The uterus is a muscular organ that contracts powerfully to squeeze your baby out, and those contractions are the primary source of labor pain. Besides intense muscle tightening throughout your abdomen and, sometimes, your entire torso and pelvic area, you may feel pressure on your back, perineum, bladder, and bowels. "All that combines to ratchet up pain," says Jay O'Brien, M.D., medical director of inpatient obstetric services at Women and Infants Hospital of Rhode Island in Providence.
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