There are a few symptoms that you should watch out for that could be a sign of something more serious. We’ll cover all these signs and what they might mean below, but bear in mind that you might not experience all of the symptoms listed. It’s always best to stay on the safe side, so get in touch with your doctor or midwife if you’re not sure. 

An ectopic pregnancy happens when a fertilised egg implants itself somewhere other than the womb - usually in one of the fallopian tubes. The egg can’t develop into a baby in an ectopic pregnancy, and it can be a risk to your health⁷.

Not all ectopic pregnancies cause symptoms, but if they do they usually happen between the 4th and 12th week of pregnancy. Symptoms of ectopic pregnancies include⁷:

• stomach pain in your lower belly or on one side of your abdomen
• brown, watery vaginal discharge or vaginal bleeding
• pain in the tip of your shoulder or neck
• discomfort going to the toilet

If you think you might be experiencing an ectopic pregnancy, get in touch with your GP or ring 111 straight away. You should always go to A&E if you feel dizzy or sick, or have a sudden sharp pain in your stomach or shoulder⁷. 

Having abdominal pain in pregnancy doesn’t necessarily mean you’re having a miscarriage, but it’s important to seek medical advice if you’re concerned. 

The most common sign of miscarriage is vaginal bleeding which may be followed by pain (but not all vaginal bleeding is a sign of miscarriage). Other symptoms include⁸:

• cramping in your lower stomach
• discharge of fluid or tissue from the vagina
• no longer having other symptoms of pregnancy like nausea or tender breasts

Call your midwife at the hospital, A&E, or Early Pregnancy Unit immediately if you have any of these symptoms. 

Premature labour means going into labour before your 37th week of pregnancy⁹. Call your hospital where you’re booked to have your baby straight away if you’re less than 37 weeks pregnant and have any of the following symptoms:

• regular contractions or tightening feelings
• cramping pains similar to period pains
• fluid coming from your vagina (this could be your waters breaking)
• lower back pain that’s unusual for you

The earlier in pregnancy a baby is born, the more vulnerable they are to complications linked with being premature. But it is possible for a baby to survive if they’re born at 24 weeks onwards - they’ll just need extra care in a special neonatal unit⁹.

The placenta is a temporary organ that grows inside your womb when you’re pregnant and provides your baby with the nutrients they need to grow¹⁰. Placental abruption is when the placenta partly or completely separates from the inner wall of the uterus before the delivery of your baby.¹¹.

Symptoms include:

• bleeding from the vagina
• stomach pain
• back pain
• frequent contractions coming one after the other

Placental abruption is a serious but rare condition, so if you have any of these symptoms you should be checked by a doctor or midwife straight away.

Pre-eclampsia affects some pregnant women in their second and third trimester (from 20 weeks) or soon after they’ve given birth¹². Most of the time pre-eclampsia is fairly mild, but it needs to be monitored to avoid complications for you and your baby.

Most symptoms of pre-eclampsia should be picked up during the midwife appointments you have throughout your pregnancy. But sometimes other symptoms might develop, like¹²:

• severe headache
• blurred vision
• pain below the ribs
• being sick
• swollen face, hands or feet

The earlier symptoms of pre-eclampsia are caught, the better it is for you and your baby. Talk to your midwife if you’re worried about pre-eclampsia.

If you’ve ever been unlucky enough to have a UTI, you’ll know they can be pretty uncomfortable. They’re also more common during pregnancy thanks to changes in your hormone levels¹³.

Symptoms of UTIs include¹⁴:

• stomach pain or lower back pain
• needing to pee more often (usually urgently)
• pain or burning when you have a wee
• wee that’s cloudy, smelly or has blood in it
• a very high or very low body temperature

UTIs can usually be treated easily, but it’s best to talk to your GP or midwife as soon as you can if you have any symptoms. Find out more about UTIs and cystitis during pregnancy. 

Appendicitis is pretty common in and outside of pregnancy. It’s caused by your appendix swelling, leading to symptoms like¹⁵:

• abdominal pain
• loss of appetite
• feeling sick
• constipation or diarrhoea

Appendicitis is a little trickier to diagnose in pregnant women because the symptoms are so similar to being pregnant, but the main thing to look out for is severe pain in the abdomen. If it’s caught early enough, appendicitis is easy enough to treat by removing your appendix. As always, make sure to get in touch with your GP or A&E Labour ward if you have any doubts about your symptoms.

Gallstones are small stones made of cholesterol that can form in the gallbladder. Most of the time they have no symptoms, but if they get trapped they can cause severe pain in your stomach¹⁶.

It’s pretty common for pregnant women to experience symptoms of gallstones because increases in hormones like oestrogen can cause an increase in cholesterol levels¹⁷. If you’re experiencing intense abdominal pain in pregnancy, get in touch with your midwife. They’ll be able to check for gallstones and other possible causes of abdominal pain and get you the treatment you need.

Stomach pain in pregnancy is usually a completely normal and harmless side effect of growing a baby. Slight discomfort from growing pains and gas is all part of the journey and often nothing to worry about.

But you know your body best and you should always trust your instincts. If something doesn’t feel right, or you just need some reassurance, your midwife will be more than happy to put your mind at ease.