Sitting on a large exercise ball about 65 cm may offer relief of pain. Avoid sitting cross legged on the floor. Sexual activities: Aim to keep the knees together as much as possible. This may require some creativity for positioning think spooning or using a chair. Most, but not all, people with SPD feel less pain and have an easier time walking while wearing a support belt. Another common support belt is the Upsie Belly. Some people use a support belt just when they need more support, such as for a walk around the neighborhood.
Other people wear the belt 23 hours per day, just taking it off to shower. Many people take them off for sitting. Sometimes people find that they need help from a physical therapist or chiropractor to adjust the pubic bones before splinting them with a brace. It is safe to labor with pain in the pubic symphysis joints, and this pain does not change the physiological process of birth.
However, many birthing people find it helpful to adjust their positioning in labor and delivery to manage discomfort in the pubic symphysis joint. While going through contractions, positions that take weight off the pelvis may feel better.
These positions include resting the upper body on an exercise ball, slow dance, being in a tub or pool, and sidelying. During pushing, hands and knees and sidelying are frequently more comfortable positions. Common positions to avoid if possible include one or both knees to chest, lunging, and climbing stairs. Right after birth, the pubic symphysis pain may suddenly go away or it may feel worse from the physical rigors of labor. The first few days postpartum are often the most challenging, and a walker or wheelchair may be needed temporarily.
Wearing a support belt is often helpful. If SPD is treated, most people get back to an active lifestyle by three to four months postpartum. Symphysis pubis whatchamacallit? Approaching labour I knew that my pubic symphysis joint would have to widen to accommodate baby and that labour and childbirth would inevitably place a strain on my pelvis.
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You will be permanently deleted of the My BabyManual database. This loosening is intended to increase your range of motion in order to help you give birth, but it also means that your joints can become unbalanced and more mobile than they usually would be.
This can cause discomfort or pain. Although this slackening is intended to help with birth, sometimes you can start producing these hormones in early pregnancy. The symptoms of SPD tend to worsen as the pregnancy progresses. Other causes of SPD range from pelvic injuries to conditions like osteoarthritis. Early diagnosis can be really helpful in managing SPD.
However, chronic pain can lead to sadness or even depression, which is sometimes thought to negatively affect your baby.
A physiotherapist can provide manual therapy to ensure that the joints in your pelvis, spine, and hips move normally.
They may recommend hydrotherapy, where you do the exercises in the water. Being in the water can take the stress off your joints and allow you to move more easily. The physiotherapist will be able to give you suggestions on comfortable positions for sex, labor, and birth. You may also be provided with supportive equipment such as crutches or pelvic support belts.
Application of heat or cold to the area may reduce pain or swelling. Ask your partner or support person to stay and help you. Someone may need to lift the baby to you for feeding and nappy changing. You may experience PGP again in your next pregnancy. It could be similar to this pregnancy or may be less severe. Between pregnancies, practise any exercises that your physiotherapist gives you.
Deep abdominal strengthening exercises and pelvic floor exercises are particularly important. Early in your next pregnancy, ask your GP, midwife or obstetrician to refer you to a chartered physiotherapist. When planning your next pregnancy, it might be worth considering the age that this baby will be. Some women with PGP delay their next pregnancy until their current baby or toddler can walk. Page last reviewed: 24 June Next review due: 24 June Read our cookies policy to find out more about our cookies and how we use them.
How pelvic girdle pain affects labour and birth - Pelvic girdle pain PGP in pregnancy Contents What is pelvic girdle pain? Managing pelvic girdle pain Exercises to help pelvic girdle pain Looking after yourself with pelvic girdle pain How pelvic girdle pain affects labour and birth.
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