Lower Abdominal Pain: Should I Worry?


Dear Midwife,
I'm 39 years old and 9 weeks pregnant. I keep getting a cramp-like pain in my lower abdomen as if I'm about to start a monthly cycle.

I'm just wondering if this is normal at my age or if I need to visit my doctor.


If you do not have any bleeding, it is probably ok. In a week or two, your provider will be able to hear a heartbeat with a doppler, and that should reassure you that everything is ok.

-- Cynthia, CNM. PhD.

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.