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Pelvic Pain During Pregnancy, what is it and what you need to do?

 

Pelvic pain during pregnancy 

Pelvic Pain during pregnancy, many women are suffering. Pelvic pain refers to pain in the stomach, the area below the belly, and between the bones of the hip (pelvis). The pain may be acute or cramps (like menstrual cramps) and may appear and disappear. It can suddenly and terribly, is deaf and constant, or a combination of the same. Typically, temporary pelvic pain is not a problem. Usually, this can happen when the bones and ligaments move and stretch to fit the fetus.If it is caused by a disorder, pelvic pain may be accompanied by other symptoms, such as vaginal bleeding (vaginal bleeding during early pregnancy). In some diseases, such as bleeding is severe, dangerously low blood pressure sometimes resulting (shock).

Pelvic pain is different from abdominal pain, which occurs earlier in the chest in the region of the stomach and intestine. But sometimes women struggle to see if the pain, especially in the abdomen or pelvis. Causes of abdominal pain during pregnancy are not associated with pregnancy in general

 

What are the common reasons of pelvic pain during pregnancy?

From healthy pelvic joints to pressure from your growing baby’s weight, right here are the common culprits of good pelvic pain in during pregnancy. If the pain you’re experiencing does not go away, or when you have symptoms including bleeding, unusual discharge, or intense cramping, call your ob-gyn.

  • Accommodation pain
  • Ovarian cysts
  • Round ligament pain
  • Pressure from your baby’s weight
  • Braxton Hicks contractions
  • Relaxed pelvic joints
  • Constipation
  • Urinary Tract Infection (UTI)

1. Accommodation pain 

8 to 12 weeks of pregnancy, you can feel the pain of the pain that appears as your period. Until there is bleeding, you are likely to just expand your uterus. They are less likely to feel their first pregnancy, as in later pregnancies, said Dr Greenspan.

2. Ovarian cysts

Functional ovarian cysts that form due to changes such as producing your ovaries release eggs or, very often, are not cancerous and harmless. You can grow during pregnancy, and uterus pressure on growth to the ovaries, sets can cause persistent pain. If the bursts of cysts, the pain may suddenly worsen. Remember, your gynecologist to know if you have a history of ovarian cysts, or if you suspect that you have developed during pregnancy. You can do an ultrasound to make sure the cysts do not grow.

Pelvic pain

Pelvic pain during pregnancy ,what is it and what you need to do?

In rare cases (called torsion) turn a cyst – a serious condition that usually after a sudden or severe type, how to catch a bus or to run occurs having sex. “A patient with a twist is usually without comfort,” said Dr Greenspan. “The pain is unyielding, heavy and constant, and can be nausea, vomiting and sweating. If you think you have a twist, call your gynecologist

3. Round ligament pain

As you begin your second term, you may start to feel pain on your side, such as the ligament that extends from the top of the uterus to the groin. “Women tend to feel when they get up on foot or chair,” says Suzanne Merrill-later, MD, an obstetrician in San Diego. “They rocked the belly and pulled the ligament.” Lying In Secondary that bothers you, you can let the pain go away – and it should so disappear for about 24 weeks.

4. Pressure from your baby’s weight

Once in the third trimester of pregnancy, you may begin to experience pressure in the pelvic area, which expresses the weight of the rapidly growing fetus in the nerves that extend from the vagina on your face. “This pain usually occurs with movement, like when you walk or drive, as the baby jumps,” said Dr Merrill-by. To relieve the discomfort, it is on one side and rests.

5. Braxton Hicks contractions

The pressure or tension in the basin, which comes and goes contractions can, but if they are sporadic and usually not painful, are more likely contractions of the practice, known as Braxton Hicks, rather than actual labor contractions. “Practical” contractions tend to occur at 20 weeks and can be triggered by dehydration, so be sure to drink plenty of water. (You will know it is a contraction, when you lie down and feel your abdomen, your uterus is hard, and then relax.) You should disappear from yourself, but if you have more than four contractions per hour for two hours, “When we talk about premature labor of 37 weeks in general, we have to wait for contractions every 15 minutes or more, the last more than two hours, even if the patient has an empty bladder and lie,” says Dr. Merrill-after.

6. Relaxed pelvic joints

Towards the finish of pregnancy, you will feel an increase in the hormone relaxin that your ligaments are born elastic help. Relaxin can also resolve your pelvic joint and even make it a bit isolated. It is common to feel pain near the pubic bone, and you may feel that your legs are unsteady. Some women like to use pelvis support belts that help stabilize the region.

7. Constipation   

Constipation is a common complaint during pregnancy can cause some pain or discomfort in the pelvis. (Hormones slow the digestive tract, such as iron supplements you can recommend gynecologist.) Drink lots of water and eat fibre – rich foods such as raw fruits and vegetables. If this does not help, consult your Gynecology and Obstetrics, if you can treat emollient or glycerin suppositories, suggests Dr Greenspan.

8. Urinary Tract Infection (UTI)

Pelvic Pain


Pelvic pain during pregnancy, what is it and what you need to do?

Up to 10 percentage of pregnant women have a urinary tract infection at any given time during pregnancy is obtained, according to the March of Dimes. The typical symptoms are a sudden urge to urinate, pain or burning when urinating and hematuria – but some patients with a urinary tract infection and abdominal pain, says Dr Chambliss. “The concern with urinary tract infections during pregnancy is that it can progress to an infection in the kidneys, which will increase the risk of preterm birth,” he adds. For this reason, your OB-GYN tests to check your urine at each visit for signs of bacteria that can cause urinary tract infections. The good news is that if a urinary infection is taken on time, it should be easy to treat with antibiotics.

Some Risk factor about pelvic pain in pregnancy

Various characteristics (danger factors) increase the risk of some birth disorders that cause pain in the pelvic region.

For miscarriages include risk factors

  • Age over 35 years
  • One or more miscarriages in previous pregnancies
  • Smoke cigarettes
  • The use of drugs including cocaine, alcohol consumption or consumption of a lot of caffeine
  • Abnormalities in the uterus, such as fibroids or scars, such as surgery, dilation and curettage(D and C), radiotherapy or infections can be caused for ectopic pregnancy include risk factors
  • Earlier ectopic pregnancy (the most important risk factor)
  • Previous abdominal surgery, especially surgery for female sterilization (tubal ligation)
  • Previous infection with a sexually transmitted disease or pelvic inflammatory disease
  • Smoke cigarettes
  • The use of an intrauterine device (IUD)
  • A history of infertility, the using of fertility drugs or the use of assisted reproductive technologies
  • Multiple sex partners
  • An abortion in a previous pregnancy
  • Douching

Can pelvic pain during pregnancy be serious?

Some women develop severe complications during pregnancy that cause different types of pain. When pelvic pain associated with certain symptoms, such as fever and bleeding, you should call your doctor immediately. Here are the most severe causes of pelvic pain during pregnancy.

  •   Miscarriage
  •   Ectopic pregnancy
  •   Preterm labor
  •   Preeclampsia
  •   Placental abruption
  •   Uterine fibroid
  •   Uterine rupture
  •   Ovarian torsion
  •   Appendicitis
  •   Kidney stones

 

1. Miscarriage

If women in the first trimester of pregnancy have abdominal pain, they should always be careful of failures, “says Dr Duff, because the unfortunate fact that 15 to 20 percent of pregnancies end in miscarriage The symptoms of miscarriage are bleeding and cramping that rhythmically or may be similar to menstrual cramps.

2. Ectopic pregnancy

Pelvic pain

Pelvic pain during pregnancy, what is it and what you need to do?

Ectopic or tubal pregnancies in which egg implants other than the uterus, most often 50 pregnancies occur throughout the fallopian tube, in 1, according to the Mars of Dimes. In the unlikely event that you have an ectopic pregnancy, intense pain and bleeding from 6 to 10 weeks of pregnancy can occur because the tube is distended. Women with an increased risk of ectopic pregnancy include those who have had an ectopic pregnancy in the past or pelvic, abdominal, tubal surgery and those who had that had endometriosis, tubal ligation, a device Intrauterine (IUD) At the time of conception or pelvic infection. An abnormal form uterus and the use of artificial reproduction methods also seem to increase the risk.

Ectopic pregnancies can not continue and require immediate treatment. If you have a positive pregnancy test but have not yet confirmed your pregnancy, a medical examination, and you have experienced abdominal pain, you should be evaluated immediately by your Ob-Gyn, says Linda Chambliss, MD, head of obstetrics at The St. Joseph Hospital and Medical Center in Phoenix. Your Ob-Gyn or midwife carry out an ultrasound to verify if the egg has implanted into the uterus.

3. Preterm labor

If you experience persistent back pain and pelvic pressure coming and going, you may be at work. “My rule is that if four or more contractions per hour and continued for two hours, even after you have urinated and lying, you should come and check,” says Merrill after Dr .. If these symptoms are present it is taken into consideration before The 37 weeks of preterm labor.

4. Preeclampsia

According to the Preeclampsia Foundation of the United States preeclampsia and different hypertensive disorders 5 to 8 percent of all pregnant women experience. Preeclampsia can develop at any time after 20 weeks of pregnancy, which is one of the reasons your medical doctor checks your blood pressure at each visit and is characterized by blood pressure and protein in the urine. Since high blood pressure, the blood vessels in the uterus that supply the fetus with oxygen and nutrients, tightens, the growth of the baby may become slower. Preeclampsia also increases the risk of Plazentaabruption, in which the placenta separates before the birth of the uterine wall. If preeclampsia is severe, can, headaches, swelling and flashes of pain accompany blurred vision in the upper right abdomen and nausea. If you suspect you have preeclampsia, call your Gynecology and Obstetrics immediately.

5. Placental abruption

Your placenta is the supply of oxygen and nutrients to your baby. Usually, the implants discharge into the wall of the uterus and do not dissolve until your child is born. In rare cases (1 in 200 births), a dangerous complication that occurs most frequently in the placenta may be separated from the uterine wall. Dr Duff describes the pain of a placental demolition as “intense pain, constant, progressive abdominal worsening”. Your uterus can be as hard as a rock (when pressed on the stomach, it is not a dash) and you can also bleed dark, red blood that does not clot.

Pelvic pain

Pelvic pain during pregnancy, what is it and what you need to do?

In some cases, to go to work a woman when her placenta separates, in which case her Ob-Gyn usually the birth of the baby by an emergency cesarean. If the completion is mild, the physician may allow the pregnancy to continue or may cause labor and vaginal delivery. Women at risk for this condition are those who have a history of placental abruption, or who have high blood pressure, preeclampsia, and stomach trauma.

6. Uterine fibroid

Uterine fibroids are the noncancerous growth of the uterus. They are most often during your child’s years, and pregnancy can stimulate fibroids to grow; They may or may not hurt. “If a fibroid develops quickly, it can overtake its blood supply and degenerate, causing pain,” said Dr Greenspan. “Most of the time we observe them during pregnancy but once in a particular Time, they must be surgically excised, so that the pregnancy progresses. ”

7. Uterine rupture

It is rare. However, it is possible to tear the uterus, especially if you have a cesarean scar or other abdominal surgery. If this happens, it feels like “an intense and sudden pain in the midline, where a previous injury there”, and can be catastrophic and possibly fatal for mother and child, says Dr Greenspan. Advances that appear out of work, usually after some trauma to the abdomen. “There is no way to prevent uterine rupture,” said Dr Greenspan. “If the patient, but a risk factor for fracture, then it should be followed by his ISP correctly, and the symptoms should be taken seriously, it is especially when the pain develops later in pregnancy and deterioration.”

8. Ovarian torsion

Another cause of incredible but severe pain: the ovaries may become twisted. This can happen at any time but is more likely to occur during the early stages of pregnancy. “The ovary is like a hammock or a time, so you can come back to yourself and cut off your blood supply,” said Dr Greenspan. A risk factor for ovarian torsion is the induction of ovulation, as it can cause enlarged ovaries. Symptoms include low abdominal pain, nausea, and fever.

9. Appendicitis

You may experience inflammation of the appendix, even if you are pregnant. In general, you feel pain in the lower right part of your abdomen. “Appendicitis can be insidious in pregnancy because as it progresses further, the appendix is pushed up earlier into the abdomen,” says Dr Merrill-Nach. Appendicitis requires the emergency surgical operation to remove the appendix to avoid the danger of rupture.

10. Kidney stones

If you experience severe epidemic and gradually decreasing pain down on your side, you may have a kidney stone. “Usually we make women more comfortable and waiting for stone steps,” says Dr. Merrill-Nach. Talk to your doctor if you suspect you have kidney stones.

 What I able to do to help ease painful symptoms myself?

There are many things you can do to help reduce the signs and symptoms of being pregnant associated pelvic girdle pain and symphysis pubis dysfunction. Make a few little modifications to the way you move, sit and sleep.

here are my guidelines for assisting you to help yourself:

  • Take a hot bath – never hot – or stand in the shower and let the water hit your back.
  • Try pelvic support girdle, which can hold the uterus to push down into the pelvis.
  • Wear low-heeled shoes with good support for the bow.
  • Try to avoid little actions and sharp turns at the waist.
  • Receive an antenatal massage.
  • Regular exercise – it could help prevent pain in the first place.

 

When do I need to call my ob-gyn?

No longer hesitate to call your doctor if you think something is not quite right. “I prefer a patient call with any concerns because I do not want her not to call later and found that it was something important,” said Dr Greenspan. Call your doctor right away if you have any of these symptoms:

  •  Pelvic pain that can not be walked or talked
  •  Any bleeding
  •  Fever and/or chills
  •  Severe headache
  • Dizziness
  • Sudden swelling of face, hands, and/or feet
  • Persistent nausea and/or vomiting
  • Less than 10 lashes in one hour, 28 weeks until delivery
  • More than four contractions in one hour for two hours
  • Watery, green or bloody discharge

When do I need to go doctor?

Women with symptoms should see a doctor immediately. Women with no warning signs should try to see a doctor within a day or two if they have pain or burning when urinating or pain that interferes with daily activities. Women who only suffer from mild discomfort and do not have other symptoms should call the doctor. The doctor can help you decide if and how fast you have to be seen.

Pelvic Pain During pregnancy,  What the doctor does?

To determine if emergency surgery is needed, doctors first check blood pressure and temperature and ask about significant symptoms like vaginal bleeding. Then the doctors ask for other symptoms and medical history. They also do a physical exam. What they find in the history and physical examination often suggests a cause and tests that may be necessary.

  • Doctors learn about pain:
  • It starts suddenly or gradually
  • It occurs in a particular place or is more widespread
  • Be it in motion or change of position aggravates the pain
  • Whether it is cramped and whether it is constant or comes and goes

Doctors also ask about other symptoms, such as vaginal bleeding, vaginal discharge, need to urinate frequently or urgently, vomiting, diarrhoea, and constipation. In particular, previous pregnancy-related events (obstetric history), including previous pregnancies, miscarriages and intentional termination of pregnancy (induced abortions) for medical or different motives, as well as risk factors ectopic pregnancy.

Physical examination focuses on the pelvic exam. Doctors press gently on the abdomen to see if the pressure causes pain.Doctors use a Doppler ultrasound device in hand, placed on the woman’s abdomen, to check for a heartbeat of the fetus.

Pregnancy checks the use of a urine sample is almost always done. If the pregnancy test is positive, pelvic ultrasound is performed to confirm that the pregnancy is usually found in the uterus and not elsewhere (ectopic pregnancy). For this test, an ultrasonic handheld device is placed over the abdomen, vagina, or both.

Blood tests are usually done. If a woman has vaginal bleeding, screening usually includes a complete index of blood cells and blood plus Rh status (positive or negative is Rh incompatibility see), in case the woman needs a transfusion. Knowing the Rh status also help doctors prevent problems in later pregnancies. If doctors suspect an ectopic pregnancy, tests include a blood test to measure a hormone produced by the placenta during early pregnancy (human chorionic gonadotropin or hCG). If symptoms (such as very low blood pressure or a heartbeat) suggest an ectopic pregnancy may have burst, blood tests are performed to determine if women’s blood can clot normally.

Other tests are performed according to suspected disorders. Doppler ultrasound, which shows the direction and speed of blood flow, helps doctors identify a braided ovary, which can cut off the ovary blood supply. Other tests may include blood cultures, urine, or vaginal discharge, and urinalysis (urinalysis) to check for infections.

If the pain is persistent and the cause is still unknown, doctors make a small incision just below the navel and insert an observation tube (laparoscope) to see the uterus directly to identify the reason for the pain. Hardly ever, a larger incision (a procedure called laparotomy) is needed.

Specific disorders are treated. If analgesics are acetaminophen necessary Is safer for pregnant women, but if it is ineffective, an opioid may be needed.