Tummy tugging pains at 20 weeks pregnant may or may not be normal. At 20 weeks pregnant, the uterus enlarges significantly, and the enlarged uterus pulls on the ligaments, which can cause stomach pulling pain. At 20 weeks of pregnancy, pregnant women can experience false contractions, and during contractions, pregnant women can realize that their stomachs are tugging. This is a normal physiological phenomenon, rest or change position, most of the pain can be relieved. Tearing pain in the stomach at 20 weeks of pregnancy may be caused by preeclampsia, placental abruption, urinary stones, pelvic inflammatory disease, gastrointestinal dysfunction and other pathological conditions, most of which are accompanied by vaginal bleeding, increased vaginal discharge, frequent urination, painful urination, diarrhea, etc. This is a pathological phenomenon that requires prompt medical attention. This is a pathological phenomenon that requires timely consultation and appropriate treatment. 20 weeks pregnant stomach pulling pain in time to consult a regular hospital, under the guidance of a professional doctor to improve a variety of tests, give appropriate treatment.