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1. Back Pain During Pregnancy How do I manage?
By: Joyce Flores, MPT
Cathy Villanueva, MPT
2. I’m pregnant…
3. How am I feeling? “My back hurts.”
“I have no energy at all & I’m exhausted all the time.”
“I can’t fall asleep at night.” “gaining weight like crazy”
“I’m feeling extremely moody.”
4. Back Pain During Pregnancy About 50% of women experience some kind of lumbopelvic (low back & pelvic girdle pain) during pregnancy.
“Many of the physiologic and morphologic changes of pregnancy persist 4-6 weeks postpartum.” (ACOG, 2002)
Most of the pain disappears within 1-3 months after delivery. (Stuge at al., 2004)
5. Why do I have back pain? More mobility in pelvic joints
Ligaments soften, joints loosen to prepare for birth
Possible low back pain esp. with walking & stairs
Center of gravity changes
Uterus is heavier & larger
Center of gravity shifts forward
Naturally you adjust posture & movement to compensate
Compensations puts new strain on low back & hips
Relaxin- hormone that tends to loosen joints, ligaments and tendonsRelaxin- hormone that tends to loosen joints, ligaments and tendons
6. Why do I have back pain? Poor posture
Poor muscle tone
Tight hip flexors from sitting too long
Abdominal muscles may separate
7. What can I do? Practice correct posture
Shift weight when standing long periods
Sit with feet slightly elevated
Don’t make sudden reaching movements
Sidelying while sleeping/ resting
pelvic stabilization, back stretches, abdominal strengthening Being fit, helps a woman’s body meet the increasing physical demands of carrying a baby.Being fit, helps a woman’s body meet the increasing physical demands of carrying a baby.
8. Benefits of Exercise Helps reduce backaches, constipation, bloating & swelling
Promotes muscle tone, strength, endurance, stamina
? likelihood of having an easier, shorter & less complicated labor
9. Benefits of Exercise Helps you sleep better
Burns calories; maintains healthy & steady weight gain
Reduces risk of gestational diabetes
Helps control ? blood pressure
Accelerates postpartum weight loss & recovery time
Establishes permanent healthy lifestyle habits
10. Low back pain and Pregnancy Class Class will be offered every third Friday of the month (1000) & will encompass these topics:
Incidence of back pain during pregnancy
Why do I have back pain?
Posture & body mechanics
Exercise-Why it’s different during pregnancy?
Benefits of exercise
Contraindications/ reasons to discontinue exercise
ACOG recommendations/ general exercise guidelines
Exercise: safe choices, monitoring frequency/ intensity
Strengthening the pelvic floor- Kegel’s
Gentle abdominal strengthening, back stretches
Please have your OB physician enter a CHCS consult to attend this class.