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When does pelvic girdle pain occur in pregnant women?

According to Dr Payal Narang, consultant obstetrician and gynaecologist, Motherhood Hospital Lullanagar, Pune, prenatal gentle exercises like pelvic tilts and Kegel exercises can help strengthen pelvic muscles and provide stability

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pregnancyMaintain good posture and avoid activities that exacerbate the pain (Source: Getty Images/Thinkstock)
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Pelvic girdle pain or PGP is pain experienced in the pelvic area during pregnancy. It begins commonly in the second trimester, said Dr Shobha Gupta, medical director and IVF specialist, Mother’s Lap IVF Centre New Delhi and Vrindavan. “Pain can range from mild to severe,” added Dr Gupta.

Symptoms

Calling it a “common discomfort”, Dr Payal Narang, consultant obstetrician and gynaecologist, Motherhood Hospital Lullanagar, Pune said that one may experience pain including in the front and back of the pelvis, the hips, and the lower back.

What causes it?

Dr Gupta explained that although the precise reason for PGP isn’t always known, it’s frequently linked to hormonal changes, greater joint suppleness, and the weight and pressure that the expanding baby puts on the pelvic region.

“No, not all pregnant women experience pelvic girdle pain. Some pregnant women may experience it, but each person’s experience is unique. The risk of PGP during pregnancy can be influenced by elements like genetics, prior pregnancies, and general health. Even though it’s prevalent, not all pregnant women will have this condition. For thorough assessment and advice, it is advised to speak with your healthcare professional if you are worried or having pelvic pain while pregnant,” said Dr Gupta.

Exercise can help (Source: Freepik)

Does it affect all pregnant women?

“PGP doesn’t affect all pregnant women, but it’s estimated that around 20 per cent of expectant mothers experience some degree of PGP during their pregnancy. Factors like a history of musculoskeletal problems, previous pregnancies, or increased body weight may increase the risk,” said Dr Narang.

How to cope with it?

Follow these measures to deal with it:

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*Prenatal care: Consult your healthcare provider to confirm the diagnosis and discuss pain management options.

*Physical therapy: A physical therapist can provide exercises and techniques to strengthen and stabilise the pelvis.

*Supportive devices: Maternity belts and pelvic support garments can provide relief by reducing pressure on the pelvis.

*Rest and posture: Avoid activities that worsen the pain, and practice good posture.

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*Heat and cold: Applying a warm or cold compress to the painful area can alleviate discomfort.

*Pain medication: Under your doctor’s guidance, some pain relief medications may be considered but do not take them on your own. Do consult your doctor first.

*Sleep comfort: Use pillows to support your body in a comfortable sleeping position.

According to Dr Narang, prenatal gentle exercises like pelvic tilts and Kegel exercises can help strengthen pelvic muscles and provide stability. “Maternity belts or pelvic support bands can alleviate some discomfort by providing additional support to the pelvic area,” said Dr Narang.

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What to keep in mind?

Maintain good posture and avoid activities that exacerbate the pain, added Dr Narang. “Use proper body mechanics when lifting or getting out of bed,” said Dr Narang.

Having said that, experts urge that it is best to always consult your healthcare provider if you experience pelvic girdle pain, as they can provide personalised guidance and rule out any underlying issues.

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Jayashree Narayanan writes on fitness, health, aviation safety, food, culture and everything lifestyle. She is an alumnus of AJKMCRC, Jamia Millia Islamia and Kamala Nehru College, University of Delhi ... Read More


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