The pubic bone hurts during pregnancy. What to do if the pubic bone hurts during pregnancy? Natural pain in the pubic area during pregnancy

Pain during pregnancy literally haunts a woman. At the same time, they can be very diverse - both in strength, and in the brightness of sensations, and in localization.

The third trimester is the time when the fetus has already significantly gained weight, and the whole body of the mother is actively preparing for childbirth, a woman may feel strange and unpleasant sensations in the pubic area. However, the situation when sore pubic bone during pregnancy, is quite normal. So, the pelvic bones begin to prepare for the upcoming birth.

Why the pubic bone can hurt during pregnancy - symptoms and risk factors

Pain in the pubic region during pregnancy for a period of 20 weeks or more is the norm, doctors say.

In medicine, the pubis is called the pubic articulation or symphysis. It is represented by cartilaginous tissue and is a ligament for two pubic bones. According to its physiology, this complex is immobile, but due to pregnancy, the hormone relaxin is released in women - a substance that relaxes the ligaments. Their increased elasticity is necessary so that the child can pass through the mother's birth canal and not get stuck in them.

However, as a result of this, the pelvic bones are left without their strong corset. The symphysis becomes mobile. The sensations from this, if you study the reviews of expectant mothers, are not the most pleasant.

When pain develops, or even when a pregnant woman simply aches in the perineum, many people wonder what it could be, and whether such a condition threatens the fetus.

Doctors point out that normally does not hurt very much. But if the pain in the pubic symphysis increases, they say that inflammation has begun. In this case, the pregnant diagnosed with symphysis.

In the normal state, the pubic bones of a woman are at a distance from each other up to 5 mm. Due to the processes occurring during pregnancy, the pelvic bones can diverge over a distance up to 8 mm, i.e. almost 2 times. Despite the fact that this is normal, doctors already with such a discrepancy put I stage of pubic symphysitis.

Pain in the pubic part during pregnancy should not be ignored - it is better to consult a doctor as soon as possible. After all, the bones can continue to diverge for a greater distance. If the distance between them reaches 2 cm, they speak of stage II.

Of the advantages of the state when the pubic bone hurts during pregnancy, one can name the fact that this situation does not harm the child in any way. So at least for the fetus at this time you can not worry.

If the bone hurts when walking, it is safe to say that the expectant mother has symphysitis.

Among the symptoms of pathology are:

• sharp pain while walking (it hurts a lot), while sitting, when trying to spread your legs to the sides, when turning the body and trying to change the position of the body;
• the appearance of a duck-like gait - when it hurts in the area of ​​\u200b\u200bthe pubic bone, it is this mincing gait that reduces discomfort;
• soreness when pressed;
• the presence of extraneous sounds, such as clicks, crackles and other options when walking;
• often part of the perineum hurts, but the pain can also pass to the coccyx, lower back, groin, and even radiate to the thigh.

Reasons for the development of symphysitis

When a pregnant woman begins to whine in the perineum, or she feels that it hurts at the bottom when walking, she should see a doctor to find out exactly why it hurts. The reasons may be completely different.

And here it is important to understand that for the most part this physiologically normal process, but still there are pathological situations when the pubis begins to hurt.

Physiological divergence is understood as a small defect when the bones diverge a short distance, and pubic pains are not so strong and annoying. This often happens in the third trimester.

In this case, it is noted that the cause is a hormonal disorder, due to which the ligaments of the pubic bone are actively softened. This is part of the process of preparing for childbirth. If it hurts a lot, the pain does not go away and prevents you from fully moving, it is worth checking for the presence of pathologies.

So, in the list of pathological reasons why the pubic bone hurts during pregnancy:

1. Large fruit.
2. Low position of the fetus.
3. Polyhydramnios.
4. Lack of calcium in the body, lack of vitamin D, lack of the necessary magnesium, calcium and phosphorus in full.
5. Heredity for diseases of the musculoskeletal system in a lady - for example, pelvic injuries.

How is the problem diagnosed in pregnant women?

To make an accurate diagnosis of a future mother, they can prescribe ultrasound if she is on time up to 16 weeks, or x-ray if the deadline is higher. According to the results, treatment can be prescribed.

The doctor must enter information about existing problems into the pregnant woman's card. This is necessary so that there are no unexpected “surprises” during childbirth.

What a woman needs to do to relieve pain - useful tips

Treatment, as such, with the usual course of symphysitis, if it is uncomplicated, is not prescribed. After the baby is born, the mother's ligaments will acquire their original state and return to their place.

If the pain is quite severe, then, in agreement with the doctor, you can use those allowed during pregnancy. painkillers- tablets and ointments. In the case when edema is observed, doctors may recommend the use of non-steroidal anti-inflammatory creams and ointments.

However, it is important to consider that all medicines must be prescribed by a doctor.

Also, a pregnant woman can be advised calcium intake. But here it is important to understand that it is worth being more careful with it - an excess of such a substance consumed from the outside can lead to ossification of the baby's skull, which will cause birth injuries.

If the pubic bone hurts during pregnancy, the doctor may prescribe to the woman bandage use. As well as exercise therapy, which will unload the ligaments and strengthen the muscles. The bandage will hold the bones, preventing them from spreading wider.

Simple recommendations will also help the expectant mother get rid of acute pain.

The lady should sit in a soft position, without crossing her legs and not in an asymmetric body position. From a prone position, you should get up, first turning the upper part of the body, and only then change the position of the pelvis.

Similarly, when carefully turning around, it is worth stepping over if you need to turn around. It is important to understand that there should not be any sudden movements.

To avoid the manifestation of pain, it is also worth taking care of your menu - you should add dairy products, nuts and dried fruits, legumes, cereals and dark green leafy vegetables to the diet.

The danger of ignoring symptoms

If it hurts in a pregnant woman in the area of ​​​​the pubic joint, this fact cannot be ignored. It doesn't matter how intense the pain is. Only a doctor can correctly assess the degree of development of the situation.

If you leave such manifestations without attention, you can get serious complications. It should be understood that the symphysitis itself does not pose a danger to the fetus, but if an inflammatory process appears against the background of the divergence of the pelvic bones, then this can already affect the baby. For example, due to inflammation, nutrition in the mother-fetus chain can be disrupted, and it also often triggers premature birth.

Local inflammation causes swelling in the perineum, often accompanied by increased body temperature. And this causes an additional burden on the body of a pregnant woman, who already works for two. There is a real risk of infection of the waters and the placenta.

The most severe complication is the rupture of the symphysis. It happens closer to the birth - weeks after the 37th, when the baby's head has already dropped. In this case, the pressure on the ligaments begins to increase, and they do not withstand. It should be understood that in case of a severe course of the situation, doctors will recommend childbirth through a caesarean section. After all, the pubic joint can suffer even more.

Video with helpful tips:

Prevention of pain in the pubic region during pregnancy

In order to prevent the development of pain in the pubic area, the expectant mother should keep track of your weight- extra pounds will increase pressure on the perineum.

In addition, you should choose soft mattress, avoid climbing stairs to the maximum, withstand a certain physical activity. Light exercise will only benefit.

Pregnancy brings with it a lot of changes: the appearance of the expectant mother changes, there are changes in her life, worldview, feelings.

Mostly - these are all pleasant moments, but sometimes the state of pregnancy can bring some complications in the form of pains of a different nature.

Some of them become just a physiological reaction of the body to your new position, but it also happens that painful sensations signal you about more serious problems or complications. So, pain in the pubic bone is one of the most common complaints of pregnant women.

The pelvic bone of your body is formed by the fusion of three bones, and one of them is the pubis. By itself, this bone is paired, as it consists of two pubic bones that form the pubic joint. They also form the anterior wall of the pelvis.

In addition, it is worth noting that the bone looks like a roller, in its shape, and in thickness it is comparable to the thumb.

When a woman bears a child, her whole body prepares for the upcoming birth.

A changing hormonal background contributes to these changes, in particular, the hormone relaxin has a softening effect directly on the pubic bone, so that by the time you start labor, it has become more mobile and supple.

Softening is subject not only to the pubic bone, but also to other cartilage, ligaments, and places of symphysis of the pubic joint. This was provided by wise nature so that you could give birth easier, and the baby managed to pass through the birth canal.

As you understand, with discomfort in the pubic bone, you simply feel pain from the fact that the ligaments are greatly stretched. However, if the manifestations of pain are very strong and frequent, then you should immediately consult your doctor, as this may indicate the presence of more serious problems that are not caused by the physiological preparation of the body for childbirth.

Possible symptoms and risk factors

However, it is worth reassuring expectant mothers: symphysitis is, of course, an unpleasant diagnosis, but it does not pose any threat to your baby, although it will cause you a lot of discomfort.

Among the reasons that can lead to symphysitis or become triggers for its appearance, doctors identify the main ones:

• An excess of relaxin in the body of a pregnant woman, as well as its increased effect.
• The second reason is often a severe deficiency or an acute shortage of calcium.

This can also negatively affect the child, because his growth and development depend on the sufficient intake of all the necessary nutrients and nutrients, and a lack of calcium can lead to improper formation of the skeleton).

In addition, doctors believe that symphysitis manifests itself due to hereditary or individual characteristics of the body (perhaps if a woman had problems with the musculoskeletal system before pregnancy, with fractures or injuries of the pubic bone, with some pathologies of the body structure, like a saber-shaped pubis etc.).

As a rule, the following symptoms help to recognize symphysitis:

• it hurts to lift straightened legs (from a prone position);
• severe pain in the pubic bones when walking;
• there are strong and sharp painful sensations if you press on the pubic bone;
• when you make any sudden movement, walk a lot or climb up the stairs, step over the threshold, even roll over from side to side - the pain increases significantly;
• the pain syndrome grows and manifests itself more and more often (not only in the pubic region, but also in the pelvis and coccyx);
• the gait changes, becoming waddling, like a duck.

How is the problem diagnosed in pregnant women?

If pain occurs or worsens, contact your doctor immediately. In addition to your gynecologist, the diagnosis will have to be confirmed by other specialists - a traumatologist and a surgeon.

Also, most likely, you will be sent for an ultrasound examination of the pubis, sometimes, if necessary, an x-ray may be prescribed if the gestational age is not more than 16 weeks.

In a normal state, the distance between the two pubic bones is approximately four to five millimeters.

Having made an allowance for the divergence of bones during pregnancy, you need to add another two to three millimeters. That is, if the bones of the pubic joint diverge already by ten or more millimeters, you are diagnosed with symphysitis (symphysiopathy or dysfunction of the pubic symphysis).

Depending on the degree of discrepancy and the presence of inflammation, they are isolated (the first is the safest and needs simple observation, and the second and third require careful monitoring of the condition of the pregnant woman and exclude natural childbirth).

The main methods of treatment and prevention of pain in the pubic bone

If the pain in the pubis in your case is caused by the fact that the presenting part of the fetus simply presses on the bones of the pelvis, and the distance of the divergence is within the normal range, then no special treatment will be prescribed for you.

• it is better to sit on something soft (it can be both a chair and an armchair, however, it is worth staying in a sitting position as little as possible). If you still have to sit for a long time, take care of yourself: try not to cross your legs, avoid asymmetrical body positions, and your feet should be on the floor;
• when you lie down and want to roll over, first try to turn the upper part of the body and only then change the position of the pelvis;
• you are strictly forbidden any load on the hip joint, so even lying in bed, it is better to put a blanket, roller or pillows rolled up under your feet and ass;
• try to follow, because extra pounds will not only prevent you from getting in shape quickly after childbirth, but are also a serious burden on all muscles and bones, including the pubic one;
• if you need to take a step to the side, it is recommended to first simply turn around, and then step forward or backward, depending on where you need to go;
• exclude heavy physical exertion, do not make sudden movements, and when walking, move slowly and calmly.

Your daily diet should be complete and balanced, so that the body receives the microelements and nutrients it needs for full functioning.

In this case, you may need to add more foods that are rich in calcium and magnesium to the menu (all dairy products, nuts and dried fruits, legumes, cereals, dark green leafy vegetables).

Additional preparations containing calcium and substances that help it to be better absorbed in the body - vitamins D and C can also be prescribed. For this purpose, it is recommended to take the drug "Calcium D-3 Nycomed" (maybe "Calcemin" or others).

In addition, it may be advisable to start taking a special multivitamin complex for pregnant women (Pregnavit, Elevit, Teravit-pregna, etc.).

However, you can not prescribe any drugs yourself. Even useful vitamins can lead to serious complications if taken incorrectly or overdose: for example, if calcium becomes abundant in your body, the bones of the baby's skull will begin to harden prematurely, and early aging of the placenta is also possible.

To relieve pain a little, it is allowed to take. If the inflammatory process or injury gives swelling of the pubis, then ointments or gels for rubbing (Betalgon, Chondroxide) may also be prescribed.

Already after childbirth, antibiotics are prescribed in some cases, as well as other medications and procedures are used to relieve the inflammatory process and help the body return to normal.

With certain indications, doctors also prescribe the wearing of a bandage. Its function will be to fix and support the pelvic ring, preventing the pubic bones from moving further. This is a special orthopedic pelvic bandage.

There is also a whole range of gymnastic exercises, by performing which you can help your ligaments strengthen and become stronger, as well as increase the tone of the pelvic muscles, which will significantly reduce pain. Here are some of the most effective and simple ones:

• familiar to all "Cat".

Get on your knees and lean on your hands, while relaxing your back muscles. Make sure that the spine, neck and head are at the same level. Arching your back up as you exhale, lower your head down and tighten the muscles of the abdomen and thighs.

• An exercise that is very important for pain in the pubis.

Gently lie down on the floor and bend your knees at a thirty-degree angle. Then slowly and carefully try to raise the pelvis (no need to lift very high, follow your feelings) and stay in this position for a few seconds. Get down on the floor and start over.

• Lying on your back, bend your knees and pull them towards you so that your feet rest on your buttocks with your heels. Slowly spread your knees to the sides and bring them back.

Please note that exercises can only be done with the permission and under the supervision of a doctor, since with progressive symphysitis, physical activity is already contraindicated, and a woman is advised to lie down more to prevent the problem from aggravating. Sometimes doctors even insist on inpatient observation and treatment.

The decision about the method of the forthcoming delivery will be made based on several factors. To be allowed to give birth naturally, you need the following:

• the child should not be too big;
• you have normal, not ;
• the bones had separated no more than ten millimeters.

Conclusion

Pubic pain is quite normal for pregnancy, because your body needs to prepare for childbirth. However, with constant discomfort and severe pain, it is better to undergo an examination in advance and consult a doctor. This will not only help to alleviate your condition, but also avoid worsening the situation, as well as save you from unnecessary complications.

If during the bearing of the baby your pubic bone hurts, this does not necessarily indicate any disturbances in the functioning of the body.

Briefly about the pubic bone

The pubic bone is one of the three bones that make up the pelvic bone. The pubic bone itself consists of two pubic bones.

These two bones create the pubic articulation, which forms the anterior wall of the pelvis.

Main causes of pubic pain

In the later stages of pregnancy, the woman’s body prepares in every possible way for the birth of the baby and tries to simplify this process as much as possible for both the baby and the mother.

One of the stages of such preparation is the softening of the pelvic bones. The body begins to secrete the hormone relaxin, which makes the bones softer, and the ligaments and cartilage between the bones more elastic. Thus, during childbirth, when the baby will move through the birth canal, the pelvic bones will be able to expand as much as possible, giving the baby more space.

Actually, due to the softening process, the pubic bone experiences an unusual load during pregnancy, so pain may occur.

It may also be due to the lack calcium in the body of the expectant mother.

If the pain is periodic, not very strong, does not bring much concern, you should not worry. But if the pain is sharp enough to become more intense when walking or a sudden change in body position, then its cause may be symphysite- divergence of the bones of the pubic joint.

Syphysitis occurs due to an excessive amount of relaxin in the body, calcium deficiency, hereditary predisposition, diseases of the musculoskeletal system.

What to do if there is pain in the pubis?

Firstly, you don’t have to worry about the baby - pubic pain, both physiological and caused by bone divergence, does not pose any danger to the baby.

To alleviate pain, pregnant women often begin to walk with a "duck gait" - waddling from side to side, thus reducing the load.

If you are diagnosed with symphysitis, you must wear a bandage until the end of childbirth, which will prevent further divergence of the bones.

In addition, it is worth adjusting the diet by adding foods containing calcium to it, which is generally useful during pregnancy.

In addition, it is necessary to reduce physical activity. It is also forbidden to stay in a sitting position for a long time.

What can threaten pain in the pubic bone?

If the pain in the pubic bone turns out to be caused by a divergence of the bones, this threatens with a caesarean section, since natural childbirth will be contraindicated for you.

With symphysitis, natural childbirth can significantly injure the pelvis, after which the woman may completely lose the ability to walk in the future.

Which doctor should be consulted for pain in the pubic bone?

If you are very worried about pain in the pubic bone, you need to be examined by several specialists. Namely, you will have to visit a gynecologist, surgeon, traumatologist, and you will also need to do an ultrasound of the pelvic bones.

Pregnancy brings a lot of positive, however, discomfort and pain are also not uncommon. The latter can occur at different intervals, differ in terms of location and intensity. Short-term pain can be explained by normal physiology or the preparation of the mother's body for childbirth, but certain situations require closer attention and the participation of specialists. If stable and severe pain occurs in the area of ​​the pubic bone, there is a threat to the health of the woman and there are doubts about her ability to give birth to a child on her own.

Physiological causes of pain in the pubic bone during pregnancy

The pubic bone is an integral part of the pelvic bones and is under severe stress at the time of bearing a child by a woman. If she did not change her condition during pregnancy, then it would be simply impossible to give birth on her own. The joints in this area are characterized by immobility. That is why they are able to hold the organs of the peritoneum.

In the middle of the second trimester (14-27 weeks), the hormone relaxin begins to be actively produced in the female body. It tends to change the structure of ligaments, tendons and bones. Thanks to this substance, the birth canal begins the stage of preparation for future delivery or the unimpeded passage of the fetus through them. The ligaments acquire a pronounced elasticity, and the bones become looser and gain the ability to diverge.

The pubic bone is under serious stress at the time of bearing a child by a woman

The pubic bone consists of pubic bones, they are paired and also subject to changes. Any woman experiences some discomfort. In the later stages, pain will occur, but this is the norm if they are tolerable and short-lived. The physiological reasons for their occurrence include the following:

• Increased mechanical loads on the pelvic bones;
• Relaxation of cartilaginous joints, as well as ligaments under the influence of hormones;
• Violation of posture, this is especially characteristic of late pregnancy.

Pathological pain in the pubic bone during pregnancy and why they are dangerous

Pain in the pubic bone area can occur not only as a result of natural processes, pathologies can also become a cause of discomfort. During pregnancy in the body of a woman, various diseases often begin to progress or specific problems arise.

A divergence of the pubic joint of more than 5 millimeters is a sign of the development of symphysitis

Symphysiopathy

A divergence of the pubic articulation of more than 5 millimeters is not the norm. This is a sign of the development of symphysitis. It is based on an inflammatory response to tissue damage. Pathology can cause severe pain. They may be exacerbated by walking, trying to change position while sleeping and resting, or walking up a flight of stairs. The causes of the phenomenon are not fully determined, but the list of provoking factors is as follows:

• The volume of amniotic fluid is above normal;
• Large fruit;
• Excess relaxin (a hormone produced by the ovaries and placenta. It relaxes the pelvic ligaments and pelvic bones);
• Hereditary predisposition to diseases of the joints;
• Lack of vitamin D, which provokes poor absorption of calcium;
• Imbalance in the body of calcium, magnesium and phosphorus.

Important: pathology is a threat to the mother, but is not able to affect the condition of the fetus. With symphysiopathy (grade 3), a woman is not able to give birth on her own. Doctors recommend a caesarean section.

Video: childbirth with a diagnosis of "symphysitis"

Muscular and skeletal pathologies

The most common pathologies include the following:

• Osteitis of the pubic bones or inflammation of all tissues in the area of ​​the pubic joint, which is accompanied by pain. The disease can provoke pregnancy, as well as previous urogenital interventions, spondyloarthritis (a disease of the spine, which is accompanied by acute pain and restrictions in the functioning of the musculoskeletal system) and various injuries;
• Osteomyelitis of the pubic joints. This pathology is infectious in nature. It occurs infrequently and is related to complications that are caused by surgical intervention in the work of organs. This applies to those operations that were carried out 2 weeks or 3 months before the exacerbation;
• Osteomalacia (impaired bone mineralization), which can be caused by pregnancy. The disease can be provoked by a lack of vitamin D. Painful sensations can have a wider localization, be noted not only in the pubic bone, but also in the sternum, ribs, and spine.

Other pathologies that can cause pain in the pubic bone during pregnancy

The list of other pathologies that can cause pain in the area of ​​​​the pubic bone in the process of bearing a fetus by a woman can include the following:

• Joints are often affected in short-term osteoporosis, or a decrease in bone density during pregnancy. In this case, pain can occur in the hips with redistribution to the pubic region and knee;
• Increased lordosis of the lower back (bending of the spine with a bulge forward). The process is associated with pregnancy and can provoke discomfort and severe pain in the lower back, pubic area, buttocks or legs. The closer the moment of childbirth, the pain sensations progress, but subsequently disappear without a trace;
• Pain in the pubic bone can also occur with infectious diseases of the urinary tract. The phenomenon is often confused with pathologies in the area of ​​the pubic joint. The difference is that there is no pain on palpation and motor activity is not impaired.

Phenomenon diagnostics

An x-ray will allow you to accurately determine the presence of a deviation and its degree.

At the first sign of discomfort and pain, you should contact a specialist. Only an examination by a qualified doctor will help determine the severity of certain symptoms. The doctor will assess the possible risks and determine the need for further examination. Diagnosis may include:

• Physiotherapist visit. A specialist can confirm the presence of Trendelenburg's symptom (there is a decrease in the strength of the gluteus medius muscle). At the appointment, the specialist evaluates the lowering of the gluteal muscles at the time of standing on one leg, discomfort and pain during palpation (palpation) of the pubic bones;
• Examination to determine the presence of the Patrick-Faber symptom (with the help of a test, the doctor can determine the presence of characteristic pain sensations and understand their cause). It is manifested by pain in the region of the sacroiliac joints at the time of parallel fixation of the iliac bones by the doctor and the bending of the leg in the thigh by the pregnant woman, while the foot should look towards the opposite knee;
• Analysis of obstetric and gynecological history (list of gynecological ailments suffered; the presence of surgical interventions in the past; the number of births, their characteristics, course and outcome);
• Analysis of complaints and anamnesis of life (presence of injuries of the pelvic bones in the past and diseases of the musculoskeletal system; study of the diet);
• Ultrasound examination of the pubic joint area. Helps to determine the degree of discrepancy;
• X-ray of the pelvic region. The picture will clearly record the discrepancies of the pubic bones or their displacement. At the time of image fixation, the patient should stand on one leg.

Important: during pregnancy, X-ray examination is used only in exceptional cases, when other diagnostic methods have proven to be ineffective.

Diagnosis of other pathologies is a more complex process. In this case, specific methods of examination are often used:

• Blood cultures are given to determine the presence of infections and identify certain microelements;
• An ultrasound examination is carried out;
• A urine test is given.

Treatment for pain in the pubic bone

In the event that pathologies are not identified or pain in the pubic bone area is caused by natural processes, then the expectant mother should not be particularly worried. In this case, no treatment is required.

Important: statistics show that almost every 3rd woman in position experiences pain in the bones, ligaments and muscles. Pain sensations of varying intensity in the area of ​​the pubic bone haunt every 5–6 pregnant woman. The problem is common, so don't panic.

If the diagnosis has determined the presence of an infection in the body, then the therapy is carried out with antibiotics that are safe for the health of the woman and the fetus. Deviations caused by an imbalance of vitamins and useful trace elements are corrected by changing the diet or taking special vitamin complexes.

If the divergence of the pubic bones during the period of gestation by a woman is above the norm, then it cannot be cured. Therapy is used, but it is aimed at preventing progress and stabilizing the condition of the pregnant woman.

• At the time of severe pain, take gentle painkillers, for example, No-shpu, or use Menavozin solution to rub into painful areas;
• In case of inflammatory processes in the area of ​​the pubic bone, apply ointments: Betalgon-gel or Chondroxide;
• Motor activity should be limited to a minimum. It is desirable to completely exclude movement along flights of stairs;
• You should sit less. When taking a standing position, you need to evenly distribute the weight on both legs;
• The load on the spine and joints must be reduced to a minimum. During sleep, use a special roller under your feet;
• Special orthopedic bandages will help fight the progression of the disease;
• At the moment of changing the lying position, the load must be redirected to the upper body;
• Special therapeutic exercises will help relieve stress.

In a situation where no improvement is observed, and the pain does not change its intensity, a woman is recommended to undergo a course of treatment in a hospital.

Important: the decision on the need for delivery by caesarean section is made at 30–32 weeks. The degree of discrepancy, the general condition of the woman and other pelvic bones, as well as the size of the fetus are taken into account.

A set of exercises to help relieve pain

With severe pain in the pubic area, the following series of exercises will help:

1. Lie on your back on a flat hard surface and slightly bend your lower limbs at the knees. An angle of 30-40 degrees will be enough. Slowly lift your pelvis up, not too high, then stay in this position for a few seconds, and then lower yourself back to the floor. Do 2-3 approaches;
2. Get on all fours. Make sure your back stays straight. Exhale sharply, rounding the spine, and arch your back up. Then inhale and bend down a little. Do the exercise 2-4 times;
3. Lie on the floor with your back and put your hands behind your head, before folding them into the castle between them. Spread your legs shoulder-width apart. Alternately lift one lower limb up, take it to the side and return to its original position. The pace should not be too fast. Repeat the exercise for each leg 3-5 times.

Photo gallery: exercises to eliminate pain in the pubic bone area

Lie on the floor with your back and put your hands behind your head, before folding them into the castle between them. Spread your legs shoulder-width apart. Alternately raise one lower limb up, take it to the side and return to its original position
Get on all fours, exhale sharply, rounding your spine and arch your back up, then inhale and bend down a little Slowly lift your pelvis up, not too high, then stay in this position for a few seconds and again lower yourself to the floor Lie on your back on a flat hard surface and slightly bend the lower limbs at the knees

Important: before using the described set of exercises, be sure to consult your doctor.

The use of traditional medicine

Pain can also be reduced with the help of traditional medicine. Simple and affordable recipes will help to do this. Black radish can relieve pain. The vegetable must be grated and squeezed thoroughly. Then you need to lubricate the lower back with vegetable oil, cover the body with gauze, then carefully lay the grated radish on top and cover with a blanket. Hold the compress for 15 minutes. If a characteristic burning sensation forms, then remove the gauze. Rinse off the remaining radish and oil with water, then wrap yourself in a blanket. Usually, applications are carried out immediately before bedtime.

Plantain and birch buds will also help reduce discomfort. Fresh grass leaves should be soaked in birch sap and dried thoroughly. After that, they are applied to the lower back and covered with a blanket or a warm scarf. The application is also carried out before bedtime.

A sesame-honey mixture, which is rich in calcium, can also be effective. Daily intake: 100 grams of seeds. Honey is added to taste. You need to take the composition until the pain passes. It is also recommended to consume more almonds, goat cheese, prunes and fish. Products can be combined in a variety of combinations.

Important: pay attention to the individual intolerance of individual products.

Corvalol will help reduce discomfort. The drug must be rubbed into the pubic area. The procedure can be repeated 2-3 times a day.

Childbirth with pain in the pubic bone

If the divergence of the pubic joint exceeds 20 millimeters, then the woman will not be able to give birth on her own

When the bones of the pelvis have diverged by more than 1 centimeter, then a woman is unlikely to be able to give birth to a child on her own. The solution to the problem is surgery or caesarean section. If you ignore this fact, then childbirth can end with a complete rupture of the ligaments. In this case, the woman will be put in plaster, which will immobilize her for a long 3 months. Such a prospect is not encouraging, therefore, it is impossible to ignore the signals of the body and the recommendations of the doctor.

Stage 2 symphysitis (the gap inside the pubic joint has increased to 10-19 millimeters) is controversial and doubtful. Some women risk giving birth on their own, they succeed and they recover quite quickly, but this is rather an exception to the rule. Other young mothers after such a choice lie in a cast for weeks. It is extremely difficult to predict the probable outcome, since the strength of the ligaments is directly related to the individual characteristics of the organism. A woman in labor always makes her own decision, but it is still advisable to consider the doctor's recommendations regarding a caesarean section. Stage 3 does not provide a choice. Bones in this case can diverge by 20 or more millimeters.
After childbirth with a divergence of the pubic joint, a woman is recommended to wear a special corset

In a situation where the process of giving birth to a child went well, the woman's hips are pulled with an elastic bandage. She is shown bed rest and complete rest. Then the young mother will be able to walk, but only at the time of using a special corset, which is designed to maintain a stable state of the pelvic bones and control their correct anatomical position. It is usually worn for 3-6 months.

Stage 1 is not dangerous and a woman is quite capable of giving birth on her own, since the discrepancy is up to 10 millimeters. However, the problem does not bypass women with a narrow pelvis or those mothers who are expecting large children.. In this case, the situation is considered on an individual basis. In other women, the pain completely disappears after 10-14 days after childbirth. It is advisable to fix the hips with an elastic bandage for 2-3 weeks, so they quickly return to their place.

Video: pelvic pain during pregnancy

Prevention of pain in the pubic bone

In order to prevent the occurrence of discomfort and pain in the pubic bone area, the expectant mother needs to:

• Pay attention to therapeutic physical exercises that can make ligaments and joints more elastic, as well as strengthen them;
• Provide a complete diet, namely, include in the menu all products that contain trace elements and vitamins important for the normal functioning of the body;
• Take special vitamin complexes recommended by your doctor;
• Avoid serious stress on the joints, learn how to correctly redistribute them;
• Observe the correct sleep and rest regimen;
• If the abdomen is growing rapidly, then a bandage should be used to support it. Thus, it will be possible to eliminate excessive pressure on the pubic bones.

At the first sign of discomfort, you should immediately consult a doctor, since only a timely diagnosis can minimize all potential risks.

Risks

It is impossible to ignore the symptoms that the body sends during pregnancy. Pain in the area of ​​​​the pubic joint can be the cause of many phenomena and ailments. Serious complications tend to occur after a caesarean section, which in the future will negatively affect the quality of life and complicate the recovery process after childbirth: infection in open wounds, blood loss, blood clots, adhesions, inability to bear the next fetus due to the risk of opening sutures, and others. If the divergence of the pubic articulation is more than 15 millimeters, then after independent childbirth it is necessary to restore the pelvic bones, while being in a state of immobility. Pain in the pubic bone area can develop against the background of serious diseases of the musculoskeletal system. In this case, if you do not turn to specialists in time, you can lose the ability to move independently.

Pain in the area of ​​the pubic bone did not bypass the author of the article. Since I did not want to create a panic over trifles, I did not pay attention to the problem for a long time. I thought that such a phenomenon is considered the norm and you should not worry about it. At the 30th week of pregnancy, I nevertheless decided to voice the problem to the gynecologist in order to hear words of reassurance. However, the doctor referred me to a physical therapist. Testing showed that the situation is not critical, but a recommendation was made to undergo an ultrasound examination. The latter showed the presence of a discrepancy in the pubic articulation of 11 millimeters. The fetus was large, so the doctor warned me about the possible risks and consequences. She also advised me to take calcium in addition to the previously prescribed vitamin complex and reduce the load on the joints. A special bandage was included among the recommendations. I decided to give birth on my own. As a result, the birth went off safely, but the process dragged on and brought a lot of worries, and also led to numerous ruptures of the birth canal. Upon completion, the pelvic area was fixed with an elastic bandage. Pain and discomfort went away for 2 weeks after delivery and did not bother me anymore. For myself, I took out the main thing from the situation: each symptom separately and in the aggregate requires close attention and specialist advice, especially when the future of not only the woman, but also the fetus is at stake. Unfortunately, I had to learn from my own mistakes. If she turned to the doctor in a timely manner, then perhaps there would be a chance to facilitate delivery with the help of special exercises and reduce discomfort thanks to the right therapy.

Discharge in early pregnancy can cause concern for the expectant mother. However, they do not always carry a health hazard, so they should not cause fear. New…

Pregnancy is not only the most beautiful time in a woman's life. It 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 deal with them, read the article below.

What is the condition of the pubic bone during pregnancy?

Consists of cartilage that connects 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.

A distance of 6-8 mm between the bones is already considered by doctors to be grade I symphysitis, although this condition is natural. This is not dangerous for the health of the woman in labor and the child, but the doctor must make a note on 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 stage III. Only one thing pleases future women in labor - pain in the pubis during pregnancy is not terrible for the fetus, it only causes discomfort to the mother.

Causes of pubic pain in pregnant women

Doctors cannot name the exact cause of the development of this condition, but there are prerequisites that can cause the development of this condition:

• Large fetus - if the weight of the child in combination with amniotic fluid is quite impressive, the load on the pelvic bones is large. 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 softens greatly, bringing the mother pain in the pubis. But in this case, it will be easier for the child to pass through the birth canal.
• A woman's predisposition to diseases of the musculoskeletal tract - during an interesting position, the bones experience a lot of stress and can be deformed.
• Lack of vitamin D3, an imbalance of phosphorus, magnesium and potassium lead to the fact that calcium, which is so necessary for a pregnant woman for bone strength, begins to be poorly absorbed.

Symptoms of the disease symphysitis

Symptoms of this disease are difficult to confuse with something else. Pain in the pubic region causes subsequent conditions. At a long gestational age, a woman suffering from symphysitis begins to move like a duck. She waddles from side to side, sometimes even starting to limp to reduce pain when walking.

Gradually, any movements for the expectant mother become painful: walking becomes problematic, spreading legs to the sides, turning from side to side. It is difficult for a woman to lift her leg, stand up and sit down. The most striking sign of the condition is a sharp pain when trying to raise a straight leg while lying down.

Pain in the pubis is also accompanied by cracking and clicking of the joints when walking, sometimes quite loud. The expectant mother should know that by the 20th week of pregnancy, pulling pain in the groin, pubis and hips almost always appears. But this state is not a symphysis. If the pain gets worse, walking is problematic - see a doctor!

Condition Diagnostics

Which doctor should I contact if the unpleasant symptoms described above appear? First of all, you need to visit your gynecologist-obstetrician, then - a surgeon and a traumatologist. They must also confirm the diagnosis. Diagnosis is difficult, most often it is made based on a survey of the patient and palpation of the sore spot.

At a gestational age of no more than 16 weeks, the specialist will send you for an x-ray. You will also need an ultrasound. With severe pain, magnetic resonance or computed tomography may also be indicated.

Evaluation of the degree of divergence of the bones is important for choosing the right tactics for managing childbirth.

Symphysitis treatment

Unfortunately, there is no complete treatment for this disease, and a woman will have to endure pubic pain until the very birth. After the birth of the child, the problem is eliminated on its own, as the bones will fall into place. However, the expectant mother can alleviate her condition.

The Nosh-py tablet will help relieve spasms and pain. Inflammation can be removed by the Menovazin solution, you need to rub it on the pubic area. If a tumor is observed, 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 check with your doctor before taking these vitamins.

After giving birth, your doctor will prescribe a course of antibiotics for you. They will help reduce inflammation and return to normal as soon as possible.

Pain in the pubic area during pregnancy is often a signal from the body about the 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 a long time, try to avoid stairs. The doctor can prescribe a special bandage for a pregnant woman, recommend a set of exercises.

Preventive measures to prevent the development of symphysitis

It would seem that there is no time more wonderful than pregnancy. Pain above the pubis, however, can greatly overshadow it. Preventive measures to prevent the divergence of the pubic bones are simple:

• Take quality vitamins during pregnancy.
• Exercise regularly, go to 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 help not only prevent symphysitis, but also facilitate the process of childbirth.

• Change body position more often, especially when lying down. Try not to sit in a cross-legged position - this makes it difficult for blood flow.

Pubic pain in women: how will the birth go?

If the pelvic bones have separated by more than 1 cm, 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, the woman in labor is given a caesarean section.

With symphysitis of the II degree, the doctor will offer the woman either natural childbirth or surgery. The doctor is obliged to warn the woman about all possible consequences. If the birth is not successful, the woman's pelvis can be placed in a cast for three months. With a successful delivery, the hips of the woman 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 is very difficult to predict. Therefore, even with the II degree of symphysitis, doctors often suggest a caesarean section.

The first degree of divergence of bones is not a contraindication to natural childbirth. Problems can occur in women with large fetuses and narrow pelvises. The doctor decides such situations on an individual basis.

Some advice for pregnant women suffering from pubic pain

In order not to suffer from severe pain in recent months, follow simple recommendations. They can provide significant relief from discomfort.

• Watch your weight. Gaining extra pounds, you put a lot of pressure on the pelvis.
• Provide yourself with comfortable furniture. The chair should be comfortable, the bed should be soft. Place a roll of blanket or pillow under your hips while you sleep.
• If you experience pain when turning from side to side, do it in a special way. First rotate the upper body, then pull the pelvis as well. This will make the pain less severe.
• Do not forget about special exercises that relieve pain from the pubis. The most effective of them is the "cat" - kneel, leaning on your hands. Relax your back. The spine, neck, head should line up. As you exhale, arch your back, lowering your head down. At the same time, tighten your abdominal muscles.

• If you are an adherent of alternative medicine, then you can take the advice of healers to eat more goat cheese, prunes and almonds. You can lubricate the pubis with Corvalol several times a day. Try to be less nervous!

Pain in the pubic area during pregnancy can be both quite normal and a danger signal. In case of severe discomfort, do not delay a visit to the doctor. This will ease your condition and avoid complications.