3rd Trimester

Symphisis Pubis Dysfunction?

A few weeks ago I started getting this horrible pain when turning over in my sleep, putting my pants on ( anything where I am weight bearing on one leg), or if I walked for too long too quickly. Over the last few days it seems to have become more intense . The pain is below my bump in my pubic one area but further inside if that makes any sense. I chalked it up to RLP and over the last few days LO has decided to take refuge down real low in the womb ( was always  much higher before). 

I did some Googling last night and  Symphisis Pubis Dysfunction came up. Any other ladies happen to be having similar pain? I see the doctor next week but reading some of this stuff about SPD and it perhaps not going away postpartum has me a little freaked out.

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Re: Symphisis Pubis Dysfunction?

  • I've had it with both pregnancies.  It did go away shortly after I had my son. 

    Wearing a maternity belt when you're walking a lot or up on your feet helps.

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  • I have had this the past 3-4 weeks and the Dr said that was what it is and is normal in pregnancy.
  • My doctor, who is very blunt, told me to "suck it up" It is just part of being pregnant and will go away after our baby is born. She said if I felt the need I could do physical therapy or even get injections, but to take some Tylenol and rest and get tough!
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  • I had this with my 1st pregnancy, (So far so good this time around - knock on wood). It became pretty unbareble the last few weeks of my 1st pregnancy. I had no trouble delivering vaginally though. As soon as I got my epi, the pain went away for good. I didn't have any problems with it postpartum.
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  • Whew...thank you ladies for answering....

    I feel better now#1 that it is so common and #2 that it goes away #3 that I can still have a natural birth.....Google was saying possible 37 week induction and c-section risk, postpartum surgery and pain and I was entering a bit into freak  out mode.  

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  • I have this as well. A few things I have learned, in addition to the belt, chiro has helped me a lot and learning to keep your knees together as much as possible reduces pain. Swing them together getting in and out of vehicles, bed or anything else. 

     Also, if you can avoid an epidural and deliver on all fours you will likely have an easier delivery. The shape of the pelvis tends to put the baby in a slightly ackward position for back delivery and not having pressure on your pelvis and hips allows them to move while the baby is in the birth canal.  

  • I just got this officially diagnosis yesterday.  My OB did NOT brush me off.  She said I needed to get into PT immediately because if it's bad and left untreated, it can cause problems in delivery. 

    I've heard from a lot of women with similar pain that have been given the Dx that their OB's pretty much tell them to "suck it up". 

    Really?!

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  • I went to the chiropractor to help with this. 

  • imagemrs+harlow:
    Google was saying possible 37 week induction and c-section risk, postpartum surgery and pain and I was entering a bit into freak  out mode.  

    No, no, no.  Don't worry.  I had SPD bad enough that I was on crutches for the last few weeks, and it didn't affect my delivery at all.  If you have access to a tub for labor, use it.  The water really takes the pressure off of your pelvis.  Even when I was out of the water, I didn't notice the pain, probably because I was actively relaxing and mentally focusing to deal with contractions.  The pain was like 90% gone immediately after delivery, and completely gone about two weeks later.

    The tips they give you (to keep your knees together when moving your legs, etc.) help a little, but you do kind of just have to deal with it.  It will probably get worse.  There were days when I couldn't work because I physically couldn't get down the stairs to get out of my apartment building.  You have every right to a temporary disabled placard for your car, so get one if you think you'll need it.  If you have a recliner, it will become your best friend for sleep (which, for you, will probably be harder to come by than for other pregnant women).  I'm sorry, it sucks. =/

    The less you move, the more it will hurt when you do have to move.  That's why getting out of bed is such a bear.  Something that helped me was to do a kegel when I had to get in and out of the car or off the couch.  I also did acupuncture, which really only helped for the day.  But you might have better luck with that.  I didn't try a chiropractor, but I've heard they can help too.

    A couple of exercises that helped me:

    1. Lay on your bed with your knees bent and your feet on the mattress.   Open your knees and slowly let your legs fall open as far as they will go.  Press them open with your hands slightly if that feels okay.  Just hang out like that as long as you can, then bring your knees together, and repeat.

    2. Get into the same position on the bed as in #1.  Have your partner put his hands together as if he was fist-bumping himself.  He puts his fists between your knees and pushes his fists apart while you push against them with your knees, trying to hold his fists together.  Then, have him "hug" your knees while you push out, trying to force his arms apart.

    Good luck, mama.  10 weeks from now, it will feel like it will never end, but it will.  And the upside is that you will have a new respect for your mobility.  It's funny how grateful you can be for the ability to do something as simple as rolling over in your sleep.

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