If the harm to the lower back during pregnancy, the causes are not always associated with pathology. Pregnancy is a natural state of the body fminin. And painful back to this period because the body is "rebuilt", the preparation for the change.
The causes of the pain
Start having back pains during pregnancy at different stages of gestation. It is estimated that in the first half of pregnancy, the body is not subjected to increased loads. This is not true. Approximately 30% of women come to the complaints, whines back, still in the I trimester of pregnancy. However, most of the women of the low back pain during pregnancy disturbs the closer to the twentieth week. Often not easy to answer, why back pain during pregnancy. The low back pain in pregnant women is sometimes the consequence of obstetrics of reasons, and can be, and self-pathology. Obstetric causes of back pain originate from normal or pathological pregnancy.
Obstetric
Can a bad kidney with a normal pregnancy? Yes, and it is the most common cause, why pull the back in pregnant women. In many cases, pregnancy causes the mom-to-evil of the lumbar area. The cause of the pain is the rapid increase of the uterus, and the tension of its ligaments. These feelings are so prevalent that are seen as a sign that the woman is pregnant.
- Hormones and metabolism
In a period of waiting the child to the wife must cope with a sudden change of hormonal levels. Passes to the increase of the production of estrogen, progesterone, and other hormones responsible for the normal development of the pregnancy. A common cause of this it hurts the lumbar region, is the relaxin. This hormone helps balls, and tendons to become more resilient, softens. Relaxin is necessary, and then facilitate the appearance of the child.
Necessary for the formation of the fruit is taken into the body of the mother. Therefore, when there is a lack of replenishment of inventories, the os, women can receive essential vitamins and trace elements, especially calcium and phosphorus. As a result, occurs a weakening of the pelvic bones and the spine, which can cause back pain in pregnant women.
- Increased pressure on the pelvis and the spinal column
The more "sure" of the reason why the pregnant women is back pain the growing fetus. The child grows up, it increases the pressure on the rump of the mother, which leads to a pain felt in the lumbar region. Is also quite physiological the reason why it can hurt the back, is the increase of weight, resulting in an increase of the pressure from the lower back. The center of gravity changes, occurs a sagging of the lumbar spine. The muscles receive the accrued surplus, resulting from the onset of pain.
At the onset of back pain in pregnant women sometimes leads to prolonged standing. The uterus puts pressure on the nerves and blood vessels that surround the spine. Because of this sore below the waist, from the third quarter. The pain traveling to the legs, are enhanced during the charge.
Later in the pregnancy the lower back pain can occur as a consequence of the pressure of the fetal head in the hip bone. It is accompanied by the appearance of hypertension to the tone of the uterus. Then the pain appear approximately at 38 week. If the harm to the lower back during pregnancy for this reason, not worth worrying. These sensations quite a natural phenomenon.
- Melee
A few weeks before the childbirth, the expectant mother may feel contractions of Braxton-Hicks. The fake contractions prepare the body for a maternity. In this case, in addition to the pain, lumbar spine, a sense of the "farm" of the uterus, it is difficult to breathe, arise in pulling pain in the lower belly. Then, these symptoms disappear. And in a short period of time, the abdomen and back begin to complain again. These sensations are considered normal, but requires special attention. Sometimes, it is difficult to distinguish between truly has the delivery. If the contractions become frquent, are repeated at regular intervals, are accompanied by secretions of the genital tract, it is not necessary to tighten it with a trip to the hospital.
In pathologies
If, in the course of the pregnancy back pain are accompanied by the appearance of secretions and cramps painful sensations in the uterus, it is the state of doctors is seen as a threat of spontaneous abortion or premature birth.
Must immediately appear to be a gynecologist. In some cases, pulls the lower back during pregnancy due to the aggravation of available diseases or in the emergence of a new pathology. Pregnancy is accompanied by natural immunosuppression. Such a mechanism is needed, in order not to rejection of the fetus maternal by the body as an alien to the body. The result is the vulnerability of women in this era. It happens that the woman does not even suspect on the diseases, until that becomes pregnant. During the pregnancy the low back pain may indicate a serious pathology. And if the gynecologist entered the cause of the discomfort, you must visit other physicians, namely a neurologist, a urologist or a nephrologist and the surgeon.
- Diseases of the kidney
The kidneys and diseases are the cause why, during pregnancy, sore kidneys. Under the influence of hormones, changes the tone of the ureter, there is a stagnation of urine, which leads to the development of infectious process. Frequent complication of pregnancy is pyelonephritis. You experience a stabbing pain with one of the sides of the back, frequent urination, pain, increase of temperature to high values. The urine is cloudy.
If the pain in lower back during pregnancy is expressed high, it is difficult to find a situation in which the pain decreases, impede the flow of urine, a mixture of blood, perhaps, it is the renal colic. These symptoms are used as an indication for immediate hospitalization.
The diagnosis puts the physician, based on the ULTRASOUND data and the laboratory analysis of urine and blood. The treatment is carried out with a prescription for antibiotics, spasmolytic and pain medication, and is mandatory. The disease can lead to serious consequences, up to renal failure.
- Pancreatitis
In rare cases, the pregnant woman can cope with an inflammation of the pancreas. This occurs when the non-compliance during the course of the pregnancy on a diet, the consumption of food with a lot of fat, alcohol, is a hereditary factor or a consequence of stress. If the pain in lower back during pregnancy door tinea nature, occurs during or after eating, accompanied by fever, nausea or vomiting, broken a chair, the doctor puts a diagnosis of pancreatitis".
Diagnosed the disease with the use of ULTRASOUND, MRI, is being treated in a hospital. The drug therapy of the low back pain during pregnancy is conducted with the help of a series of anti-inflammatory and analgesic. From time to time, in the case of failure of conservative therapy arises the need for intervention.
- Neurology
Often, the back pain during pregnancy because of worsening problems with the musculoskeletal system-propulsion system. If the woman and the pregnancy plagued with low back pain or sciatica, evolution of the load would increase. The source of the problem is sufficiently developed, the muscular system of the back or the curvature of the spine. On such a diagnosis indicates the onset of back pain during pregnancy in the second trimester or later.
When neurological symptoms of the pain are pulling the nature, decreases in the position "down", and increases when the loads, can produce a sensation of numbness.
Very dangerous to self-give medications. In fact, most of the drugs used in such cases, are contra-indicated during pregnancy. In exceptional cases, the doctor may prescribe a pain reliever. If the harm to the lower back during pregnancy due to related to neurological problems, the simplest solution – the wearing of the orthosis. Special corset will provide support musculo-skeletal system, without negative impact on the development of the child.
- Myositis
Find in a current of air or cold can lead to an inflammatory process in the muscles of the lower back. While acute pain is characterized by the nature and the insufficiency of the movements. The back can hurt the neck and the shoulder belt. The treatment should take a doctor who will be able to appoint of medications are safe for the child.
- Semisupine
At the bottom of the location of the pain in the back and the belly, you can suspect symphysis. The disease will show the change of the process, which takes the character of a "duck". Occurs because of a divergence of the pubic bone, is hereditary. If the reason for the back pain during pregnancy, Semisupine, the doctor will recommend bed rest, and he provides supervision for the duration of the pregnancy.
- Spondylolisthesis
If history of lesions of the spinal column or malformations characteristics of development of the vertebral arches, the increased load can cause pain in the lower back during pregnancy. The vertebrae can move relative to the other that as a rallying point to a strong pain in the lower back.
These pains can be distinguished by a buildup in the sitting posture, when in the process of lifting heavy objects, change the position of the body. The pain may radiate into the legs. The deformation of the spinal column, you may notice visually. The muscles around the spine to the sides, are in a state of stress. Develops peculiarity of the process "tightrope". If, by reason of spondylolisthesis aches in the lower back during the pregnancy, treat the disease with medication, physical therapy, gymnastics.
Prevention
If the harm to the lower back during pregnancy, it is important to remember one thing: in no event, may not be involved in the diagnosis yourself and self-medication. The first thing that must be the pregnant woman, that pulls in the lower back during pregnancy – consult your specialist. The doctor will also help to prevent back pain during pregnancy, you:
- To refuse to wear shoes with high heel;
- To follow smoothly the weight gain;
- To better carry out the active life;
- Do not overwork, avoid an excess of load on the spine;
- Do gymnastics spciale;
- Control the posture;
- For the sleep choose a mattress anatomical and a small cushion;
- Learn the proper lifting of objects (it is necessary to bend the knees, and not to perform the inclination toward the front);
- Ensure good food with a high content of calcium and phosphorus.
If the speaker is strongly back pain, this is not a reason to panic. However, you need to eliminate the pathological processes, as well as recommendations on how to eliminate the unpleasant sensations. If the back pain during pregnancy, what do you advise a single physician.