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Pregnant, abdominal tightness, pain, nausea, lower back pain, watery discharge. Urinary infection?

I am 30 weeks pregnant with twins. For two days now I have been extremely tight in my abdomen . I have been feeling a lot of pain and tightness in that area, accompanied by nausea . I have also had a lot of lower back pain and pressure, some of the pressure feels like it is more in my butt, I remember that occuring while in labor with my first born. I don t know if I need to be concerned, or if the pains are from growing babies with lack of room and weight gain(which is 30 lbs so far). I have also had a watery discharge for a few days now, only a little at a tme, and that occurs more at night,so it may be urine?
Asked On : Sun, 23 Dec 2012
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General & Family Physician 's  Response
Hi sarah.robbiesmommy,

Continuous lower back pain and tightness in a 30 weeks twin pregnancy seems to be labour pains which we say it as preterm labour. As it is twin pregnancy the chances of preterm labour are very high, however it needs more specific description of pain contractions. Added to this watery discharge for two days points towards premature rupture of membranes which is also common in twin pregnancy and it needs to be evaluated for confirming the diagnosis as delay in diagnosis and treatment has deleterious effect on babies as well as labor.

If it is preterm labour pains and premature rupture of membranes then decision has to be taken on the basis of fetal maturity and amount of amniotic fluid presnt. In any of the case supportive treatment is a must..

With regards,
Dr. Parthipan
Answered: Sun, 23 Dec 2012
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