Lower abdominal pain during pregnancy is one of the most common worries for expecting mothers, and in many cases it is a normal part of the journey. As your body adjusts to the growing baby, muscles, ligaments and organs stretch and shift, which can cause mild to moderate pregnancy pain in the lower stomach, especially in the first and second trimesters. The discomfort may be felt on one or both sides and can spread to the groin, pelvis or thighs, often triggered by simple movements like standing up, coughing or turning in bed. Common causes of lower abdominal pain in pregnancy include hormonal changes (progesterone and estrogen relaxing the muscles), round ligament pain from a growing uterus, and gas, bloating and constipation caused by slower digestion. Acidity and heartburn can also add to the discomfort in the later trimesters. However, some conditions need urgent attention. Sharp pain along with bleeding, dizziness or shoulder pain can point to an ectopic pregnancy, while pain with bleeding or back pain may signal a miscarriage or a molar pregnancy. Severe pain, fever or bleeding is a clear sign to see a doctor during pregnancy without delay.If you are worried about your symptoms, Dr Aradhya Achuri, an experienced fertility expert in Hyderabad, offers personalised care to keep both mother and baby safe at every stage.