The evaluation of abdominal pain in pregnancy begins with a history and physical exam, and may include a pelvic exam

Physical findings that occur with abdominal pain in pregnancy may include:

• Fever
• Abdominal swelling
• Abdominal tenderness
• Decreased bowel sounds
• Tenderness in the right upper abdomen
• Tenderness in the left upper abdomen
• Tenderness in the right lower abdomen
• Tenderness in the left lower abdomen

Tests used to evaluate abdominal pain in pregnancy may include:

• Fetal monitoring
• Serum amylase
• Serum lipase
• Serum bilirubin
• Complete blood count
• Liver profile
• Kidney profile
• Urinalysis
• Blood cultures
• Urine cultures
• EKG

Imaging studies used to evaluate abdominal pain in pregnancy may include:

• Chest x-ray:
• Normal chest x-rays
• Intestinal perforation
• CT scan of the abdomen
• MRI scan of the abdomen
• Ultrasound of the abdomen
• Pelvic ultrasound
• Pregnancy ultrasound