However, there are other situations that can cause strong and persistent abdominal Pain during pregnancy, and if they do not subside after a few hours or are accompanied by other symptoms such as bleeding, vaginal discharge, or fever, it is important to see a gynecologist immediately.

Some situations that can also cause colic in pregnancy are:

1. Ectopic pregnancy

An ectopic pregnancy also called a tubal pregnancy, occurs when the embryo does not develop in the uterus and is generally located in the fallopian tubes, causing symptoms such as bleeding, severe abdominal pain, and miscarriage.

See more about ectopic pregnancy.

2. Ovular detachment

Ovular detachment, known as chorionic hematoma or chorionic hemorrhage, is the accumulation of blood between the wall of the uterus and the chorion, a membrane that surrounds the fetus. This can cause symptoms such as abdominal pain and vaginal bleeding.

This bruise can worsen with exertion, and the larger the bruise, the greater the risk of preterm labor, threatened miscarriage, or placental abruption. See more about ovular detachment.

3. Placental abruption

Placental abruption occurs when the placenta separates from the uterine wall as a result of an inflammatory process or due to impaired blood circulation, causing vaginal bleeding and severe cramping.

This situation can be triggered by intense physical exertion, high blood pressure or preeclampsia, smoking, drug use, a blow to the back or abdomen, and infection, among others.

Learn about other causes that can cause placental abruption 

4. Miscarriage

Miscarriage can occur at the beginning of pregnancy due to various situations such as excessive physical activity, uterine problems, hormonal changes, autoimmune diseases, the use of certain medications, the use of certain teas, infections, or trauma. Learn what to do in the event of a miscarriage.

5. Labor

The abdominal cramps that arise around 37 weeks of pregnancy are the contractions that indicate that the woman has entered labor. This pain is progressive, becoming more constant as time goes by.

See how to identify contractions.

6. Other possible causes

Other possible causes of colic during pregnancy are viruses, food poisoning, appendicitis or urinary tract infections, it is recommended to see a doctor as soon as the pain arises so that he can carry out an evaluation and indicate the most appropriate treatment, if necessary.

How to relieve colic

The relief of colic is carried out according to its cause and under the guidance of a doctor. In some cases, the obstetrician can prescribe medications that reduce the pain and discomfort of colic.

Generally, when the woman relaxes and remains at rest, the cramps decrease, however, it is important to write down the number of times a day that they occur and the situations in which they improved or worsened.

Is it normal to have cramps at the beginning of pregnancy?

Yes, at the beginning of the pregnancy, it is normal to feel colic, being one of the signs that indicate that there is a pregnancy. These cramps arise due to the growth of the uterus and the adaptation and implantation of the embryo. Likewise, other causes of colic at the beginning of pregnancy could also be the presence of urinary or vaginal infections with discharge.

See what are the first symptoms of pregnancy.

During pregnancy, the accumulation of gases in the intestine can also cause colic due to poor digestion of certain foods such as beans or broccoli, for example. Cramping after intercourse is normal, because orgasm can trigger contractions that are totally different from labor contractions.

Colic at the end of pregnancy

Cramps at the end of pregnancy may mean that the time of delivery is approaching. This type of colic arises from the movement of the baby in the womb or from its weight that presses the muscles, ligaments and veins, causing pain and discomfort. Learn what the signs of labor are .

When should you see a doctor?

You should go to the gynecologist whenever you present:

• Persistent or very painful cramps that do not subside with rest;
• If there are other symptoms such as vaginal bleeding, fever, chills, vomiting, or painful urination at the beginning or end of the pregnancy;
• If you suspect that labor has started. 

In the medical consultation, the woman must mention all the symptoms she presents so that the doctor can identify what is causing the cramps and take the necessary measures.