People generally know that pain with pregnancy is common. But what about the pain which may occur after the delivery? This is something that is generally not thought about or prepared for.
With pregnancy, the joints around the pelvis may become "loose" due to the hormone relaxin which is released throughout the pregnancy. Relaxin loosens ligaments so that the pelvis may spread far enough to deliver the baby through the vagina.
Some individuals may note pain near the pelvis during pregnancy if the pelvis is too unstable. This, however, usually resolves with physical therapy intervention. The pelvis generally becomes more stable post partum as the relaxin stops being produced. The ligaments become "tighter" and normal healing occurs.
Problems develop, however, when the relaxin stays strong within the system. Relaxin is generally in the system for 6-8 weeks after delivery or longer if the mother is breast feeding. This means that the pelvic area may be unstable for awhile post partum.
What
does this mean for the new mother? This means that she must protect
the pelvis so as not to strain a ligament around the pelvis and cause
the pelvis to become unstable. There are precautions to follow. Some
of these precautions include:
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Do not lift anything over ten pounds-this includes lifting an older child or lifting a laundry basket.
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Take caution in lifting the newborn baby out of the crib or bassinet.
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Do not ride a bike or run (which causes stress to the pelvis).
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Take caution with pushing or pulling heavy items.
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Take caution in going up and down stairs.
Again, the pelvis usually becomes stronger in the weeks following delivery. If you note that you continue to have pain or if pain develops shortly after delivery, ask your Physician if it could be your pelvis. If so, Select Physical Therapy can help you!
