PELVIC PAIN IN PREGNANCY

The pubic area or area called the pelvic bone is the area where there is pubescence on the vagina. There may be pain in this area during pregnancy or after childbirth. Expansion and separation in the pubic bone begins after the 10th week of pregnancy. This is due to the relaxation of the joints under the influence of the relaxin hormone increased during pregnancy. It is a more rare condition compared to lower back and back pain.
Conditions that increase the risk of pubic pain:
- Big baby
- To give birth more
- Delivery is too fast or too long
- Interventions such as applying forceps at birth
- Previously trauma to the hip, pelvic area or accident, having surgery
There may be pain, tenderness, swelling in the pubic area and the pain can hit the waist, hip, leg. Pain may increase in situations such as lifting weights, climbing stairs and walking. There may be pain when turning in bed, standing up.
In his treatment, bed rest and various exercises are given, anti-inflammatory pain medications are used.
Separation in Pubic Bone (Diastasis Symphysis Pubis)
The joint distance between pubic bones in non-pregnant people is about 4-5 mm. It is normal for this interval to increase by a few mm with the relaxant effect of the relaxin hormone increased during pregnancy. It is considered normal to increase the interval up to 9 mm during pregnancy. This normal separation is necessary for easy delivery. When there is a separation of 10 mm or more, an abnormal separation is mentioned. This degree of excessive separation can occur during pregnancy or childbirth and can cause severe pain and joint dysfunction. Recovery is often observed in 6-8 weeks after rest, exercise and anti-inflammatory drug therapy. Rarely, surgery may require fixation.

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