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Differential Diagnosis for Pelvic Pain in Pregnancy

Single Most Likely Diagnosis

  • Round Ligament Pain: This is a common cause of pelvic pain in pregnancy, especially during the second trimester. It occurs due to the stretching of the round ligaments that support the uterus.

Other Likely Diagnoses

  • Braxton Hicks Contractions: These are practice contractions that can cause pelvic pain and are more common as the pregnancy advances.
  • Urinary Tract Infections (UTIs): UTIs are common in pregnancy due to physiological changes and can cause pelvic pain, dysuria, and frequency.
  • Constipation: Constipation is a frequent complaint in pregnancy, which can lead to pelvic discomfort or pain.

Do Not Miss Diagnoses

  • Placental Abruption: A life-threatening condition where the placenta separates from the uterus, causing severe abdominal and pelvic pain, and potentially leading to maternal and fetal distress.
  • Preterm Labor: Regular uterine contractions leading to cervical dilation before 37 weeks of gestation, which can present with pelvic pain and requires immediate medical attention.
  • Ectopic Pregnancy: Although less common in later pregnancy, ectopic pregnancy can still occur and is a medical emergency, presenting with severe pelvic pain, vaginal bleeding, and potentially shock.
  • Ovarian Torsion: A rare but serious condition where the ovary twists, cutting off its blood supply, and can cause severe pelvic pain.

Rare Diagnoses

  • Appendicitis: Although less common, appendicitis can occur during pregnancy and may present with atypical symptoms, including pelvic pain.
  • Ureteral Stones: Kidney stones can cause severe pelvic pain and are more common during pregnancy due to urinary stasis.
  • Adnexal Torsion: Similar to ovarian torsion but involves the twisting of the entire adnexa, which is rare but requires prompt surgical intervention.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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