Back And Pelvic Pain During Pregnancy

Coping with pelvic pain in pregnancy

Your physical therapist might suggest using crutches to get around or a pelvic support belt to relieve your pain.

Planning your day to avoid activities that hurt you can be helpful. For instance, avoid using the stairs more often than necessary.

Obstetric, Pelvic

  • be as active as possible within your pain limits, and avoid activities that make the pain worse
  • rest when you can
  • ask your family, friends or partner, if you have one, to help with everyday activities
  • wear flat, supportive shoes
  • sit down to get dressed – for example, do not stand on 1 leg when putting on jeans
  • keep your knees together when getting in and out of the car – a plastic bag on the seat can help you swivel
  • sleep in a comfortable position – for example, on your side with a pillow between your legs
  • try different ways of turning over in bed – for example, turning over with your knees together and squeezing your buttocks
  • take the stairs 1 at a time, or go upstairs backwards or on your bottom
  • if youre using crutches, have a small backpack to carry things in
  • if you want to have sex, consider different positions, such as kneeling on all fours
  • POGP suggests that you avoid:

  • standing on 1 leg
  • bending and twisting to lift, or carrying a baby on 1 hip
  • crossing your legs
  • sitting on the floor, or sitting twisted
  • sitting or standing for long periods
  • lifting heavy weights, such as shopping bags, wet washing or a toddler
  • vacuuming
  • pushing heavy objects, such as a supermarket trolley
  • carrying anything in only 1 hand (try using a small backpack)
  • The physiotherapist ought to be able to offer suggestions on how to deal with the psychological effects of having chronic pain, like using relaxation techniques. You should notify your doctor or midwife if your pain is causing you a lot of distress. You may require additional treatment.

    Labour and birth with pelvic pain

    Many pregnant women who experience pelvic pain can give birth vaginally normally.

    Plan ahead and discuss your birth strategy with the midwife and your birth partner.

    Indicate that you have PGP in your birth plan so that those who will be assisting you during labor and delivery are aware of your condition.

    Consider your most comfortable birthing positions, and include them in your birth plan.

    You might want to consider having a water birth because being in the water can lighten the burden on your joints and make movement easier. You can discuss this with your midwife.

    Include physical activity in your daily routine

    Regular exercise can strengthen your back and possibly ease back pain during pregnancy. Try gentle exercises like walking or water exercise with the approval of your healthcare providers. A physical therapist can also demonstrate stretches and workout routines that may be beneficial.

    You might also stretch your lower back. Your head should be in line with your back as you recline on your hands and knees. Pull in your stomach, rounding your back slightly. Hold for a few seconds, then release while maintaining as flat a back as you can. Gradually work up to 10 repetitions. Ask your health care provider about other stretching exercises, too.

    According to some studies, acupuncture may help with back pain during pregnancy. Chiropractic treatment might provide comfort for some women as well. However, further research is needed. Discuss any potential complementary therapies you’re considering with your healthcare provider. Make sure to disclose your pregnancy to the chiropractor or acupuncturist.

    Preventing Back and Pelvic Pain in Pregnancy

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