Which doctor will treat this?
First of all, one should consult the gynecologist in charge. The gynecologist can gain an impression of the possible causes of the pain by means of the description of the symptoms and an ultrasound examination. A blood test may be helpful to rule out a HELLP syndrome. In most cases a visit to the gynaecologist is sufficient. A subsequent visit to the orthopaedist may be indicated in rare cases.
Diagnosis
If there is pain at the costal arch, the gynecologist should be consulted for advice. An exception is when the pain is caused by the expectant mother herself due to the movements of the baby. However, if the pain persists or worsens, the doctor should perform a blood test to rule out HELLP syndrome and exclude possible damage to the liver or gallbladder.
Soft tissue complaints can be well visualized by ultrasound and is the leading diagnostic tool in pregnancy. Radiation-exposing forms of examination such as X-ray or CT are contraindicated in most cases. MRI during pregnancy should also only be performed under very strict indications, even if there is no radiation exposure for the unborn child. Especially soft tissue processes that cannot be visualized with ultrasound can be made visible by MRI.
Prognosis
If the causes of rib pain in pregnancy are harmless, which are caused by the growth of the baby, the prognosis is good. After the end of pregnancy, the pain in the costal arch disappears. If the pain is caused by a disorder of the liver, for example in the context of a HELLP syndrome, the prognosis depends on the severity of the syndrome and the therapy. Early therapy can have a positive influence on the course of a HELLP syndrome.
Can this be dangerous for my baby?
In the last trimester of pregnancy many women suffer from rib pain. Often the causes are harmless and are caused by the growth of the baby begins. Due to its size, the baby may put pressure on abdominal organs or extend arm and foot, which can be painful.
However, rib pain during pregnancy can also be dangerous for mother and child. Pain in the right upper abdomen and costal arch can be a symptom of HELLP syndrome. This needs to be clarified in any case. Even though rib pain is usually harmless, you should consult your gynaecologist if you have pain, especially on the right side.
