Background:An acute abdomen refers to the sudden onset of severe abdominal pain requiring urgent medical evaluation and often surgical intervention. The present study was conducted to assess acute abdominal condition in pregnancy. Materials & Methods:58 pregnant women in different trimester who presented to the emergency department with acute abdominal pain were included. Ostetric and non-obstetric causes of acute abdominal condition was recorded. Results: Out of 4 cases of ectopic pregnancy, maximum was seen in age group 10-20 years (2). Out of 26 cases of abruptio placenta, age group 10-20 years had 9, 20-30 years had 6, 30-40 years had 5 and 40-50 years had 6 cases. Acute appendicitis was seen in 6, 4, 3 and 1, Acute cholecystitis in 2, 2, 2 and 1, Hellp Syndrome in 1, 1, 2 and 0, twisted ovarian cyst in 1, 1, 0 and 1 patient in age group 10-20 years, 20-30 years, 30-40 years and 40-50 years respectively. The maximum cases were seen in 1st trimester (25) followed by 3rd (20) and 2nd (13). Maximum cases of Abruptio placenta (14) were seen in 1st trimester, acute appendicitis in 1st, acute cholecystitis in 2nd, Hellp Syndrome in 2nd and twisted ovarian cyst in 2nd trimester. The difference was significant (P< 0.05). Conclusion: Abruptio placenta, followed by acute appendicitis, is one of the main causes of acute abdomen during pregnancy.