pelvic pain and contractions in pregnancy

pelvic pain and contractions in pregnancy2 pelvic pain and contractions in pregnancy1

The pelvis consists of a set of bones: the sacrum, coccyx, pubis, the innominate bones and a joint called the symphysis pubis linking the two large bones of the pelvis forward. They form the bone called the birth canal.
This articulation, like the rest of the pelvic joints, becomes mobile during delivery to permit passage of the baby by bone forming channel.
pelvic pain: the birth canal can move
In pregnancy, the birth canal should not move. And yet sometimes it is not, because a hormone begins to take effect early: we speak of relaxin. At the end of pregnancy, the placenta begins to secrete this hormone precisely to give mobility to the pelvis and the baby can go through the narrow birth canal. His movement before birth can cause pain in some women, many of them describe it as shoelaces.
Acute pain in the pubis: diastasis pubis
The mobility of the symphysis pubis can cause pain behind the pubic hair, usually to walk fast or uphill or up sharply. If they separate the pubic bones on both sides pubis diastasis may occur: women who suffer refer him as a great pain that prevents them from moving. That itself is not severe or threatening pregnancy.
The treatment is analgesia. Also it should consult a physiotherapist who specializes in gynecology advise a series of exercises to relieve symptoms and certain postures that will help you not to aggravate the discomfort
genital pain: Genital cramps
As the uterus grows in the body of the mother can compress the nerves in the genital tract genitocrurales.
The pressure of these nerves causes cramps in the genitals (clitoris, labia and vagina). Sometimes the cramp radiating into the thigh and knee reaches the same side.
Contractions not only appear at birth, but the uterus “practice” throughout the entire pregnancy with calls Braxton-Hicks contractions, which may have even when not pregnant. The uterus is a muscle that moves, for example, when there is the rule; these contractions are one of the most common causes of dysmenorrhea or pain rule.
Typically, in the first and second trimester of pregnancy are received between 4 to 6 daily and contractions in third quarter about 10 contractions per day. This increases in pregnant women who have had more children (multiparous) and multiple gestations of twins or triplets. It is important to remember that pregnant women should not spend all day being monitored the number of contractions, unless exceeding normal.
┬┐Braxton-Hicks or delivery?
The Braxton-Hicks contractions are not painful, although some women may notice discomfort, and what the woman perceives is a hardening of the uterus:
The gut becomes completely hard and can not sink his fingers into it. But if the woman notices only part of the hard casing, chances are that it is a foot, a hand, head or the back of the baby, and stroke, will modify its stance and that hard lump disappear.
That feeling usually lasts about 30 seconds and disappears when the woman changes her stance.
Most often the contractions are irregular. That is, the mother noticed a contraction or two or three in a row and disappear and perceived past the next few hours.
At the end of pregnancy may be more annoying and pain between the pubic hair and the navel (umbilicus) or lower back.
These contractions do not alter the cervix, neither erased nor dilate, which is what defines the threat of premature delivery, as discussed below.
Labor contractions have other characteristics:
They are rhythmic, every 5-7 minutes for a continuous period of more than an hour, with greater intensity with the passage of time.
But do not rely on pain intensity. Every woman has a threshold of very personal and subjective pain: sometimes it does not hurt as much as the woman thinks she must hurt but has since expanded several centimeters at home.
In general we can say that the discomfort of childbirth in the gut go up and down or back and forth; sometimes labor pains are more localized, for example, in the lumbar, or lower belly.
Mild uterine hypertonia
Mild uterine hypertonia: Hard gut like a ball
During pregnancy, some women notice a strong pressure in the lower gut, which can be confused with contractions: the mild uterine hypertonus. The discomfort can become so strong that often, if they are walking, they should stop and hand almost instinctively take to the gut.
It occurs mainly in pregnant gilts and as a result of stretching the muscles of the uterus, which increases in size as the baby grows inside it. Typically mild discomfort of uterine hypertonus appear when the mother has done continuous physical activity like walking for several hours or at the end of the day. It is relieved by rest.

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