Hi, Sharp chest pain during pregnancy can have several causes, some of which are harmless, while others can be serious and require medical attention. Some possible causes of sharp chest pain during pregnancy include: * Heartburn or acid reflux: This is a common cause of chest pain during pregnancy, particularly in the later stages when the growing uterus puts pressure on the stomach, causing acid to back up into the esophagus. * Muscle strain: The muscles of the chest and rib cage may become strained as the baby grows and the body undergoes changes. This can cause sharp, localized pain that may worsen with movement or deep breathing. * Anxiety or panic attacks: Pregnancy can be a stressful time, and anxiety and panic attacks can cause chest pain and tightness, along with other symptoms such as shortness of breath and palpitations. * Preeclampsia: This is a serious pregnancy complication characterized by high blood pressure and protein in the urine. Chest pain can be a symptom of severe preeclampsia and requires immediate medical attention. * Blood clots: Pregnant women are at an increased risk of developing blood clots, which can cause chest pain, shortness of breath, and other symptoms. Immediate treatment is needed in such a case. If you are experiencing sharp chest pain during pregnancy, it is important to speak with your healthcare provider. If your symptoms are severe or accompanied by other concerning symptoms, such as difficulty breathing or a rapid heartbeat, seek emergency medical attention right away. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician