Symphysis pubis dysfunction

Cynthia - posted on 06/10/2011 ( 64 moms have responded )

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I am 39 weeks pregnant and i have symphysis pubis dysfunction. Does anyone know anything about this? How will i deliver my baby? I can't even spread my legs and can barely walk, anyone deliver with symphysis pubis dysfunction? How did it turn out.



I am in so much pain. I cry when i walk. I can't take care of my 6 year old everything is such a task now.

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[deleted account]

Cynthia- The thing with SPD is just that it's extremely painful. It wont effect your baby but likely will make laboring more painful since the baby will be pushing downward with contractions. It will also be alot harder to find good laboring positions when it hurts to move. The most painful labor / birthing position with spd is laying on your back with legs open...the standard birthing position. Ive heard that side lying works best in this situation bc it puts the least amount of pressure on the outlet, but could also take longer to push the baby out this way. After the baby is born and the joint softening hormones subside (called Relaxin) your pelvis will feel alot more stable and youll get back to normal. As for the bleeding, at your stage in pregnancy this is normal. It's called 'bloody show' and it's just your cervix softening and thinning and getting ready to dilate. But if it's more than spotting or discharge you should go to the ER to get checked just in case.

Over all the SPD is just a just alot of pain but you and the baby arent in any danger from it. It just hurts like hell.

Kelly - posted on 06/11/2011

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Spd is an unfortunate problem with many pregnancies. I know this since I am a chiropractor who works on many pregnant women in the area. Often times I have a lot of success with very simple mobilizations or movement type stretches in the area as well as in the low back. The posterior pelvis is often thrown off by the pregnancy and causes spd in the front. The area is compensating. Delivery may or may not be affected. Hope this helps dr. Kelly herta

Lauren - posted on 06/14/2011

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I can relate! I had SPD with my first pregnancy and shortly after birth, I felt great! NO PAIN...other than the obvious after delivering a nearly 10 lb baby! With my second pregnancy, the SPD pain started alot earlier than with my first. I suffered from about 12 weeks throughout the remainder of my pregnancy. My OB wasn't much help and offered me a support band, which didn't do a whole lot. I delivered my 2nd child naturally but don't remember any pain specifically from the SPD because my epidural didn't work and everything was painful! LOL! What I can tell you is that my 2nd child was nearly 11 lbs and I delivered him naturally without complications. However, the SPD did not start to feel better directly after giving birth, as it did with my first child. It was horrible. The nurses had to help me roll over in bed and lift my leg for me to help me to even get out of bed. My OB (again) wasn't concerned and said it would start to "feel better." Well, after 8 weeks PP I was still in alot of pain and I made an appointment with a physical therapist. The physical therapy did help, but not 100%. I was breastfeeding so my ligaments were still loose from the hormones and it wasn't until I stopped breastfeeding at 6 months did I finally start to feel some relief from the SPD. I am now 8 months PP and am not having constant pain on a daily basis, as I was before. I do have those moments where my pubic bone will "pop" or "grind" but it is only for a split second and not so much painful, but irritating. I wish you luck in your delivery and hope your pain subsides quickly after birth. I know how painful this is!!

[deleted account]

The problem an epidural would cause in this situation is that bc you wont be in pain you might be more likely to try different laboring positions or open your legs wider which will result in you being super sore after the epidural wears off. It also depends on what type of epidural you get. If you get a full on epidural you wont be moving around at all. You would just need to be aware of not letting them pull your legs too far apart, just as much as you have to. If you can, Id avoid having your feet in stirrups and try to just let them lay open with your knees bent. Imagine if you layed on your back and put your feet bottom to bottom how your hips would automatically rotate and your knees would bend and fall to the sides. That might help to get into a more natural position rather than one that strains your pelvis. The other type is called a walking epidural but theyre rarely used bc there have been alot of law suits with women feeling like they can do more than they should and getting injured, like falling down and getting hurt bc they were partially numb and unstable. With that kind i could see making your pelvis more sore bc you wouldnt realize how much pressure youre putting on your pelvis. You just have to really be aware of your body's position so you dont have preventable pain after the epi wears off.

[deleted account]

Cynthia- I was thinking and actually i think the best birthing position under the circumstance is on your back, holding under your knees and pulling them towards your chest with your chin to your chest. This way you dont have to really spread your legs but theyre out of the way. And also this position is really good for opening the pelvis. This is how I pushed my son out and it was the most comfortable.

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Liz - posted on 06/16/2011

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I had severe SPD with my last bubba which i delivered just over 6 weeks ago. I had an epidural & delivered him 6 hours later. I sometimes get a bit of that weird grinding feeling still in my pelvis but it is rarely sore as such :) It does settle down i promise. I sympathise with the extreme pain. I was constantly in tears for weeks (mine set in at 35 weeks) the support belt definately helps. & as i was running around after a 16mo toddler i needed as much help as i could get. Dont worry about your birth, you will be able to do it. the pain isnt as bad then for some reason :) hope this helps & congrats on your bub :)x

Anna - posted on 06/16/2011

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i had that in my second pregnancy with twins. 6kg of baby hurt. I had to sleep in my recliners and was doped up on panadine (and laxatives) and phenergan to help me sleep.

I had a vaginal delivery with my twins and they gave me an epidural so i didnt feel much. after they were born it was a relief but i still needed physio and exercises to help get back on track. 16 weeks later i can do everything i need to do.

Dia - posted on 06/15/2011

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hello i had the same when i was having my second child i can imagine how painful it is for u but i suffered until i had my baby and i delivered it in diff position it felt a bit awkward but thts the way..after baby i saw to physio they told me excersices tht helped me alot.

Sushmita - posted on 06/15/2011

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Hi!
I was diagnosed with the same around 2 weeks before I delivered (at 48 wks)... could barely walk and it hurt to sleep on the side. My doc told me to avoid sleeping on my back and try sleeping on the side with a pillow between my knees. Ask your doc about this though. Also, even though the doctor initially thought that that I might not be able to deliver on my back, the delivery went fine. I needed about a months physical therapy afterwards though and had to wear a sacroilleac belt.

User - posted on 06/15/2011

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Two suggestions...go see a chiropractor and an acupuncturist--both can help with balancing your body. A Hypnotherapist can also help with your stress about the situation which can affect your birthing experience. They can also help you handle the discomfort without the use of drugs. Good luck; sending healing vibes on the wings of angels to you!

Zoe - posted on 06/14/2011

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I had SPD and I won't lie, it was horrible. I was on crutches for around 10 weeks. I tried physio which didn't help, but seeing a chiropractor did. When it came to labour I was on my side with one leg resting on the bed and the midwife supported my other leg with her shoulder. It wasn't a pleasant experience, but I was lucky because my baby delivered very quickly. Good luck. X

Lauren - posted on 06/14/2011

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I can relate! I had SPD with my first pregnancy and shortly after birth, I felt great! NO PAIN...other than the obvious after delivering a nearly 10 lb baby! With my second pregnancy, the SPD pain started alot earlier than with my first. I suffered from about 12 weeks throughout the remainder of my pregnancy. My OB wasn't much help and offered me a support band, which didn't do a whole lot. I delivered my 2nd child naturally but don't remember any pain specifically from the SPD because my epidural didn't work and everything was painful! LOL! What I can tell you is that my 2nd child was nearly 11 lbs and I delivered him naturally without complications. However, the SPD did not start to feel better directly after giving birth, as it did with my first child. It was horrible. The nurses had to help me roll over in bed and lift my leg for me to help me to even get out of bed. My OB (again) wasn't concerned and said it would start to "feel better." Well, after 8 weeks PP I was still in alot of pain and I made an appointment with a physical therapist. The physical therapy did help, but not 100%. I was breastfeeding so my ligaments were still loose from the hormones and it wasn't until I stopped breastfeeding at 6 months did I finally start to feel some relief from the SPD. I am now 8 months PP and am not having constant pain on a daily basis, as I was before. I do have those moments where my pubic bone will "pop" or "grind" but it is only for a split second and not so much painful, but irritating. I wish you luck in your delivery and hope your pain subsides quickly after birth. I know how painful this is!!

Elisia - posted on 06/14/2011

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I had this too!! It was AWFUL!! I completely empathize!! Thankfully you are almost there!! I had a c-section b/c my son never dropped down through the birth canal, but like Stephanie said you should have a smooth delivery. The epidural will do WONDERS!!!! It was so nice!! I didn't feel a thing! I was texting friends and eating jello and smiling the whole time. LOL. Anyway, don't worry about the delivery. You will be fine, and the good news is, once that baby is born, you get immediate relief!!! Aaaaah!! So nice to have him/her OUT! :-) Good luck! :-)

Melanie - posted on 06/14/2011

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I have had this with all 3 of my Pregnancies. It is no fun at all, BUT If you get an epidural you will be fine to give birth. I did need to have the Dr use the "Salad Spoons" to get the baby's head around my pubic bones. I Highly recommend that you visit a Chiropractor! This made my other two births much easier! And my Pregnancies much less painful. It is VERY temporary, but if you get into the Chiropractor within a couple days of delivery then you will be glad you did!

Liz - posted on 06/14/2011

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I had SPD and ended up having a C-section at 28 weeks (this happened anyway due to malformation of my uterus and was unrelated to the SPD), so I cannot give you much help in relation to birth position.

What I can tell you is that you should definitely see a chiropractor, if you haven't already, as I found out AFTER the birth of my daughter that my pelvis became misaligned because of the SPD, which caused additional pain. This could have been put right by one visit to the chiropractor, even while I was still pregnant. If it happens to me again in subsequent pregnancies, that'll be my first port of call.

[deleted account]

i had this when i was pregnant with my youngest i had physiotheraphy but i can see that u have not got long left what has yr gp said have they referred u to see a consultant as they will be able to discuss methods of how to deliver the baby without u being in so much pain. normally people with this deliver on their fronts i think

Payal - posted on 06/14/2011

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I totally understand what you are going through. I had it after the delivery. it was BAD and to top it off my gynae thought I was in pain from delivery. They never thought I could get it during delivery. In your case I think the specialist will suggest C-Sec. It took 2months of extensive physiotherapy to get back to walking properly. It still bothers me sometimes - and it has been 2 yrs since the delivery. Good luck. Just remember that it does get better.

Trudy - posted on 06/13/2011

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I had it with all four of my pregnancies (@32 wks, 16wks, 8wks and 30 wks) and delivered them all naturally. Unfortunately all the physiotherapists I went to said was come back when you need a walking frame or crutches. But you can get a belt which helps. A good tip is when you get in and out of the car bed etc you should try to keep your knees together. Look after yourself and try not to get down on the floor too much. It comes right after the pregnancy. I was given Synflex, an anti-inflamatory which helped and was ok with breastfeeding. Take Care.

Samantha - posted on 06/13/2011

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Hiya! I had the same thing with my second child unfortunately it wasn't diagnosed until after I'd given birth (naturally and he was 9lb 8oz). I had another child after him and they advised to give birth naturally, but, after much discussion I elected for a C-section. I feel that giving birth naturally made this condition worse. Even now, 10 years on, I still get 'pelvis ache'. Hope it all goes well for you.

Rebekah - posted on 06/13/2011

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i had spd with m daughter when i was 32 weeks apx , i had pyhsio therpy and at 35 weeks had to go on crutches midwife told me because my bump was so big and baby was big and i also did morris dancing in the past which caused the tissue in my hip muscles to tear , weeks went on it becameun-bearable to walk to tjhe corner shop my cruthes came everywhere with me !! , but at 41 weeks and 3 days i gave birth natural labour with a 8lb 14oz baby girl :) just rest as much as you can and dont kneel of or bend down for as long and i also found th birthing ball help me alot rolling it round and doing different exercise really helped , hope everything goes to plan for you :) x

Mina - posted on 06/12/2011

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I know this is late but don't take any meds you don't know about you could have a reaction to it or hurt the baby go to the Hospital ER Please.

Dorota - posted on 06/12/2011

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I just sent you a private message Cynthia :) sorry you're in so much pain

Cynthia - posted on 06/12/2011

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thanks kara. i am going to deliver on Tuesday. but in this kind of pain that seems like years away.

Kara - posted on 06/12/2011

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If you are 39 weeks, your doctor shouldn't have a problem delivering your baby now. I'm not sure I would take something for the pain on my own, but surely they could deliver the baby and give you some relief. Also, I agree with what was said in other responses - make sure the nurses in the delivery room know you have SPD and don't try to pull your legs apart. Good luck!!

Cynthia - posted on 06/12/2011

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I wanted to ask if anyone knew if it was ok to take Lortab. i have one but I'm not sure. I am scared to take it even though my neighbor said it would be fine. i know it is irresponsible to take advice from strangers on the net about something like this but i am desperate for relief and i have this pill. anyone in this kind of pain should understand. what do you think?? my husband wants to take me to the er but my son is in bed. please dont judge me. i will make my own decision. after i get info. i just did not find much on google. and... its too late to call the doc.

Kara - posted on 06/12/2011

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I had SPD while pregnant with my 3rd child, who is turning two this week. I had never heard of it before I was diagnosed with it in my 5th month. I was lucky to have a doctor who had a few previous patients who had it also. He delivered me at 36 weeks because I was no longer able to walk. I was scared about the delivery also, but it went pretty well. I strongly suggest you get an epidural, because (at least for me) it would have been horrific to try and do it without. My pelvic exams were horribly painful, so I knew delivering would be too much without any kind of medication. My doctor was concerned about me walking afterwards, and although it was painful, it took about a week for things to start back towards normal for me. I was really sore for about 2 months, but things do go back to normal. I hope everything goes well for you - I totally feel your pain!!

Shannintipton - posted on 06/12/2011

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Anybody a nurse? We have a question? She is in some much pain. Can she take something I dont remeber what its called. Can she take it or is she too far along. Please any nurses out there could you please respond. Thank you in advance.

Jenny - posted on 06/12/2011

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Cheer up, and be hopeful! There are many natural birth positions that don't require spreading of the legs. However, they may require feeling in the legs. So, your midwife or ob will have a conversation with you about coping with discomfort and pain and yet being mobile to change positions, and even be on all fours.

Here are some suggestions: http://www.birthsource.com/scripts/artic...

Artwork and illustrations of positions for delivery:
http://www.transitiontoparenthood.com/tt...

Vanderbilt School of Nursing videos from nurse-midwives:

Pam - posted on 06/12/2011

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no danger. i remember working in the ob office and one of the midwives had it and she had it w/her previous 2 and had it w/her other 3. needless to say, she had an epideral, but no harm for baby. just hurts for momma. i hope you heal quickly and speedy delivery for you!!!

Trudi - posted on 06/12/2011

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I had SPD with both both my children, but far worse with my second and it started much earlier in my pregnancy. I know exactly how you feel and how incredibly hard and painful it is. However, I delivered both naturally - just make sure the midwives are very aware of your problem and they will be great. You need to be incredibly careful of not opening your legs to wide, but they willknow what they are doing, but have faith in yourself, if it really hurts you know it's wrong and tell them so. The really good news is, it does go away after birth, it varies from person to person in how quickly, but it will be far better than now. In the end it will just be a distant memory and you'll have a gorgeous baby to show for it. Hold on in there, you can do it, you're nearly there now - good luck!!

Quyen - posted on 06/12/2011

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yes!!!!...you need to get it adjusted by a chiropractor and then support it with pregnancy belt (it sits around your pelvis, holds it tight and helps take the pressure of your belly. Where do you live? ...Check out http://icpa4kids.org/ you might be able to find a chiropractor near you

Kelly - posted on 06/11/2011

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Brook, I totally agree. I have seen this many times as a chiropractor and have had a ton of success with them. Call a few in your area and ask if they have experience with pregnant women and if they work with any local midwifes, doulas and/or OB/GYN's. If they do they will have experience. If your still not sure talk to your OB you are definately not the first person they have had with this. If the OB is not chiro friendly, which some are not, just know that chiropractic is safe for pregnant women. As I said I work on pregnant women all the time, but the one thing I make a point to do is work WITH the OB's especially if their are any complications. Their are plenty of modifications that can be done by a chiro to ensure that you are getting the safest treatment possible. When I have a patient that has an OB that isn't as chiro friendly I use that as an opportunity to reach out to them and educate them on what we do. Once we talk they are always on board.

Brook - posted on 06/11/2011

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First of all, you absolutely must see a chiropractor that works with pregnant women. If the Chiropractor has indeed worked with pregnant women, then s/he will know exactly what you are talking about and exactly how to treat it. The adjustment is quick, relatively simple and absolutely works. Please know that I am not only a Student Midwife, a Birth Doula, a Prenatal Yoga Instructor and a Childbirth Educator, but also a mama to two lovely boys, both born naturally (and with both pregnancies I had really intense pain in my pubic symphysis).



I really do feel your pain, but please know that there really is help for it and you do not have to live with the pain and you certainly do not have to worry about how you will birth your baby (though I completely understand this fear as I felt the same way).



Blessings to you.

Brenda - posted on 06/11/2011

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SPD -I had major issues in my last 2 pregnancies. Support belts and belly bands, advice re how wide to open my legs when climbing or getting out of the car, physiotherapy all helped. I ended up having c sections - for different reasons - but all my research showed me that it's crucial to keep your knees supported during labour, avoid stirrups, don't allow anyone to insist on your opening your legs further than is comfortable. That's the only danger with an epidural. Lots of women deliver with no problem despite SPD. Don't let it ruin the end of your pregnany :)

Pauline - posted on 06/11/2011

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It sounds like round ligament pain that I had. It was terrible since I was 6/7 months and that hurts so much. I chose natural birth, pushed for two hours There was a time I couldn't bare the pains anymore and asked for epidural. I was told my "window" was gone and got I think it was morphine and it didn't even help..That was hard but once the baby was out all the pains went away. Though I tore and had couple of stitches but in a week I was pretty much back to my normal self.

I just hope your doctor will give you the best advice for you and good luck with your delivery...

Marisa - posted on 06/11/2011

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I also had PSD during my 2nd pregnancy but not my 1st. I was in excrutiating pain for the last few months of my pregnancy, but the physical therapist I was referred to told me there wasn't really anything I could do about it other than trying a few stretches and a belly band. None of which worked (they work for some, but not all). The good news is, it completely disappeared within 2 days of my delivery! I did natural childbirth, and did have alot of pain during my delivery, especially when I tried to change position. But, no more than during my first. (But, I should probably mention my delivery was only 2 hrs.) Good luck, and I'm sure you'll feel better after you deliver!

Hayley - posted on 06/11/2011

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Hi - I had this in 2009 when pregnant with my 2nd daughter, it was really painful & was noticeable from about 12 weeks although only a problem after 30 weeks. My midwife referred me to physio in the hospital who gave me the most enormous piece of tubigrip i have ever seen (belly support bands are much more flattering) but also showed me how to roll over & get out of bed which was really useful. I did deliver naturally (with the help of ventouse as with my 1st) and it only became a problem when i insisted on an epidural & I couldn't sit how they needed to put it in (flat on my bottom with my legs straight infront of me as all the weight was on my pelvis), after a battle with positions it paid off & I eventually gave birth to a healthy baby girl weighing 8lb 9oz 2 weeks early, I did though discover a few days later by the midwife, a gap of more that 10cm of the muscles in my stomach wall, (which i blame on the size of the baby) which despite being scary has actually caused me no problems so i assume it has repaired. Actually this pregnancy & labour was much better than the 1st, i know it sounds horrific at the beginning but if you can get the right support you should be fine.

Michelle - posted on 06/11/2011

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I had suffered from psd when I was pregnant with my twins. I was in physical therapy from tearing my acl at 16 weeks and after 4 weeks it got so bad I had to stop. The physical therapist didn't know how to treat it and neither did my ob/gyn. I had a c-section so I didn't deal with the labor pain. After I delivered the babies the spd was gone.

Shannintipton - posted on 06/11/2011

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Cynthia, wow look at all the responses. Are you feeling the love now? :)

Christin - posted on 06/11/2011

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Hi, I'm not sure if this is exactly what my sister had, but it sounds like it may be the same. Anyway, her pelvis was "separated", she explained to me that the cartilage was separating from the bone. She was in severe pain, trouble walking, sitting, etc. This happened with her 2 and 3 pregnancies. She did deliver naturally with no drugs but was allowed to labor and deliver in a tub. Her babies were fine and she did very well too, even better than her first delivery. Her babies were big too, oldest was 10.2 lbs, next was 8.5 lbs, and youngest 9.14 lbs.! I just wanted to offer some encouragement for you on dealing with this, it's painful and must be hard to cope. (((Hugs))) and good luck on a wonderful delivery!

Mia - posted on 06/11/2011

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Go see a chiropractor, but first tell them your problem and ask if they know how to treat it. I had it, too, it helped so much!

Leslie - posted on 06/11/2011

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I believe that is what I had although my OB always tried to say it was ligaments. Way more than ligaments. I went to the Chiro and he fixed it. I couldn't walk far without bad pain. I couldn't turn over in bed. Chiro fixed it. I am 12 weeks in my current pregnancy and have some achiness, but not like what I had before. Hoping it is better this time.



I was scared to deliever too. I ended up having a c-section for breech. So I am not sure how delievery would have been.

Jackie - posted on 06/11/2011

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Hi, I had spd after my first labour not in pregnancy with my first and in pregnancy with my second child. After my first labour and an epidural I couldn't walk or stand for more than a few mins, I was in a wheelchair and then on crutches for over a month. My first labour was long and the epidural meant I couldn't feel my pelvis or pubic bone being stretched too much. I had physio and a chiropractor helped too. I was advised for my second child to give birth in left lateral position which is on your side as you can't stretch your legs open too far and not to have an epidural as I wouldn't be able to feel if I was stretching my pubis bone too far. I did however give birth on all fours as it was really quick and gravity helps. I know how awful this is, but things will improve as the relaxin hormone leaves after a few weeks although you will still need a physio. Also a pelvic support band to wear helped a bit from the physio . Hope this helps, x

Zoe - posted on 06/11/2011

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So sorry for you, Cynthia! I had SPD too, and the pain of walking was so bad I ended up in a wheelchair. I saw a ton of doctors and alternative medicine people and didn't get much relief until I delivered the baby - And as soon as the baby was out, I walked around fine. The pain flares up every so often for a *second*, so I think I'm still a little out of alignment (3 years later), but the pain's nothing big at all. Delivered vaginally, on my back with knees to my chest. Chose epidural but not for SPD.

Tia - posted on 06/11/2011

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I had the same thing happen to me. It felt like I was going to be like that forever. After about a week and a half I was back at work. However I had to have a c-section. But you will be fine during the delivery. Just say a lil prayer, God will supply all your needs.

Cynthia - posted on 06/11/2011

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Thank you for all your help. maybe i will get to have a natural birth anyway but if not i'm not going to beat myself up, like you said i'm only human. thanks for everything,

[deleted account]

But, as soon as he came out the pain was gone...it was such a relief like this huge weight (literally!) lifted off me. I was able to get up by myself and go to the bathroom and everything...I hadnt done that in months. So maybe / hopefully when the baby comes out youll feel alot better,

[deleted account]

Yes but it wasnt entirely by choice lol. I was so miserable late in pregnancy I kept telling myself I just *might* give in and get an epidural but my labor with him was so fast that I was 8 1/2 cm when we got to the hospital so i was past the point of getting one. Im glad it worked out that way bc i did end up having him naturally but with the pain i was in i cant say that I wouldnt have taken the epidural if i could have. Im only human. ; )

Cynthia - posted on 06/11/2011

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i wanted to have a natural birth and i'm kinda sad now that i dont think that will happen. i am no good when it comes to pain. did you birth your son natural in spite of the pain

[deleted account]

You are very welcome. Good luck. When the endorphins kick in youll realize how strong you really are. You can do this.
I edited my previous comment to add more about the epidurals.
With my daughter my pregnancy was relatively easy but with my son it was miserable. I was in so much pain bc of nerve compression. I couldnt walk for the entire 3rd trimester and had a 1 year old to take care of so I know what youre going through and it's miserable.

Cynthia - posted on 06/11/2011

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it's all so scary. my 1st baby was perfect. i had no pain, no bleeding. i feel like i'm doing it all fro the 1st time now.
Thank you fro your help. i am sure i will get the epi. i would take one right now just for the pain i am in if i could. i'll remember what yo said about not opening my legs to far. Thank you very much.

[deleted account]

I dont think it could cause long term problems with SPD, it just might take longer for the soreness to wear off.



But there are alot of things that could go wrong with an epidural anyway. Severe headaches due to leaking spinal fluid, paralysis if they do something wrong, chronic vertebrael pain at the injection site, etc.

Cynthia - posted on 06/11/2011

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the internet, which i dont trust said that getting an epidural was not a good idea because it could cause long term problems. do you agree or disagree with that?

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