The pins and needles pain in the small stomach in early pregnancy may be a physiological reaction, or it may be due to pathological factors such as pre-eclampsia, enteritis, uterine fibroids, etc. It is necessary to pay close attention to the changes in pain, and if there are other accompanying symptoms, it is recommended to seek timely medical attention for targeted treatment. I. Physiological reaction: In the early stages of pregnancy, the uterus of pregnant women will increase in size with the growth of the fetus, which leads to strain on the uterine ligaments and can cause pins and needles pain in the small stomach, which is physiological pain and generally does not require special treatment, and the pain symptoms will gradually ease after the third month of pregnancy. The pain is mostly located in the lower abdomen, and the symptoms continue to be unrelieved and accompanied by vaginal bleeding, so it is necessary to seek medical attention for fetal preservation treatment, such as taking progesterone capsules orally as prescribed by the doctor, or terminating the pregnancy if necessary; 2. The use of drugs such as montelukast and bifidobacterium lactis triptans to regulate the function of the gastrointestinal tract and improve the symptoms; 3, uterine fibroids: early pregnancy combined with uterine fibroids can also be due to the stimulation of the tumor, which can lead to small tummy pins and needles pain, it is recommended to seek medical attention in a timely manner, under the advice of the doctor to take myomectomy, hysterectomy. In the early stage of pregnancy, it is necessary to rest moderately, avoid strenuous activities, and pay attention to dietary hygiene, do not eat spoiled and contaminated food, and reduce the intake of raw, cold and spicy stimulating food. It is also necessary to have regular maternity checkups and to seek medical attention in case of small stomach pins and needles pains that cannot be relieved on their own.