Pelvic pain during pregnancy: causes, treatment and expert tips on when to seek help

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Pelvic pain is seen as a common problem that pregnant women experience ranging from mild discomfort to severe pain that can occur at different stages of pregnancy. Pelvic pain can have many causes including strain on the ligaments, hormonal imbalance, putting too much pressure on the pelvic organs, excessive activity of the pubic symphysis or strain on the round ligaments that support the uterus.

Pelvic pain during pregnancy: causes, treatment and expert tips on when to seek help (Photo by The Mom Love Blog)
Pelvic pain during pregnancy: causes, treatment and expert tips on when to seek help (Photo by The Mom Love Blog)

In an interview with HT Lifestyle, Dr Nidhi Jha, consultant obstetrics and gynecology at Rosewalk Healthcare in Delhi, shared, “Although pelvic pain is common during pregnancy, there are also instances when it can indicate a more serious problem. Is. If you are experiencing severe or persistent pain accompanied by vaginal bleeding or leakage of fluid, it is important to seek medical attention as it may be a sign of premature labor or other complications and requires immediate medical attention. . Additionally, pregnant women suffering from pelvic pain should seek help if they have difficulty walking or performing daily activities, have frequent fevers or chills, or have pain during urination or bowel movements, thereby seeking medical advice. becomes important.

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She further added, “Pregnant women often face various physical and hormonal difficulties during different stages of pregnancy, however, pelvic pain can be cured or treated with certain medicines and treatments to reduce the pain. May go. These include rest and warm compresses, which reduce pain by helping to relax the muscles. In addition, other treatments include physical therapy, pain medication, hydrotherapy, and pelvic support devices (maternity belt or pelvic support band). Needless to say, pregnant women should first consult their gynecologist to effectively diagnose and treat the catastrophic causes of pelvic pain. He can help identify mild causes and address them immediately to significantly reduce the pain.”

Dr. Anilsare Atluri, MS (OBG), FMAS, DMAS, Obstetrics and Gynecologist at Apollo Spectra Hospital, Chennai, adds, “Pelvic pain during pregnancy is experienced by most expectant mothers – ranging from mild to debilitating. Pregnant women may experience pain in the pelvic joints, especially the lower back, waist, hips and thighs. To avoid discomfort and know treatment options, it is important to understand what causes pelvic pain during pregnancy. With the secretion of the hormone, relaxin, the ligaments soften, allowing the bones to move more easily and take pressure off the surrounding muscles and nerves. This is also due to the stretching of the ligaments due to the expansion of the uterus to accommodate the growing baby. Increase in weight and changes in gravity can also contribute to pain. This can be called pelvic girdle pain. “It can be aggravated by walking, climbing stairs, turning over in bed.”

According to them, other causes like uterine contractions, vaginal infections and urine infections, labor pain, miscarriage, rupture of ovarian cysts etc. can also contribute to pelvic pain. Talking about pain management, Dr Anilsare Atluri said that it is very important to find out the cause and address it as soon as possible as pregnancy can compromise the underlying stability of the bones and ligaments in the pelvis, leading to It is necessary to follow these treatment options. ease the pain. He advised:

  • Take regular exercise along with adequate rest to maintain joint stability.
  • Hot and cold therapy to relax muscles and relieve stress.
  • Massage to reduce stress and soothe pain.
  • Avoid high heels and wear comfortable shoes.
  • Maternity support belts or bands can help stabilize the pelvis and reduce discomfort.

Suggesting to be safe and consult your doctor, Dr. Anilsare Atluri advised to seek medical help if you experience these unusual signs:

  • persistent pain that does not go away with rest
  • Pain accompanied by fever or chills.
  • Abnormal bleeding or green, watery discharge.
  • Persistent nausea or dizziness.
  • Burning sensation while urinating.

They concluded, “Pelvic pain during pregnancy is a common but manageable concern. However, it is important to understand its causes and know when to consult a medical expert to prioritize your health and well-being to ensure a comfortable pregnancy experience for yourself and your babies.

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