In early pregnancy, there are the following reasons for the pulling pain in the abdomen: 1, physiological abdominal pain: mainly because the uterus grows bigger, the uterus plays a pulling and tensing role on the surrounding ligaments, which can make the abdomen appear pulling pain. In addition, after the uterus becomes bigger, the uterus has appropriate squeeze and influence on the surrounding organs and intestines, which can also make the abdominal pain. 2, gynecological diseases: can cause pathological pain, including cervicitis, ovarian cysts, adnexitis, pelvic and other diseases, can cause the abdominal pain of pregnant women in the fourth month of pregnancy. 3, intestinal diseases: can also cause the abdominal pain of pregnant women, including The same abdominal tugging and pain can be caused by diseases such as enteritis, intestinal obstruction and intestinal spasm.