Pregnancy is not only the most wonderful time in a woman’s life. It also brings with it changes, sometimes very unpleasant ... Pain in the pubic area is a common complaint of pregnant women. What do these pains mean and whether you need to fight them, read the article below.
What condition is the pubic bone during pregnancy?
The pubic joint consists of cartilaginous tissue connecting the two pubic bones. In the normal state of the body, this whole complex is motionless, but when pregnancy occurs, the situation changes. The hormone relaxin, secreted by the body in large quantities, relaxes the ligaments. In this case, the bones lose their immobility and begin to diverge to the sides - there is pain in the pubis.
Doctors already consider a distance of 6-8 mm between the bones as symphysitis of the first degree, although this condition is natural. For the health of the woman in labor and the child, this is not a danger, but the doctor must make a note in the map.
If the bones diverge further, then with a distance between them of 1-2 cm, a diagnosis of symphysitis of the II degree is made. A distance of more than 2 cm is a stage of the III degree. There is only one thing that pleases future women in childbirth - pubic pain during pregnancy is not frightening to the fetus, only mother is uncomfortable.
Causes of pubic pain in pregnant women
The doctors cannot name the exact reasons for the development of this condition, but there are prerequisites that can serve as the reason for the development of this condition:
- Large fruit - if the weight of the child in combination with amniotic fluid is quite impressive, the load on the pelvic bones is great. Under this weight, the bones may begin to diverge.
- The release of a large amount of the hormone relaxin - in this case, the ligamentous apparatus is greatly softened, causing the mother a pain in the pubis. But in this case, the child will be easier to pass through the birth canal.
- A woman's predisposition to diseases of the musculoskeletal system - during an interesting position, the bones experience a lot of stress and can undergo deformation.
- Lack of vitamin D3, an imbalance of phosphorus, magnesium and potassium lead to the fact that calcium, so necessary for a pregnant woman for bone strength, begins to be poorly absorbed.
Symptoms of the disease symphysitis
The symptoms of this disease are difficult to confuse with something else. Pain in the pubic area causes subsequent conditions. At a long gestation period, a woman suffering from symphysitis begins to move "like a duck." She rolls from side to side, sometimes even starting to limp, to reduce pain when walking.
Gradually, any movements for the expectant mother become painful: walking, getting legs apart, turning from side to side becomes problematic. It's hard for a woman to raise her leg, stand up and sit down. The most striking sign of the condition is acute pain when trying to raise a straight leg, while lying down.
Pain in the pubis is also accompanied by cracking and clicking joints when walking, sometimes quite loud. The expectant mother should know that by the 20th week of pregnancy, drawing pain in the groin, pubis and hips almost always appears. But this condition is not symphysitis. If the pain becomes stronger, walking is problematic - consult a doctor!
Diagnostics
Which doctor should I contact if the above unpleasant symptoms appear? First of all, you need to visit your obstetrician-gynecologist, then a surgeon and a traumatologist. The diagnosis must be confirmed by them. The diagnosis is difficult, most often it is set based on a survey of the patient and palpation of the sore spot.
With a gestation period of not more than 16 weeks, a specialist will refer you to an X-ray. An ultrasound scan is also required. With severe pain, magnetic resonance imaging or computed tomography can also be indicated.
Assessing the degree of bone discrepancy is important for choosing the right delivery management tactics.
Symphysitis Treatment
Unfortunately, a full-fledged treatment of this disease does not exist, and a woman will have to endure pubic pain until the very birth. After the birth of the baby, the problem is independently eliminated, as the bones will fall into place. However, the expectant mother can alleviate her condition.
To relieve cramps and pain will help the tablet "Nosh-py." Inflammation can remove the solution of "Menovazin", you need to grind it on the pubic area. If a tumor is observed, the Chondroxide gel will help. If a lack of calcium is detected in the body, then it is necessary to drink a course of vitamins with its content. Be sure to consult your doctor before taking these vitamins.
After giving birth, your doctor will prescribe a course of antibiotics. They will help relieve inflammation and bounce back as soon as possible.
Pain in the pubic area during pregnancy is often a signal of the body about a lack of any substances. Diversify your diet, add more dairy products, legumes, green vegetables to it.
With intense pain, try to move less, do not sit for long, try to avoid stairs. The doctor can prescribe a special bandage for the pregnant woman, recommend a set of exercises.
Preventive measures to prevent the development of symphysitis
It would seem that there is no more wonderful pore than pregnancy. The pain over the pubis, however, can greatly overshadow it. Preventive measures to prevent pubic bone discrepancy are simple:
- During pregnancy, take quality vitamins.
- Exercise regularly, visit the pool. It is clear that strong physical activity in an “interesting” position is prohibited, but you should not completely forget about them. A good muscle shape will not only help prevent symphysitis, but also facilitate the process of childbirth.
- Change your body position more often, especially when lying down. Try not to sit in a foot-to-foot position - this makes blood flow difficult.
Pubic pain in women: how will the birth go?
If the pelvic bones are more than 1 cm apart, the doctor will not allow the woman to give birth naturally. In this case, a complete rupture of the ligaments may occur. To prevent this from happening, women in labor are having a cesarean section.
With symphysitis II degree, the doctor will offer the woman either a natural birth or surgery. The doctor must warn the woman about all the possible consequences. If the delivery is unsuccessful, women can place the pelvis in a cast for three months. With a successful thigh delivery, women in labor are rewound with an elastic bandage. She will have to wear a corset for about six months. The result of childbirth depends on the strength of the ligaments and it is very difficult to predict it. Therefore, even with II degree of symphysitis, doctors often offer a cesarean section.
The first degree of bone discrepancy is not a contraindication to natural childbirth. Problems can occur in women with a large fetus and a narrow pelvis. The doctor decides such situations individually.
A few tips for pregnant women suffering from pubic pain
In order not to suffer from severe pain in recent months, follow simple recommendations. They can greatly alleviate discomfort.
- Watch your weight. Gaining extra pounds, you are very loaded pelvis.
- Provide yourself with comfortable furniture. The chair should be comfortable, the bed should be soft. Place a roll of blanket or a pillow under your hips during sleep.
- If you experience pain when turning from side to side, do it in a special way. Turn the upper body first, then tighten the pelvis. This will make the pain less acute.
- Do not forget about special exercises that relieve pubic pain. The most effective of them is considered a “cat” - kneel down, leaning on your hands. Relax your back. The spine, neck, head should stand in one line. As you exhale, bend your back, lowering your head down. Strain your abdominal muscles.
- If you are a supporter of alternative medicine, then you can use the advice of healers to eat more goat cheese, prunes and almonds. You can lubricate the pubis several times a day with Corvalol. Try to be less nervous!
Pain in the pubic area during pregnancy can be both a completely normal occurrence and a danger signal. With severe discomfort, do not delay the visit to the doctor. This will alleviate your condition and avoid complications.