Low backache is a common condition in pregnancy, and doesn't generally indicate a problem. Don't think you have to suffer through it, though. Often, stretching exercises and adequate exercise can significantly relieve back pain. Call your doctor or midwife, though, if you experience severe pain, which can indicate a more serious condition.
Causes
Low backache in pregnancy is caused by the weight of the baby and the uterus placing pressure on your back and digestive organs. If the baby is in the occiput posterior position, with his face facing the front of your uterus, you may feel more pain as the back of his head rubs against your back. The hormone relaxin has a softening effect on joints and muscles, which can also contribute to back pain. Occasionally, more serious conditions can cause back pain.
When to Call the Doctor
Backaches during pregnancy can range from a dull ache at the end of the day to sharp, knifing pain that extends down your legs. This pain usually occurs in late pregnancy, when the baby is sitting on your sciatic nerve. Consult your doctor or midwife if you experience sharp pains that come on suddenly or are accompanied by fever or bleeding. These pains may be an indication of an infection or impending miscarriage.
Relieving Back Pain
Stand up straight and tuck your tailbone under. Many women have poor posture during pregnancy, which can contribute to lower back pain. Take a walk and get moving, stretching your back through yoga or other exercises. Swimming or a warm bath can also relieve back pain by temporarily reducing the weight on your back. Wear good shoes and carry a light purse. Sleep on your left side and use cushions to support the weight of your body. Visit a chiropractor or get a massage from a practitioner experienced in prenatal massage. Both can do wonders for lower back pain.
Changing Baby's Position
Your midwife or doctor can tell if the baby is "face-up." If the baby is in an occiput posterior position, you'll feel more uncomfortable in late pregnancy and you may have a prolonged labor, as well. Fortunately, there are things you can do to encourage the baby to change position, although some babies stubbornly resume the face-up position in spite of your best efforts. Swimming often is enough to turn a baby, or try spending time on all fours. Sit on a birthing ball or squat. You'll immediately feel better once the baby turns positions.
References
- "The Natural Pregnancy Book"; Aviva Jill Romm; 2003
- "Great Expectations"; Sandy Jones, et al.; 2004
- American Pregnancy Association: Back Labor
