Knot Pressure Next to Naval


Dear Midwife,
I have a tight little pressure next to my belly button that I typically only notice when I'm vomiting, or sitting up a certain way.

Basically using my abdominal muscles intensely seems to aggravate this small area. It doesn't really hurt, just a little bit uncomfortable. I'm 5 1/2 months pregnant now.


This is called "periumbilical pain" and is normal at this stage. But why are you still vomiting? This should have been over weeks ago if you are not stressed out, relax every day and also get your exercise, you drink your 2 liters of water each day, and you take your vitamins. You can speak to your tummy for me and tell it "enough already!"

--Cynthia, CNM. PhD.

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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.