Pubic bone discomfort is quite common during pregnancy. This pain is often caused by a condition known as symphysis pubis (SPD). The hormone relaxin causes the pelvis to loosen later in pregnancy, especially around the pubic bone. This is generally a good thing because it simplifies labor for both mom and baby. However, the gap can be exacerbated at times. This can be very uncomfortable and can last for a long time in the early postpartum period.

When a joint is too lax, it can become unstable and painful. Pubic bone pain is the most common symptom of SPD. Most of the pain is located above the pubic mound, in the area of ​​the pubic bone (under the pubic hair). Certain movements can be unpleasant for some women. Getting out of bed, getting into the bathtub or car, putting on pants, sitting for long periods, or completing repetitive tasks are examples of these activities.

You may also notice some swelling around your pelvic bone, waddling, or the fact that your legs don't come together all the way. When walking or moving your legs, you may detect a clicking sound. Her doctor or midwife can help you better understand her symptoms.

Relaxation and loosening of the pelvic ligaments are also a common cause of the wiggling seen in pregnant women.

Risk factors
If she is pregnant, this is not her first child, or her child is very large, she is more likely to suffer from pain in her pubic bones. Previous pregnancy with SPD is also a risk factor.

Diagnosis
Your doctor may order an ultrasound instead of an X-ray because X-rays are not recommended during pregnancy. The space between the pelvic bones can be examined using ultrasound. However, it is more common to make a diagnosis based solely on your symptoms. An X-ray is the best diagnostic test available if you have already had your baby and are still in pain.

Treatment
When you have a baby, SPD is usually relieved. In the meantime, several treatments can help her feel better while she is still pregnant.

Pelvic and lumbar support
Use a pregnancy / maternity folder to help stabilize your pelvis as much as possible, which can also help decrease back pain. You can also wear a rebozo, a Mexican shawl. According to studies, a flexible belt or belt is more effective than a rigid one. This can also help you avoid further injury from an unstable pelvis.

Physiotherapy and / or acupuncture
Talk to your doctor or midwife about these options. They can be beneficial in the long run. While they are time consuming, many people believe they are worth it. Ask your therapist or acupuncturist what you can do at home to reduce your visits.

Avoidance
Avoid circumstances that cause you pain. Sit down to put on your pants or sit on the side of the tub and stand on both legs at the same time.

Limited position
It is also a good idea to avoid standing for long periods. If you must stand, put on comfortable shoes and make an effort to move, even if it just means switching from one foot to the other now and then. Alternatively, you can stand with one foot resting on a small stool or box.

Exercise
Certain types of exercise can help relieve pain. Ask your doctor, midwife, or physical therapist for exercises. Swimming, for example, can relieve pain due to its buoyancy.

Recovery
The good news is that relaxin production stops immediately after delivery, so you should feel much better. If you don't feel better after a few weeks, see your doctor for a second opinion. Additional therapies, such as physical therapy, may be required to help improve muscle strength in the pubic bone area.

Final words
Pubic bone pain can be very uncomfortable during pregnancy and can make even the simplest tasks difficult. Talking with your doctor or midwife can help you devise a strategy to reduce pain. Most of the time, this will involve making lifestyle changes and waiting for the child to arrive. However, several therapies can help you feel better about your pelvic pain during preganacy.

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