If the pain is not connected to the lower back in pregnancy, the causes the pathology. Pregnancy is a natural state for the female body. And pain back in this time, because the body is "retuned", the preparation for changes.
Causes of pain
The occurrence of back pain start during pregnancy at different periods of pregnancy. It is believed that in the first half of pregnancy of the body to increased stress. This is not true. About 30% of the women come with complaints of back pain in the first Trimester. However, the majority of women with back pain in pregnancy worry you closer to the twentieth week. Often is not easy to answer, why back pain in pregnancy. Lower back pain in pregnant women and sometimes it is the result of the obstetric reasons, and an independent pathology. Obstetric causes of back pain, due to normal or pathological course of pregnancy.
Obstetric
If the pain in the lower back in the normal pregnancy? Yes, and it is the most common cause, why pregnant the back. In many cases, the occurrence of pregnancy leads to future mothers, that hurts the lower back. The cause of the pain there is a rapid increase in the uterus and the tension of your belts. These feelings are so common, that as a further sign that the woman was pregnant.
- Hormones and metabolic processes
In the time of the expectation of a child is woman's encounter with a strong change of the hormone levels. An increase in the production of estrogen, progesterone, and other hormones that for the right the course of the pregnancy occurs. A common cause of severe discomfort in the lower back, relaxin. This hormone cruciate ligament, and tendons, helps to smooth, soften you. Relaxin is required in order to facilitate later, the appearance of the baby.
For the formation of the fruit elements come from the body of the mother. So, if there is not enough supply "of reserves," the bones of the women and less on the much-needed vitamins and trace elements, particularly Calcium and phosphorus. As a result of a weakening of the pelvic bones and the spine occurs, which can lead to back pain in pregnant women.
- The increasing pressure on the pelvis and the spine
The "safe" reason why back pain in pregnant women, is the growth of the fetus. The child grows, it increases pressure on the sacrum of the mother, and the pain that results, the sensations in the lumbar area. Also quite a physiological reason, why back can be a pain, is the increased weight, leading to an increased pressure on the lower back. The focus changes, the result is a bending of the spine in the lumbar spine. The muscles get the excess activity, leading to the emergence of pain.
To the emergence of back pain in pregnant women sometimes long. The uterus presses on the nerves and blood vessels that surround the spine. For this reason, lower back pain, starting with the third Trimester. Pain radiating to the legs, reinforced at stress.
In late pregnancy may also occur as a result of the pressure of the fetal head on the hip bones, pain in the lower back. This is due to the emergence of increased tone of the uterus. Then the pain, with approximately 38 week. If the pain in the lower back during pregnancy for this reason, don't worry. Such sensations – a all-natural phenomenon.
- Contractions
A couple of weeks before the birth, the expectant mother will feel the contractions Braxton-Hicks. False labor contractions prepare the body for the subsequent birth. In this case, in addition to the pain barking in the lumbar Department, to a sense of "strength" of the uterus, difficult breathing, caused dragging pain in the abdomen. Then these symptoms will disappear. And after a short time, the belly and the back starts to whine. Such sensations than normal, but still require attention. Sometimes they are difficult to distinguish from truly begun birth. If the contractions are becoming more frequent and repeated at regular intervals, accompanied by discharge from the genital tract, should not be delayed with the journey to the hospital.
In Pathologies
If during pregnancy pain in the back accompanied by vaginal discharge and cramping pain in the uterus, is treated of this condition by physicians, such as the threat of miscarriage or premature birth.
Urgently required lady doctor seem. In some cases, pulls the lower back during pregnancy due to the aggravation of existing diseases or the occurrence of a new disease. Pregnancy, suppression of natural immunity. Such a mechanism is necessary that there are no rejection of the fetus with the maternal organism as foreign. The result is a weak point of the woman in this time. It happens that a woman is not even about the existing pathologies, to pregnant. In pregnancy back pain may indicate a serious pathology. And if the woman's physician excluded obstetric cause of the discomfort, you should visit the other doctors: neurologist, urologist, or nephrologist, and surgeon.
- Kidney disease
The kidneys and their diseases are the reason why in pregnancy the pain lumbar. Under the influence of hormones, changes in the Tonus of the ureter, occurs Stagnation of urine, leading to the development of infectious processes. Most common complication of pregnancy, Pyelonephritis. Pain come back with one of the parties, frequent urination, cramps, increase the temperature to high values. The urine is turbid in the rule.
If the expressed pain in the lower back in pregnancy clearly, it is difficult to find a Position in which the pain diminishes, impedes the outflow of urine, the admixture of the blood may be the renal colic. Such symptoms are an indication for urgent hospitalization.
The diagnosis of the doctor, based on the data of ultrasound and laboratory investigations of urine and blood. The treatment is carried out with the appointment of antibiotics, antispasmodic and analgesic drugs, and is mandatory. The disease can lead to serious consequences, up to the kidneys.
- Pancreatitis
In rare cases, a pregnant woman can can come across with an inflammation of the pancreas. This happens in the case of non-compliance with the diet during pregnancy, eating foods with much fat, alcohol, is an inherited factor or a consequence of Stress. If the pain is wearing in the lower back during pregnancy Herpes character, occurs during or after eating, accompanied by fever, nausea or vomiting, impaired chair, the doctor puts the diagnosis of "pancreatitis".
Is treated diagnosed the disease with the use of ultrasound, MRI, under steady-state conditions. The drug therapy of lower back pain during pregnancy is associated with a number of anti-inflammatory and analgesic drugs. Occasionally, in case of failure of conservative treatment, the need for operative Intervention.
- Neurology
Often back pain during pregnancy because of the aggravation of the existing problems with the musculoskeletal system. If a woman before pregnancy and suffered pain or sciatica, then changes in stress lead to an exacerbation. A source of problems is not adequately developed musculature of the back or curvature of the spine. On such a diagnosis the emergence of strong pain in the back during pregnancy in the second Trimester or later.
In the case of neurological problems, pain sensations, the burning bear, the decrease in the position "lying" and get off at loads, can deafness occur.
It is very dangerous to treat yourself. Because most of the medicines indicated in such cases is contraindicated in pregnancy. In exceptional cases, the doctor may prescribe analgesics. If the pain in the lower back during pregnancy due to the associated with neurological problems, the simplest solution is to wear a brace. A special corset is used for the muscle-skeletal System, with no negative impact on the development of the baby.
- Myositis
To remain in a draft or under cooling can lead to the inflammatory process in the muscles of the bottom Department of a back. Then pain is of acute character, and limited movements. Except for the back, neck and shoulder girdle. The treatment should be by a doctor who may prescribe medication, which is safe for the child.
- Semisupine
In the case of low localization of the pain in the area of the back and abdomen, it is believed symphysis. On the disease to an altered gait, the character of the "duck". Occurs inherited as a result of the divergence pubic bone. If the reason of pain because of the back in pregnancy, in Semisupine, the doctor bed is recommended to rest and will be monitored throughout the duration of the pregnancy.
- Spondylolisthesis
If in the story there are injuries of the spine or congenital features of the development of the arches of the vertebrae, the increased load can cause pain in the lower back during pregnancy The vertebrae can move relative to each other, and what the impetus to a strong pain in the lower back.
Such pain can be distinguished according to an increase in the sitting posture, lifting of heavy objects, when the Position of the body. The pain radiation into the legs. Deformation of the spine you will notice visually. The muscles around the spine to the side, in a intense state. A special gait, "the rope dancer". If on the basis of spondylolisthesis hurts the back in pregnancy, treated this disease with the help of medications, physical treatments, medical gymnastics.
Prevention
If the pain in the lower back during pregnancy, it is important to remember: in no event it is impossible to be involved in the diagnostic alone and to self-medicate. The first thing to a pregnant woman, which shoots in the lower back in pregnancy – contact your specialists. The doctor will also help to prevent pain recommends in the back during pregnancy:
- Forgo wearing shoes with a high heel;
- Even weight gain;
- Active life moderate style;
- To not overwork, avoid excessive load on the spine;
- With the special gymnastics;
- Check Your Posture;
- To sleep anatomic mattress and a small pillow;
- The correct lifting of objects (you will learn to bend your knees, but do not produce the inclination forward);
- The right diet with a high content of calcium and phosphorus.
If a pregnant strong back pain, that is no reason to panic. You must, however, of the possible pathological processes, and get recommendations for the procedure for the elimination of unpleasant sensations. If back pain in pregnancy, what to do consult a doctor.