Stabbing pain in the abdomen like pins and needles in early pregnancy may be caused by hormonal changes, or it may be caused by diseases such as preeclampsia, ectopic pregnancy, and other diseases such as hyperemesis gravidarum. 1. Hormonal changes:Hormonal changes in the body of pregnant women during pregnancy, and hormonal changes in the body will make the round ligament of the uterus loose. At this time, the pregnant woman appeared early pregnancy abdominal tingling symptoms like pins and needles, this is a normal physiological pain. 2. Pre-eclampsia: The causes of pre-eclampsia include chromosomal abnormalities, uterine malformations and other factors. The patient’s main symptoms are a small amount of vaginal bleeding, lower abdominal pain, lumbago, etc., so the patient will have early pregnancy abdominal pain like pins and needles performance. 3. Ectopic pregnancy:Ectopic pregnancy is caused by tubal lesions, patients will have abdominal pain, vaginal bleeding, menopause and other symptoms. As a result, patients will have the phenomenon of stabbing pain in the abdomen like pins and needles in early pregnancy. 4. other: gravida, uterine fibroids, cervical polyps and other diseases can also lead to early pregnancy abdominal pain like pins and needles performance. Clinical patients with symptoms like pins and needles in early pregnancy, may be caused by hormonal changes, do not need treatment. If it is caused by a disease, patients should go to the hospital in time to check and cooperate with the doctor for treatment.