If the pain in lower back during pregnancy, for reasons that are not always associated with pathology. Pregnancy is the natural state of the female body. And aching back, in this period, because the body is "reconstructed" in preparation for the changes that are happening.
The causes for the pain
Begins to experience back pain during pregnancy at different gestational ages. It is believed that in the first half of pregnancy the body is not subjected to increased loads. This is not true. Approximately 30% of the women who come with complaints of aching back, even in the first trimester. However, the majority of women lower back pain during pregnancy disturbed closer to the twentieth week. Often it is not easy to answer, why back pain during pregnancy. Lower back pain in pregnant women, which is sometimes the result of direct obstetric causes, and may be an independent pathology. Obstetric causes of back pain that occur due to normal or pathological pregnancy.
Can hurt the lower back in a normal pregnancy? Yes, and this is the most common reason why pull back on the pregnant. In many cases, the pregnancy leads to the fact that pregnant women's pain to the lower back. The cause of the pain becomes the fast increase of the uterus, and the tension of their ligaments. These feelings are so common that they are seen as another sign that a woman is pregnant.
- Hormones and metabolic processes
In the waiting period, the child, the woman who have to deal with the sudden changes in hormonal levels. The greater the production of estrogen, progesterone and other hormones, which are responsible for the proper pregnancy. A common reason for pain in the lower back, relaxin. This hormone helps the ligaments and tendons become more elastic, softens them. Relaxin is necessary, to later encourage the child.
Required for the formation of the fruit elements are taken from the mother's body. So, if there is not enough replenish the "stock" bones women can receive the essential vitamins and minerals, especially calcium and phosphorus. As a result, there is weakening of the pelvic bones and spine which can cause back pain in pregnant women.
- Increased pressure on the pelvis and the spine
The most "safe" reason why pregnant women have back pain is the growth of the fetus. Baby grows, increased pressure on the sacrum of the mother, which leads to pain in the lumbar region. It is also the physiological reasons why pain in the back, increases the weight, which leads to an increase in pressure on the lower part of the back. Center of gravity changes, the deviation in the lumbar spine. Muscles get excess load, leading to the occurrence of the pain.
For the occurrence of low back pain in pregnant women often result in long standing. The uterus puts pressure on the nerves and blood vessels that surround the spine. It hurts below the waist, which begins in the third trimester. Give pain in the legs, worse during exercise.
In the later stages of pregnancy lower back pain can occur as a result of the pressure of the fetal head at the pelvic bone. This is coupled with the appearance of a high tone of the uterus. Then the pain around 38 weeks. If the pain in lower back during pregnancy, so don't worry. Such feelings – a completely natural phenomenon.
A few weeks before childbirth expectant mother may feel contractions Braxton-Hicks. Braxton Hicks contractions prepare the body for later delivery. In this case, in addition to the pain, radiate to the lumbar region, is a feeling of "solid" of the uterus, difficult to breathe, have a nagging pain in the abdomen. Then these symptoms disappear. And after a short time the stomach and back started to pain again. Such feelings are normal, but still require attention. Sometimes it is difficult to separate from the actual delivery started. If the contractions become frequent, repeated at equal intervals, accompanied by a discharge from the genital tract, should not delay a trip to the hospital.
If during pregnancy back pain accompanied by discharge and cramps, pain in the womb, as doctors are seen as a risk for miscarriage or premature birth.
This is urgently needed to see a gynecologist. In some cases, it pulls the lower back during pregnancy due to the aggravation of existing diseases or the emergence of new diseases. Pregnancy is accompanied by the natural immune suppression. Such a mechanism is necessary to prevent rejection of the fetus by the maternal organism as a foreign component. The result is the vulnerability of women at this time. It happens that the woman does not even know about existing of the disease, has not become pregnant. During pregnancy back pain, can indicate a quite serious disease. And if the gynecologist to exclude obstetric causes of distress, you should visit other physicians, namely a neurologist, a urologist or nephrologist and surgeon.
- Kidney disease
Kidney disease, are the reason why pregnancy pain in the lower back. Hormonal changes the tone of your ureters, the stagnation of urine, which lead to the development of infectious processes. Common complications of pregnancy is pyelonephritis. Experience pain pain on one side of the back, frequent urination, convulsions, temperature rises to high values. The urine generally becomes cloudy.
If lower back pain during pregnancy is expressed clearly, that it is difficult to find a situation in which pain is decreased, which prevent the flow of urine admixture of blood, may be that of renal colic. These symptoms are the indication for immediate hospitalization.
The diagnosis of the doctor, which is based on ultrasound and laboratory tests of blood and urine. Treatment with antibiotics, antispasmodic and analgesic drugs and is mandatory. The disease can lead to serious consequences, including kidney failure.
In rare cases, a pregnant woman may face inflammation of the pancreas. This can happen if because during pregnancy diet, eating foods high in fat, alcohol is a hereditary factor or a consequence of stress. If lower back pain during pregnancy is in the vicinity of the character that appears after or during a meal, accompanied by fever, nausea or vomiting, impaired chair, the doctor makes a diagnosis of "pancreatitis".
The disease, which is diagnosed with ultrasound, MRI, treated in stationary conditions. A medicine for the treatment of low back pain during pregnancy is performed with the use of multiple anti-inflammatory and analgesic drug. Occasionally, in the case of failure of conservative treatment, surgical intervention is required.
Often back pain during pregnancy due to the deterioration of the existing problems and diseases. If a woman before pregnancy was tormented by osteochondrosis or sciatica, changing the load may lead to deterioration. Source of problems is not enough developed muscular system of the back or curvature of the spine. Such a diagnosis indicates the occurrence of severe back pain during pregnancy in the second trimester or later.
Neurological problems, pain shooting character, is reduced in the lying position and increases with the load, it can be a feeling of lethargy.
It is very dangerous to self-heal. Because most of the drugs used in such cases is contraindicated in pregnancy. In exceptional cases, the doctor may prescribe a painkiller. If the pain in lower back during pregnancy because it is associated with neurological problems, the easiest solution is wearing the brace. The corset will provide support to the muscular-skeletal system, without having a negative effect on the development of the child.
Search for draughts or hypothermia may cause an inflammatory process in the muscles of the lower back. Then the pain is characterized by sharp character and limited movement. In addition to the back, can hurt the neck and shoulder girdle. The treatment must be the doctor, who may prescribe medication, as it is safe for the child.
At low location of pain in the back and abdomen, may be suspected (h). The disease will show a changed behavior, which acquires the character of a "duck". Due to the divergence of the pubic bone, is inherited. If the reason due to which back pain during pregnancy, Semisupine, the doctor will recommend bed rest and will be monitored through the pregnancy.
If the history of spine injury or congenital anomalies of the development of the arch of the vertebrae, the increased load can cause pain in the lower back during pregnancy. The vertebrae can move relative to each other, and that will be the incentive for the severe pain in the lower back.
Such a pain can vary from the increase in the sitting posture, when the procedure for lifting heavy objects, when you change the position of the body. Pain may radiate to the legs. The deformity of the spine, it can be noticed visually. The muscles around the spine laterally, are in the stressed state. Develop a special walk "the tightrope". If the cause of the spondylolisthesis in the low back hurts during pregnancy, this is a disease that is treated using medications, physiotherapy, therapeutic gymnastics.
If the pain in lower back during pregnancy, it is important to remember one thing: never to get involved in self-diagnosis and self-treatment. The first thing is that pregnant women, who was shot in the lower back pain during pregnancy, contact a specialist. Your doctor will also help prevent back pain during pregnancy we recommend:
- Stop wearing shoes with high heels;
- Monitor gradual weight gain;
- Lead a moderately active lifestyle;
- Do not overexert, to avoid excessive load on the spine;
- To make special gymnastics;
- For the control of posture;
- To sleep, select the anatomic mattress and a small pillow;
- Learn the correct lifting of objects (you should bend your knees and produce a forward bend);
- Provide adequate diet with high content of calcium and phosphorus.
If pregnant sore back, that is no reason to panic. However, it is necessary to exclude any possible pathological processes, as well as get recommendations on how to eliminate the discomfort. If back pain during pregnancy, what to do, advise the doctor.