worse is not normal.

If any amount of cramping is accompanied by sharp pain, vaginal bleeding, or an increasing watery discharge in addition to increased pelvic pressure is not normal.

This type of cramping can be caused by differing degrees of concern.

Bladder Infections and UTI

A bladder infection or a UTI which can cause severe cramping and requires treatment with antibiotics. If you have any symptoms, contact Women’s Care for treatment.


Preeclampsia is a disease in the second half of pregnancy that causes a sudden increase in blood pressure and protein in the urine. Symptoms include an unrelenting headache, visual disturbances, pain in the upper and/or right abdomen, shortness of breath, chest pain, and increased swelling of hands and feet. This condition can lead to many serious complications for your and your baby, and needs to be evaluated for and treated right away.


This typically happens during the first trimester.

Ectopic Pregnancy

Although rare, this is a serious and dangerous situation where the fetus implants inside a fallopian tube instead of the uterus. It requires immediate surgery and threatens the mother’s life should the fallopian tube rupture. Signs include one sided cramping and pain in the neck or shoulder.

Placental Abruption

This is a sudden premature separation of the placenta from the uterine wall before birth. It deprives the baby of oxygen and nutrients and causes heavy bleeding.

Although vaginal bleeding and cramping can be common in early pregnancy, it’s always best to err on the side of caution if you have cramping that is getting worse and any bleeding.

Contact Women’s Care at (913) 384-4990 if you have severe cramping or any other concerns during your pregnancy.