The pins and needles pain in the stomach at the beginning of pregnancy has physiological and pathological factors. Physiological factors are due to during pregnancy, due to the increasing uterus pulling ligaments caused by tugging pain, is a normal physiological phenomenon. Some pregnant women in the early stages of pregnancy, due to early pregnancy reaction will also appear small abdominal pain, accompanied by stomach pain and increased secretion of gastric acid, nausea, vomiting and other symptoms is a normal physiological phenomenon, do not need special treatment. Pregnant women need to pay attention to rest, avoid exertion and stay up late, balanced diet, small meals, and keep a relaxed mood, which is conducive to relieving the symptoms of early pregnancy. If the abdominal pain is more serious and accompanied by symptoms of vaginal bleeding, it may be preeclampsia, which belongs to pathological causes, pregnant women need to timely bed rest, ultrasound and blood HCG test, according to the results of the examination for the preservation of the fetus treatment.