Abdominal Pain


Dear Midwife,
I am 6 weeks pregnant, and have been having daily mild abdominal pain/cramping pretty much from the time we conceived. Sometimes the pain is accompanied with a feeling of pressure in my vagina. Essentially, it feels a lot like I need to use the bathroom, but I don't. Everything is perfectly fine other than that.

How worried should I be? I don't see my OB for my first visit for two more weeks, so I don't know anything about my hormone levels or an ultrasound. I just don't want to be one of those women who freaks out at every little pain. Thanks!


Sounds like growing pains to me--congratulations!!!

If you see any bright red bleeding, you should call your provider, but otherwise, this sounds like just what you want to be happening at this stage.

-- Cynthia, CNM

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.