Pelvic girdle pain in pregnancy

There is a potential risk of developing pelvic pain during pregnancy, particularly in the final trimester. This condition is often referred to as pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD). It’s worth noting that most women experiencing PGP can still have a vaginal birth.

Pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD) is a collection of symptoms originating from the pelvic joints at the front or back of the pelvis. Although not detrimental to your baby’s health, this condition can be markedly uncomfortable for you.

Not all pregnant women encounter pelvic pain, but it’s a prevalent occurrence. Several factors increase the likelihood of experiencing it, including:

• A history of PGP or lower back pain (not exclusively in a previous pregnancy).
• Previous pelvic injuries.
• Engaging in jobs that require prolonged standing or sitting.
• a BMI surpassing the recommended limit. Don’t know your BMI? Use our calculator to find out.
• Additionally, smoking and excessive stress can contribute to pelvic pain during pregnancy, along with other potentially risky conditions for both you and your baby.

Should you develop PGP, you might experience pain over the pubic bone, across the lower back, in the perineum (the region between the vagina and anus), or the thighs. You might also notice clicking sensations when moving your pelvis.

The pain typically intensifies when performing the following actions:

• Walking.
• Climbing stairs in either direction.
• Standing on one leg.
• Turning over in bed.
• Separating your legs.

It’s crucial to inform your midwife as soon as you notice the initial symptoms. Depending on the severity, they may recommend consultation with a physiotherapist. While physiotherapy won’t eliminate the issue, it can alleviate pain and enhance muscle function.

Before seeking specialist assistance, there are several self-care strategies to consider:

• Maintain activity levels, avoiding actions that exacerbate pelvic discomfort.
• Opt for flat shoes.
• Refrain from standing on one leg when putting on trousers – consider sitting down instead.
• Keep your knees together when entering or exiting a car.
• Find a comfortable sleeping position – many expectant women prefer lying on their side with a pillow between their legs.
• When turning in bed, attempt to do so with both knees together rather than one leg at a time.
• Ascend stairs one step at a time.
• Avoid bending or lifting.
• Minimize prolonged periods of standing or sitting.
• Refrain from vacuuming.
• Distribute weight evenly – avoid carrying items solely in one hand.