Douleur dans le quadrant inférieur droit pendant la grossesse
Revu par Dr Surangi Mendis, MRCGPDernière mise à jour par Dr Toni Hazell, MRCGPLast updated 29 mai 2024
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Dans cette série :Douleur dans le quadrant inférieur droitDouleur dans le quadrant inférieur droit chez les enfants
Your right lower quadrant (RLQ) is the bottom right side of your tummy (abdomen) from the tummy button down. There are many causes of right lower quadrant pain in pregnancy. Most are of no concern, but it is important to seek medical help if your pain is severe, doesn't settle, or is associated with other symptoms.
At a glance
Right lower quadrant pain in pregnancy has several possible causes.
Common causes include miscarriage, constipation, pelvic ligament pain, and urine infections.
An ectopic pregnancy is a serious cause of sudden or severe pain.
Pain in later pregnancy can be due to pelvic girdle pain, placental abruption, or labour.
Always see a doctor urgently if you are pregnant and have a pain in your lower right tummy.
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Even if you are pregnant, you can still have tummy pain caused by all the same conditions seen in non-pregnant women. See our separate leaflet called Douleur dans le quadrant inférieur droit.
The rest of this leaflet looks only at common causes specific to pregnancy. Some examples of rarer causes are provided in Further Reading.
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What causes right lower quadrant pain in pregnancy?
Fausse couche
This is very common in the first twelve weeks of pregnancy (first trimester) - about 1 in 4 recognised pregnancies end in miscarriage.
It can happen later in pregnancy (second trimester) but this is less common.
Miscarriage usually causes cramping pain, like period pain, over both sides of the lower tummy.
It is often accompanied by bleeding, which can range from a small amount of dark blood to larger amounts of bright red blood with clots.
You can find out more in the separate leaflet called Miscarriage and bleeding in early pregnancy.
Constipation
Constipation is very common in pregnancy.
It gives you crampy lower tummy (lower abdominal) pains.
Vous aurez des selles moins fréquentes que d'habitude et vous évacuerez généralement des selles dures, en forme de boulettes (fèces).
You can read more about this in the separate leaflet called Constipation.
Douleur des ligaments pelviens
Typically this starts at around 14 weeks and goes on into late pregnancy.
C'est dû à l'utérus en croissance qui tire sur les structures (ligaments ronds et ligament large) qui le maintiennent en place.
It usually causes a stabbing pain down one or both sides of the tummy (abdomen) and sometimes down into the hips and genital area.
La douleur peut être assez marquée.
You can read more about this in the separate leaflet called Common problems in pregnancy.
Infection urinaire
L'infection urinaire est plus fréquente pendant la grossesse.
Les symptômes habituels sont des douleurs lors de la miction et une fréquence urinaire accrue.
Vous pouvez également ressentir des douleurs abdominales et avoir une température élevée (fièvre) et remarquer du sang dans vos urines.
If you do get pain, it's usually across the lower tummy but can be on one side if you are developing a infection rénale (pyélonéphrite).
See the separate leaflet called Urine infection in pregnancy.
Grossesse extra-utérine
You should toujours see a doctor d'urgence if you think you might be pregnant and are experiencing right lower quadrant (RLQ) pain. You could have an ectopic pregnancy.
An ectopic pregnancy is a pregnancy that is not in the womb (uterus).
La douleur est souvent soudaine et peut être intense, mais elle peut apparaître sur plusieurs jours.
Vous avez peut-être manqué vos règles, mais vous pouvez toujours avoir une grossesse extra-utérine même si vous pensez avoir eu vos règles.
Les saignements vaginaux se produisent souvent mais pas toujours.
Parfois, vous pouvez ressentir une douleur au sommet de votre épaule.
See the separate leaflet called Ectopic pregnancy.
What causes right lower quadrant pain in later pregnancy?
Retour au sommairePelvic girdle pain affects the joint connecting the two bones at the front of your pelvis, called the symphysis pubis. This joint becomes loosened during pregnancy, often as early as 14 weeks into pregnancy. The pain can be severe and is usually felt over the symphysis pubis, but can spread to the RLQ.
Find out more in the separate leaflet called Common problems in pregnancy.
In later pregnancy, RLQ pain can be caused by a placental abruption or by going into labour. Placental abruption happens when there is bleeding between the afterbirth (placenta) and the lining of the womb. Labour is too soon (premature labour) if it happens before 37 weeks.
Voir les brochures séparées intitulées Travail prématuré et Douleur pelvienne chez les femmes for more information.
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Questions fréquemment posées
Can I still experience tummy pain in pregnancy from conditions not related to pregnancy itself?
Yes, even if you are pregnant, your tummy pain could be caused by the same conditions that affect non-pregnant women. This article specifically focuses on common causes of pain that are unique to pregnancy.
What is the typical timeframe for pelvic ligament pain to occur during pregnancy?
Pelvic ligament pain usually starts around 14 weeks into pregnancy and can continue into late pregnancy. It happens because the growing womb pulls on the ligaments that hold it in place.
If I have an ectopic pregnancy, will I always have vaginal bleeding?
Vaginal bleeding often occurs with an ectopic pregnancy, but not always. It's important to be aware that pain can be a primary symptom, and bleeding may not always be present.
Can I have an ectopic pregnancy even if I believe I've had my period?
Yes, it is possible to have an ectopic pregnancy even if you think you have had a period. Missed periods are a common sign, but not the only one, and it's essential to seek medical advice if you have concerning pain.
What specifically causes pelvic girdle pain during pregnancy?
Pelvic girdle pain occurs when the joint connecting the two bones at the front of your pelvis, called the symphysis pubis, becomes loosened during pregnancy. This loosening can happen as early as 14 weeks and can cause significant pain.
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About the authorView full bio

Dr Toni Hazell, MRCGP
MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)
Dr. Toni Hazell qualified from St. Mary’s Hospital Medical School and did her VTS at Northwick Park Hospital.
About the reviewerView full bio

Dr Surangi Mendis, MRCGP
Consultant and Medical Author
MBBS, BSc (1st), MRCGP (2014), DFSRH, PGcert otology and audiology
Surangi Mendis is a consultant in Audiovestibular Medicine and Neuro-otology at The Royal National ENT and Eastman Dental Hospitals, UCLH.
Historique de l'article
Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.
Prochaine révision prévue : 28 mai 2027
29 mai 2024 | Dernière version

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