Pelvic Pain during Pregnancy

• Most women experience pressure and pain in the pelvic area sometime during their pregnancy
• The pain can present itself as a minor ache or as severe intolerable pain (varies from one person to another)

In early pregnancy, the pain is possibly caused by:
• The normal stretching and enlargement of the uterus
• Pregnancy outside of the uterus (ectopic pregnancy) – this is not a viable pregnancy
• A miscarriage or an impending miscarriage
• An infection in the uterus
• Women usually complain of pelvic pain in the last trimester as the baby drops in preparation of birth
• Pain is caused primarily due to the increasing pressure put by the weight of the baby on the pelvic area (also impacts the hips, joints and muscles in the area)
• There is also another condition called Symphysis pubic (pelvic joint) dysfunction (SPD) where the ligaments that keep the pelvic joint in place become stretchy and relaxed during pregnancy and may cause pain

What can be done about this pain?
• The doctor may also recommend some or all of the following for normal pregnancy related pain:
• May recommend acetaminophen to relieve pain
• Taking additional rest
• Applying heat to the affected area
• Pelvic /Kegel exercises
• Using a support belt to support the pelvis
• Acupuncture

In cases such as ectopic pregnancy or miscarriage, the doctor may recommend a surgery/ D&C immediately to avoid further complications.

Summary
• Pelvic pain is fairly common and can be a result of the normal changes during early pregnancy and due to increasing weight put by the fetus on the pelvic area in the last trimester
• In some cases it could be a result of some complications like ectopic pregnancy or miscarriage and may need immediate surgery
• If the pain is due to the changes that normally occur during pregnancy, the doctor may recommend measures to relieve the pain such as resting/exercising/applying heat etc.
• Though usually harmless, please consult your doctor if you experience pain as it may also be indicative of something serious

Team Ovum Hospitals