Backaches are common in the later stages of pregnancy. But, pain during a pregnancy is not normal and needs evaluation.
An ectopic pregnancy occurs when a fertilized egg is implanted outside the uterus. In most ectopic pregnancies the egg is implanted in the fallopian tubes - hence the name tubal pregnancy. Unlike the uterus, the tubes can not expand and stretch. The fetus will grow and develop but eventually will outgrow its surroundings. It then bursts through the tubal wall causing severe pain and life threatening bleeding. A true ectopic pregnancy will never grow to term. If you suspect that you have an ectopic pregnancy, go to your nearest emergency room facility immediately for an evaluation.
A dull backache can be an early sign of labor or preterm labor, but can also occur in healthy pregnancies.
Dull backaches often interfere with routine daily activities (walking, shopping, working) and the ability to get a good night's sleep. There are three reasons for developing back aches: extra weight, change in the center of gravity and hormonal effects. It is normal (and healthy) to gain weight during a pregnancy, but that weight pulls on the lower back muscles. Your center of gravity shifts forward as your baby grows. This results in an unconscious adjustment in your posture and the way you move. When you are pregnant your body produces a hormone called relaxin. This hormone softens and loosens the ligaments in your pelvic bones and hip joints. This helps your body prepare for the baby's birth.
Here are some tips for alleviating backaches during a pregnancy:
1. Do not take any over the counter medications while you are pregnant unless approved by your obstetrician. Some medications can effect fetal development or result in serious complications. Other medications are fine and do not hurt the baby. Your doctor will be able to tell you which ones are best for you.
2. Try a maturity support belt. They often help to relieve backaches and are available through various online sites and most department stores that carry maternity clothes.
3. Exercising will improve your mobility, strength and help to alleviate back aches from muscle tension. Exercises programs like Tai Chi and yoga offer the most benefits. It is important to avoid strenuous exercises or exercises that focus on speed. Use caution riding a bicycle as your weight has shifted and increases chances of falling. Remember: Drink plenty water especially when exercising- you want to stay well hydrated!
4. Ask your doctor for instructions on proper stretching exercises. It is important to stretch your back muscles, but not add extra stress to the uterus or your abdominal organs.
5. Some recent clinical studies have shown that acupuncture may help to decrease backaches. Get references and be sure that the acupuncture is properly licensed in your state.
6. Massage therapy and meditation also offer relief.
7. Try heat and/or cold compresses. Try warm wet towels or a heating pad. Heat therapy should be limited to fifteen minutes. Alternating ice packs with heat may offer additional relief.
8. Lastly, go slow. The tendency is feel the "need" to get everything done before the baby is born resulting in additional stress and anxiety. Stress causes the muscles to tighten and spasm. Take a deep breath and get plenty of rest.
9. Talk to your doctor about when to stop working. The decision to stop working will be based on the type of job you do, your age and risk factors.
10. Try sleeping on your side. Placing a pillow between your legs will help keep your spine in alignment and ease muscle tension.
