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You mentioned that you are 20 weeks pregnant, and having some weird pains. You're wondering exactly what they are. There's a few different things to think about, especially if you're pre-term and having issues with pain. One of the possibilities is round ligament pain. Your uterus isn't just hanging out in your belly. It's attached to different parts by ligaments. One of the ligaments is called the round ligament. It's attached at about the level of the belly button on the side of the abdomen. Then attaches on the other end to the pubic bone. So, it kind of runs on a pregnant woman's belly from the sides in. It's kind of like an elastic, you know, and if you pull it and stretch it and then tweak it, you can see how that would cause pain. So if you get out of the car quickly, if you stand up from the couch, if you get out of bed for the fifth time in the middle of the night to go pee, or if you stand up off the floor. Any abrupt movement can cause you to have some sharp pain on one side or the other in your lower abdomen, kind of running where that ligament runs on the side of your abdomen down into the pubic area. So if you experience that and it's sharp pain on one side, it usually goes as quickly as it comes. Then it is probably round ligament pain. Sometimes it can be a little by achy. You just kinda feel like you want to rub it for a second, maybe it's duller and it lasts a little longer. That is a possibility to, with round ligament pain. But, one of the concerns is always, "Is it a contraction?" and "Is there anything to be worried about?" My motto is always, "When in doubt, get checked out." There's really no way to tell for sure, unless you talk with your doctor or go to the hospital and see a nurse who can perform an exam and decide if there's anything going on that warrants further investigation. Generally speaking, contractions feel like constant lower abdominal cramping, constant lower back ache if your pre-term, or it can be pain and cramping in your lower abdomen that comes and goes, a lower back ache that comes and goes. You may also experience abdominal tightening and pressure and sometimes shooting pains down your thighs. So, those are the main ways people describe contractions. If you ever feel any of those symptoms, or you have leaking of fluid, bleeding or an increase of vaginal discharge. Those are all reasons to get checked out. Now you did mention one other thing, when you urinate you kind of feel a lot of pressure afterwards. That's normal, because the bladder sits below the uterus and when you have to go to the bathroom and it gets full it pushes the uterus up a little bit. But then when you urinate the uterus contracts back down and so you feel tightening and pressure. You have a little contraction. That's very normal, as long as it only lasts for a few seconds and it's only associated with urination and you're not having regular or intense pains during the rest of the day, then it's nothing to worry about. But if you're ever concerned, like I said earlier, don't hesitate to ask your doctor and they can help you decide if it's something to be concerned about or not. If you have any other questions for me in the future you can ask them on our facebook page at facebook.com/intermountainmoms, and recommend us to your friends and family to.