When the pelvic bones begin to hurt during pregnancy. When do the pelvic bones begin to separate during pregnancy?

As soon as the egg is fixed at the wall of the uterus, the latter becomes the center of all events occurring inside the woman. It is the uterus that becomes the main one and conducts a large orchestra of the organs surrounding it. One way or another, all neighboring organs are amenable to its influence, and even to some extent their well-being depends on the uterus. But there is something on which the uterus directly depends. This is a pelvis.

The uterus is located inside the pelvic ring and is attached to it with ligaments - all over the circle. Entering the uterine cavity, the ligaments transform into uterine spirals, which hurt when. This happens in women who have a twisted pelvis: the ligaments are stretched unevenly, and when some are relaxed, others are too tight. Such pulling pains can also radiate to the pelvic area and are serious reason see a gynecologist - in order to avoid miscarriage.

Pelvic pain of varying intensity is experienced by about half of pregnant women. Usually such sensations appear from the middle of the term and have natural causes. The first and most common is an insufficient level of calcium in the body. If the pelvis is regular, tell your doctor. Must pass biochemical analysis blood, which will confirm (or refute) micronutrient deficiencies. In this case, the pregnant woman is prescribed multivitamins with a high content or separate calcium preparations. You should also increase the amount of foods in the daily diet containing vitamin D and calcium: dairy products, fish, nuts, greens, liver.

In addition, it becomes heavier, weight gain increases and, as a result, the load on the body increases. This may cause pain in the pelvic region. The growing uterus also contributes to the tension of the ligaments, which can also cause the pelvis. To reduce the load on the back and pelvis, you need to monitor your posture, wear, do gymnastics or others that train muscles and ligaments (exercises in the pool are very effective in this sense), more is on fresh air. Great importance is fully balanced. It is good to sleep on an orthopedic mattress, wear comfortable bras on wide straps and exclude heels for this time - only comfortable low-speed shoes. Pain can be relieved easily, and it is also recommended to place a roller under the lower back when sitting. And if you need to lift something heavy (for example, a child), try to do it as symmetrically as possible: lift it by squatting, and not with one hand. If your pelvic and lower back pain becomes regular and severe, your doctor may limit your physical exercise and, if necessary, prescribe medication.

During pregnancy, the woman's body produces the hormone relaxin, which causes a weakening of tissue connections, which will ensure the mobility of the pelvic complex and its easy divergence during childbirth. Due to the softening of the tissues and the divergence of the pelvic complex, there may be enough severe pain in the region of the sacrum, pelvis and pubic joint, aggravated by a change in posture. Because of this, a woman's gait can become "duck", and we are talking on the development of symphysiopathy in pregnant women.

Very often during pregnancy, previous diseases of the musculoskeletal system make themselves felt. If before pregnancy you had a curvature of the spine, osteochondrosis, poor development of the muscles involved in pelvic tilts, and other similar problems, then almost one hundred percent that they will “crawl out” now that the body is working with a double load and is weakened.

But pain in the pelvis can be avoided if preventive measures are taken in time. Even at the planning stage of pregnancy, you should actively go in for sports, eat right and take multivitamins, monitor your weight and posture, and get enough vitamin D from the sun, that is, walk a lot in the fresh air. And then, perhaps, it will be possible to alleviate their suffering during the gestation period. And in any case, such recommendations will only benefit you and your baby!

Especially for- Elena Kichak

A pregnant woman experiences a variety of sensations throughout all 9 months of gestation. The first movements and kicks, the movements of small heels are one of the most pleasant and touching moments. reverse side medals become toxicosis, heartburn, pain in the groin, ligaments, bones.

Why does a woman have pelvic pain during pregnancy? When do groin pains occur during pregnancy? How to get rid of this phenomenon?

Causes of pain in the pelvic bones and ligaments during pregnancy

A woman usually begins to voice her complaints about pain in the pelvic area during pregnancy for the first time in the later stages. The constantly increasing load on the pelvic organs, and, accordingly, the musculoskeletal system affects the condition of the pregnant woman before childbirth. The occurrence of pain between the legs in the groin area can be associated not only with physiological causes. Pain is also a manifestation pathological changes in the body - inflammatory processes or infectious diseases.

In the early stages

At the very beginning of pregnancy, the weight of the fetus is so small that the woman feels absolutely no discomfort. If pain in the groin appeared early, this indicates the formation of a cyst. corpus luteum on one of the ovaries. This condition does not pose a threat to the embryo.

The patient needs to take care of herself - moderate physical activity, regularly monitor the growth of the cyst with a specialist. In most cases, a corpus luteum cyst resolves on its own after a few weeks/months. Pain and other discomfort in the bones are also experienced by patients with chronic diseases musculoskeletal system, for example, those suffering from osteochondrosis.

Another one possible reason the occurrence of discomfort between the legs - a lack of calcium. Such a problem is easy to identify, because in this case, patients have bone pain during pregnancy, mainly at night. The pains are aching, protracted, excruciating.

At a later date

Pain and other discomfort in the bones and ligaments after 30 weeks are mainly associated with an increased load and preparation of the body for childbirth, as a result of which there is a gradual divergence of the bones and sprains. A woman in position should not ignore pain.

To the number pathological causes that require immediate medical care, can be attributed to:

Inflammation of the lymph nodes. Before starting a therapeutic course, the doctor needs to identify the cause of the inflammation and eliminate it.
Inguinal hernia. The pain affects the entire abdomen, a woman feels acute attacks in vertical position body. The main symptom is a round or oval raised area in inguinal region.
Chronic diseases of the musculoskeletal system - osteochondrosis, arthritis, sciatica. All these lesions are accompanied by mild aching pain in the neck, lower back or joints.
Infectious diseases in the organs of the little pelvis. Inflammatory processes in the ovaries, rectum are reflected in the condition of the ligaments and bones of the pelvis.
kidney disease and Bladder - urolithiasis disease, pyelonephritis, renal colic. These reasons are the most common during pregnancy.
Varicose veins in the groin area. In this case, the pain between the legs may be aching, throbbing in nature, and the condition of the pregnant woman may be accompanied by a feeling of heaviness.
Genital herpes. This viral disease prevents natural delivery due to the risk of infection of the fetus, the disease can cause pain in the groin.
Appendicitis. In addition to severe and acute pain in the pelvic bones, a woman is worried about vomiting, nausea, dizziness, fever.

Symphysitis, its degrees and concomitant symptoms

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

Symphysitis, or symphysiopathy, is a complication in which pubic bones diverge and soften ahead of time. Before pregnancy, the pubic bone looks hard, it consists of two parts, tightly closed together, which cover the urethra and bladder. For the safe passage of the baby through the birth canal, the pubic bones gradually soften and slowly diverge by 5 mm, while remaining mobile. If the baby is large, the discrepancy can reach 10 mm. At the end of childbirth, the bones gradually return to their places, acquiring their former density.

If the divergence of the pubic bones exceeds 6 mm, the gynecologist diagnoses "symphysiopathy". Depending on the discrepancy indicator, doctors diagnose the following degrees of the disease:

1 degree - 6-8 mm;
2 degree - 8-10 mm;
3rd degree - 10 mm.

Symphysiopathy is difficult to confuse with other diseases - the disease is asymptomatic in very rare cases. The onset of the disease is usually accompanied by the following symptoms:

Pain. Initially, the patient has periodic pain between the legs (sometimes its localization is not precisely determined). Some doctors confuse this manifestation with a sign of osteochondrosis or sciatica. Acute pain is felt when walking up stairs or standing upright for a long time. The bones hurt regularly, regardless of the position of the body, if the divergence of the bones is significant.
Clicking and grinding in the pubic area. These symptoms usually occur with twisting, tilting, and pelvic movements.
Swelling. On recent weeks gynecologists often notice swelling of the pubis on examination. In addition, the patient at the same time feels severe discomfort during palpation of the vagina.

Ways to relieve pain

Pain in the pelvic bones and groin during pregnancy cause severe discomfort in women, which makes them very irritable. In this case, the pregnant woman should consult a doctor for advice. If the patient has pain and pulls the pelvis, gynecologists, as a rule, give the following advice:

Decreased physical activity. If the patient has pain and breaks bones when walking, experts usually advise her to exclude or limit physical activity - carrying heavy bags, walking long distances, long sessions in the gym, etc.
Change body position once an hour. Women in position like to watch movies or read literature. All this time they usually stay in one position - sitting or lying down. In order to get rid of obsessive pain between the legs, a pregnant woman should change position as often as possible.
Reception of calcium and vitamin D. Painful sensations in the bones and ligaments indicate a deficiency of these trace elements, so the normalization of the condition becomes possible only after their use.
Physiotherapy. A pregnant woman can do it both in a professional fitness center and at home. The main rule for a future mother is not to overdo it and listen to the signals of her body. Gymnastics includes the following exercises - raising the pelvis with closed knees in the supine position, breeding and bringing the knees to the buttocks in the starting position, as well as the well-known "kitty".
Therapy in a hospital setting. Severe pain that is felt even after taking the above measures requires treatment in a hospital. The therapeutic course includes physiotherapy, therapeutic bandaging, painkillers and anti-inflammatory drugs.

Prevention of pain in the pelvic bones in pregnant women

Discomfort in the groin on the left or right, pain in the ligaments are common complaints of patients in late pregnancy. These manifestations are not only an additional cause for concern, but in some cases require therapy in a hospital setting. The only one the right way avoid the occurrence unpleasant symptoms- prevent them. Prevention of pain in the bones and ligaments of the pelvis includes the following activities:

Taking vitamins. In recent weeks, an actively growing baby needs more nutrients. During this period, many pregnant women eat chalk with pleasure, which indicates a lack of calcium in the body. Its deficiency leads to the development of symphysitis. In order to avoid this, a woman in position should not neglect the doctor's recommendations regarding the intake of vitamins throughout the entire period of pregnancy.
Balanced diet. A woman needs to diversify her diet with foods enriched with useful trace elements - low-fat cottage cheese and cheese, seafood, dietary meats, herbs.
Weight control. Overweight pregnant creates an additional load on the bones. At each scheduled visit to the doctor, the nurse measures the patient's weight. There are certain limit values for each week. With their constant excess, the birth weight of a pregnant woman can exceed the prenatal body weight by 20-30 kg. A woman should not neglect the advice of a gynecologist regarding the kilograms gained.
Soft surface for sleeping. A woman during pregnancy should prefer soft mattresses. In addition, during any exercise in the prone position, the pregnant woman should put a roller or pillow under her feet.
Use of a prenatal bandage. prenatal bandage is a necessity. Its main function is to hold the abdomen in correct position, due to which stretching of muscles and ligaments is excluded. Pharmacies also sell bandages that are used to support the pelvis and prevent pubic symphysis divergence.
Swimming. Swimming helps to relax all the muscles of the body. IN summer time year, a woman can swim in the river or the sea, and in winter - go to the pool.

There may be a pulling pain in the pelvis and lower abdomen. The most common cause of pelvic pain is physiological changes occurring in the body of a pregnant woman. Under the influence of pregnancy hormones, there is a softening of the tissues that form the supporting apparatus of the uterus, as well as their stretching and displacement due to its growth.

Fine these pains are not intense, intermittent and do not cause severe discomfort. They are located on both sides of middle line. Pain in the pelvis above the womb below may be associated with slight increase tone of the uterus early dates pregnancy as it grows. These pelvic pains are never cramping and do not recur with a clear frequency. They are usually not associated with physical activity or stress. If the intensity of pain increases, this may indicate threatened miscarriage, detachments gestational sac, . It is clear that such conditions require urgent medical attention.

In the second half of pregnancy, pelvic pain can be caused by stretching of the abdominal muscles, displacement internal organs, primarily the intestines, caused by a significant increase in the size of the uterus.

Symphysiopathy during pregnancy (symphysitis)

In some cases, a complication develops during pregnancy, in which there is an excessive softening of the pubic joint, and it becomes mobile and diverges.

pubic joint or pubic symphysis is the junction of two pubic bones. In front of it is the pubis with subcutaneous fat, behind it is the urethra and bladder.

In his normal state, he is motionless. But with the onset of pregnancy, and especially with the approach of childbirth, under the action of the hormone relaxin, softening and stretching of the tissues of the pubic symphysis (the cartilage connecting the pubic bones) occurs in order to allow the child to pass freely. Normally, its width increases by 5-6 mm, slight movements (up to 10 mm) of the pubic bones up and down are possible. As a result, the width of the pubic articulation reaches 15 mm. IN postpartum period all these changes are gradually eliminated - the cartilage in the joints becomes denser, the ligaments acquire their former elasticity and density, the width of the joint space decreases.

With symphysiopathy, the divergence of the pubic symphysis exceeds the physiological 5–6 mm. There are three degrees of symphysis divergence:

I degree - a discrepancy of 6-8 mm,
II degree - by 8-10 mm;
III degree- more than 10 mm.

The development of symphysitis during pregnancy can be caused by inflammatory processes in the bladder (cystitis) and urethra (urethritis), the presence of a chronic infection in the genitourinary tract - cystitis, urethritis, against the background of calcium and magnesium deficiency, with hypovitaminosis D.

How does symphysiopathy manifest itself during pregnancy?

Pain. With minor discrepancies of the symphysis, periodic non-intense pains appear, which can change their localization, and they can be mistaken for manifestations of sciatica, osteochondrosis, or even a threat of termination of pregnancy. The pain occurs when you sit or stand for a long time, it gets worse when you bend over, it can be painful to walk up the stairs. If the degree of divergence of the pubic joint is large, then pelvic pain may occur at rest, aggravated by changing the position of the body, pressing on the pubic area. Sometimes, when moving and turning the torso, clicks and gnashing are heard in the pubic area.
Severe pain when pressing on the pubic joint, both in front and from the side of the vagina.
Divergence of the pubic joint becomes obvious - a fingertip is placed in it. A significant divergence of the pubic articulation (more than 2 cm) is also indicated by the appearance of a waddling duck gait.
Pain in the pelvic bones when walking and standing. They usually occur during and with symphysiopathy. Changes in body position can cause sharp pain.

In some cases, symphysiopathy during pregnancy may not manifest itself in any way until childbirth.

Symphysiopathy after childbirth

In the second half of pregnancy, the ratio of the pubic bones is kept in check by the tension of the abdominal muscles, which occurs due to the enlargement of the uterus. Immediately after childbirth, flabbiness of the abdominal muscles occurs, and the pubic bones can disperse by 20 mm or more. In such situations, a woman after childbirth simply will not be able to walk. In bed, she assumes a certain position - the “frog pose”: she lies on her back with her hips turned outward and deployed with her knees slightly bent. In this position, pressure on the symphysis is relieved and pain is relieved. Therefore, a woman intuitively takes this position.

Causes of symphiopathy after childbirth

The main cause of symphysiopathy is currently considered a hereditary predisposition, as well as vitamin D. Calcium is the main structural component of the bones of the skeleton and teeth. With a lack of vitamin D and calcium, bone mineralization is disturbed, calcium is washed out of the bones. A decrease in calcium in the blood can also be observed in diseases gastrointestinal tract, chronic enteritis (inflammation of the small intestine), disruption of the parathyroid gland, kidney failure, diabetes, and also if there are not enough products containing calcium in the menu of the expectant mother, with vomiting of pregnant women and other conditions. The diagnosis is specified by ultrasound.

How will childbirth go with symphysiopathy?

With a significant divergence of the bones of the pubic joint during pregnancy, indications for delivery by surgery may appear. caesarean section. With a narrowing of the pelvis and a relatively large size of the fetus with a voluminous dense head, the critical distance of divergence should be considered 10 mm. natural childbirth possible if the pubic fissure has expanded no more than 10 mm, the fetus is medium-sized, and the pelvis is of normal size.

In childbirth with symphysiopathy, a rupture of the pubic joint is possible. In most cases, during the birth of a baby, the symphysis slowly spreads, so complaints of pain in the pubic region, aggravated by movement of the legs, appear a few hours or 2-3 days after birth.

In some cases, at the time of childbirth, a woman in labor feels a sharp pain in the womb area, sometimes a characteristic sound of torn ligaments is heard, after which even the large head of the fetus easily falls through the expanded bone ring.

The rupture of the pubic symphysis is sometimes accompanied by an injury to the bladder and urethra, the formation of hematomas (accumulation of liquid or clotted blood) in the pubis and labia. When touching the pubic region, pain occurs, the pubic bones become mobile, and in the region of the symphysis, a step or retraction of tissues is determined at the divergence.

Restoring a damaged symphysis requires surgical treatment with the imposition of special metal structures.

How to alleviate the condition with symphysis? 5 ways

At the first symptoms of symphysitis or symphysiopathy, it is recommended additional reception calcium and vitamin D.
It is necessary to limit physical activity and wear a bandage - it supports the stomach and prevents excessive stretching of the ligaments and muscles. There is also a special bandage that supports the pelvis and hips, preventing further divergence of the pubic joint.
The expectant mother should not walk for a long time, especially on stairs, it is forbidden to sit and lie on a hard surface, cross her legs, in a standing position it is necessary to distribute the weight evenly on both legs. Lying down, you can put several pillows or rolled up blankets under your feet, as well as a hard pillow under the buttocks, raising the pelvis. This reduces the pressure of the fetus on the lumbar and pubic region.
With mild symphysiopathy good effect gives the pose "cat". To perform this exercise, you need to kneel and lean on your hands, then relax your back muscles, while the head, neck and spine should be at the same level. Next, bend your back up, while lowering your head down, tighten the muscles of the abdomen and thighs. Repeat slowly 5 times. Exercise must be performed 5-6 times a day.
In severe cases, hospitalization may be required. As part of the course, a woman is given physiotherapy, given anti-inflammatory drugs, and pain relief is prescribed. Special therapeutic bandaging is also used. With symphysitis during pregnancy, ultraviolet irradiation of the pubic area, anti-inflammatory drugs, calcium and vitamin D preparations, and antibacterial therapy are used.

Prevention of symphysitis and symphysiopathy

For the prevention of symphysiopathy and symphysitis during pregnancy, a diet rich in minerals and trace elements involved in the formation of the skeleton (calcium, phosphorus, magnesium, zinc, manganese), as well as rich in vitamin D - milk, dairy products, yogurts, low-fat cheeses, eggs, meat , fish, caviar, seafood, legumes, mushrooms, herbs, nuts. It is better to avoid foods that contribute to excess weight gain. It should be remembered that excess weight greatly increases the load on the joints and spine. Recommended walks in the fresh air, air and sunbathing. Under the influence of ultraviolet rays sunlight Vitamin D is produced in the skin. Moderate exercise during pregnancy helps to strengthen the muscles of the back, abdomen, buttocks and stretch the ligaments of the pelvic floor.

Attentive attitude to your condition during pregnancy, proper nutrition and adequate physical activity can prevent such unpleasant complications of pregnancy as pelvic pain, and not overshadow the waiting period for the baby.

In rare cases

A rather rare pathology of the symphysis is symphysiolysis- it occurs when the ligaments that strengthen the pubic joint are weakened, as a result of which movements cause friction of the pelvic bones against each other in the symphysis area. This condition usually develops in the third trimester of pregnancy and is characterized by excruciating pain in the pelvic region. Improvement occurs only after childbirth. Treatment is with the use of anesthesia.

Literally at the same time, as soon as the egg was able to gain a foothold at the walls of the uterus, the uterus itself becomes the absolute center of all the events that really take place inside the woman herself. And you can even say that it is the uterus that becomes the head of all events, it seems to be conducting a large orchestra, consisting of the organs surrounding it. As a matter of fact, to one degree or another, all neighboring organs are unequivocally amenable to its influence, and sometimes it can even be said that all their well-being will depend to some extent on the uterus. However, there is something on which the uterus itself will almost directly depend. How do you understand this pelvis.

As you understand, the uterus is located directly inside the pelvic ring and is tightly attached to it by certain ligaments - literally all over the circle. And then entering the uterine cavity, these ligaments usually transform into uterine spirals, in fact, which can hurt when unnecessarily. This can quite often occur in those women who initially have a twisted pelvis. In such a situation, the ligaments are not stretched exactly the same, and when one side is relaxed, and the other, on the contrary, is too tense and discomfort. In addition, such unpleasantly pulling pains can even radiate to the pelvic area, and this is already quite a serious reason to see a gynecologist - naturally, in order to avoid spontaneous miscarriage.

Pain in the pelvis of completely different intensity can be experienced by more than half of all pregnant women. However, usually such discomfort can appear from the middle of the pregnancy and, as a rule, can have completely natural causes. So, the very first and even the most common of similar reasons- this is an insufficient level of such an element as calcium in the body of a woman. If the situation is such that the pain in the pelvic bones has become regular, be sure to tell your doctor about it as soon as possible.

In addition, it will also be necessary to pass a biochemical blood test, in fact, which will be able to confirm (or refute) some deficiency of certain trace elements. And usually in such cases, any pregnant woman will be prescribed multivitamins naturally with a high content of such an element as calcium or even individual preparations containing in large numbers calcium. IN without fail You should also increase the amount of foods consumed in your daily diet, which contain vitamin D and calcium. As a rule, these are all dairy products, as well as fish, meat, nuts, herbs, and liver.

In addition, the female tummy is constantly growing, getting heavier, of course, yours are also increasing, and then, as a result of this, the load on all back muscles will definitely increase. And this, in turn, can cause unpleasant pain in the same area of the pelvic girdle. Yes, in fact, the growing uterus will also necessarily contribute to the tension of all ligaments, which is why pain may well appear in the area and even the pelvis. In order to be able to reduce the load on your back and pelvis, you will simply need to monitor your posture, perhaps wearing a brace. It would be great to do gymnastics or other special exercise, for pregnant women who are able to train muscles and ligaments.

Incredibly effective, there are also classes in the pool in this sense, and be sure to try to spend more time in nature in the fresh air. Of great importance in such a situation will be a full-fledged correct balanced diet. It was good to sleep at night on an orthopedic mattress, as well as to wear the most comfortable bras, preferably with wide straps. It is also advisable to exclude heels during pregnancy - use only comfortable shoes on a low run. But it can ease this pain regular light relaxing massage. In addition, when resting, it is recommended to place a dense roller directly under the lower back, even when sitting.

For example, in cases where you need to lift something heavy (for example, a child), try to do it slowly and as symmetrically as possible. So lift the weight by squatting, and you should not do it with one hand. If unpleasant pain in the pelvis and also in the lower back become constant or regular, and also strong, then the doctor can even limit all physical activity for you. Sometimes, in case of urgent need, the doctor can also prescribe appropriate medication.

As a rule, during pregnancy, a hormone such as relaxin is produced directly in the woman's body, causing some weakening of all tissue connections, which should actually ensure the mobility of the entire pelvic complex and, accordingly, its easy divergence during childbirth. And, of course, due to the softening of all tissues and a slight divergence of the pelvic complex, quite severe pains can also appear directly in the region of the sacrum, pelvis, and even the pubic joint. Such pain may well intensify with a change in posture or with exertion. Because of this, even a woman’s gait can often become, as they say, “duck”, and in this case we are talking about the development of the so-called symphysiopathy of pregnant women.

Just as often during pregnancy, some previous diseases associated with the musculoskeletal system can make themselves felt. So if even before pregnancy you had such a diagnosis as a curvature of the spine, or, as well as poor development of muscles that are constantly involved in changes in the position of the pelvis, and other similar problems, then with almost one hundred percent certainty, we can say that they will manifest now during pregnancy, when the whole body works literally with a double load and is somewhat weakened.

However, it would be quite possible to avoid pain in the pelvis, for example, if, for example, one starts to deal with the prevention of such pain in time. And even at the stage of initial pregnancy planning, you should play sports as actively as possible, as well as eat right and be sure to take the necessary multivitamin complexes. It would also not be bad to monitor your weight and be sure to keep your posture, as well as try to get from the outgoing warm sun enough of this beneficial vitamin like vitamin D, which by itself means a lot of walking somewhere in the fresh air. And then, quite possibly, you will be able to really alleviate your suffering already during the period of bearing the unborn baby. Yes, in fact, in any other case, such recommendations can only go to you and of course your baby will definitely benefit!