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Back pain in pregnancy

The incidence of back pain during pregnancy is 48 percent to 56 percent. In fact, in most cases, it is very common to see this symptom as a normal part of pregnancy.

About a third of pregnant women experience severe back pain during pregnancy, which causes them to compromise their ability to work in a lucrative job and also interferes with daily life activities. Moreover, back pain also causes significant insomnia in more than a third of pregnant women.

Pregnancy-related back pain and risk factors:

  • Pregnancy-related back pain is more common in women who have previously had back pain.
  • The pain usually intensifies from the 12th week to the 28th week of pregnancy, and in the following times its intensity decreases.
  • Women who have twin pregnancies or conceive for the second or third time (after the first pregnancy) may be at risk of back pain.
  • Pregnancy-related back pain can be associated with long working hours and poor posture. Bad shoes and heels and even standing for a long time can contribute to back pain in pregnant women.
  • In addition, lower back pain is more common in Caucasian women during pregnancy than in Mediterranean women.
  • Pregnancy at a young age is probably a risk factor due to higher sensitivity to hormonal changes caused by relalyx and estrogen, or more pronounced collagen laxity.
  • Women who are overweight (obese and overweight mothers) and short are at higher risk of back pain.
  • Women who have pain during pregnancy are more likely to suffer back pain after birth.

What causes back pain during pregnancy?

A normal pregnancy occurs several physiological changes in the body. These include mechanical and structural changes in the spine and hip to facilitate pregnancy and childbirth. Changes also mean changes in posture, walking and total body water. Blood flow changes occur due to obstruction and hormonal changes in the blood vessels (epidural blood vessels) around the spine.

The main change in posture changes the condition of the spine. Most of the weight gained during pregnancy accumulates in the lower part of the pelvis, along with a protruding abdomen. This leads to low back pain. It also causes a forward tilt.

Increase in total body water; vertebral means fluid collection in connective tissues around the colon and pelvis. This increases the looseness around the aforementioned joints, and the increase in fluid is exacerbated by hormonal changes of pregnancy. It softens the ligaments around the pelvic joints and cervix, possibly increasing fluid retention in these tissues, and this helps with easy delivery. However, the condition also causes back pain. In other words, at the root of the pain is the change in posture and hormones.

Treatment and prevention of back pain during pregnancy

  • Patient training: This is very important. Tips such as maintaining the correct posture, useful methods related to sitting or lying position, prevention of weight lifting, etc., will be given by the doctor.
  • Cigarette: It is advisable for the patient to stop smoking, as it will stop the pain.
  • Physiotherapy: Physiotherapy in the third trimes can help relieve pain. Among other physical helpers; the use of long pillows for support, a belt or pelvic belt.
  • Workload: To prevent back pain after birth, the workforce and effectiveness at work should be properly changed.
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