Pregnancy with pelvic lumbar pain: Should a normal birth or cesarean section be carried out?

Pelvic lumbar pain during pregnancy is a problem many pregnant mothers experience at every stage of pregnancy, expressing the instability of the joints and pelvis. This condition usually causes smoldering pains during activity or rest, spreading from the pelvis to the upper thigh and genitals.

The pelvis is an important part of the woman's body. In this area contains a ligament system and muscles that help maintain stability and transfer weight from the upper part of the body to the lower part.

Pelvic or back pain during pregnancy usually occurs during the last 3 months of pregnancy. Typical manifestations of pelvic lumbar pain are back pain, smoldering lumbar pain, spreading from the pelvis down to the inguinal, thigh, uterus…. Depending on the location, each person will have different levels of pain, the pain will increase when the pregnant woman is active or change the position when sleeping.

Pelvic lumbar pain during pregnancy can also be accompanied by bladder dysfunction, especially when the pregnant woman changes position suddenly. In many cases, the sound in the pelvis can also be heard when walking or slightly.

Until now, the cause of pelvic lumbar pain during pregnancy is unclear. However, a number of factors that are likely to cause the risk of pelvic pain include:

• Pregnant women have a history of pelvic lumbar pain or lower back pain.
• Pregnant women have had pelvic injuries before;

• Because the occupation of a pregnant woman is associated with heavy physical activity;
• Repeated childbirth;
• The fetus is too big.

In addition, some studies have also explained that pelvic lumbar pain or pelvic pain during pregnancy may be associated with some changes in the positions of the organs in the body during pregnancy; or it may be due to the hormone estrogen in the pregnant body that acts on connective tissues and fibrox cartilage tissues during pregnancy; Vitamin D and calcium deficiencies are also likely to cause pelvic lumbar pains.

There are about 50% of pregnant women who have back pain during pregnancy, pain that is usually local in the lumbar or pelvic joints. According to research by the Norwegian Institute of Public Health, the group of women with a pre-lumbar pain during pregnancy if cesarean section will be more likely to continue suffering persistent post-birth pain than normal maternity.

Pelvic lumbar pain causes pregnant women to feel tired, uncomfortable and afraid to give birth often because they think that the pain will make the birth process difficult. However, there is still no scientific evidence to prove this.

To better understand the pains of the pelvic lumbar region after cesarean section, a follow-up study of more than 10,000 women in Norway has shown that the majority of pain usually appears from the 30 weeks of pregnancy and the rate of post-cesarean pelvic pain in cesarean section is 3 times higher than in normal births. On the other hand, having pelvic lumbar pain if cesarean section increases the risk of ilapse. Therefore, except for cases where cesarean section is required, childbirth is always the safest option for women who have pelvic lumbar pain during pregnancy.

During pregnancy, if there is pain in the pelvic lumbar region, the pregnant woman should take time to rest more. If work is required to sit a lot, it is advisable to sit on your back; limit travel, work or carry heavy objects. When there are abnormal manifestations accompanied by pain, it is necessary to go to a medical facility for examination and advice.

In addition, pregnant women also need to pay attention to the daily diet to ensure adequate supply of nutrients to the body and fetus, especially calcium supplementation in the last months of pregnancy and should not stay up late.

Pregnant women should not use therapeutic drugs to relieve back pain during pregnancy because the side effects of the drug can affect the comprehensive development of the fetus.

In case after giving birth, the maternity still has back pain, the following treatment measures may be applied:

• Full nutritional supplements: A diet with healthy, balanced foods will help relieve back pain effectively, in addition, mothers can eat more dishes to help replenish blood, restore health;
• Work and rest properly: After birth, the maternity body has not yet recovered, it is advisable to exercise gently so that the body adapts gradually, it is necessary to have a plan to do the work, take care of the child and rest properly. Gentle walking to help blood circulation is also an effective way to relieve back pain;
• Rehabilitation exercise: Gentle exercises can help the body quickly recover and relieve back pain effectively;
• Massage the back: Gentle massage will help reduce stagnation and blood circulation, help women relax and dispel fatigue.

In order to solve common problems in pregnancy in the most effective way without affecting the natural development of the fetus, it is best for the pregnant woman to register herself with a comprehensive maternity care package through each stage of pregnancy. Share99 International Health Hub has implemented the Maternity Care Program to accompany pregnant mothers for the safest, healthiest and most convenient pregnancy.

The program includes the following service packs:

• Maternity Care Program 2019 – 12 weeks
• Maternity Care Program 2019 – 27 weeks
• Maternity Care Program 2019 – 36 weeks
• Maternity Care Program 2019 – TransferD
• Pre-embryo transfer genetic screening service

Share99 brings outstanding superiority in the level of doctors – those with leading expertise and prestige in the field of obstetrics and gynecology; modern facilities system to optimally support examination and screening techniques; civilized, luxurious medical examination space and professional services. All these advantages have helped Share99 always be highly appreciated by professionals for maternity care, being the first choice of pregnant women.