Pelvic pain during pregnancy can make a significant difference in your pregnancy experience. While pregnancy is a beautiful journey, it does come with its fair share of discomfort, one of the most common being pelvic pain. While some degree of pelvic discomfort is expected as your body adapts to support a growing baby, persistent or severe pain can be concerning. Understanding the causes and knowing how to manage pelvic pain can help you navigate your pregnancy journey.

What Causes Pelvic Pain During Pregnancy?

Pelvic pain during pregnancy can stem from several factors, including:

1. Round Ligament Pain – As the uterus expands, the round ligaments stretch and thicken, which can cause sharp or aching pain on the sides of the lower abdomen or pelvis.
2. Symphysis Pubis Dysfunction (SPD) – The pregnancy hormone relaxin loosens the ligaments in the pelvis to prepare for childbirth, sometimes leading to instability and pain in the pubic bone area.
3. Pelvic Girdle Pain (PGP) – This condition involves pain in the joints of the pelvis, including the sacroiliac joints and the pubic symphysis. It can be worsened by movement, such as walking, climbing stairs, or changing positions in bed.
4. Pressure from Baby’s Growth – As your baby grows, the added weight and pressure on the pelvic floor muscles can lead to discomfort or pain.
5. Braxton Hicks Contractions – These “practice” contractions can sometimes cause cramping and pelvic discomfort.
6. Urinary Tract Infections (UTIs) – Sometimes, pelvic pain can be a sign of a UTI, which requires medical treatment to prevent complications.
7. Preterm Labor – If pelvic pain is accompanied by regular contractions, lower back pain, or pressure, it may indicate preterm labor, which requires immediate medical attention.

IMPORTANT: If any symptoms seem abnormal, uncomfortable or unusual, or if you have any doubts or questions, seek immediate medical attention. We have physicians on call 24/7 to answer any questions or concerns. If your medical condition is urgent, call 911 or go to the emergency room. You can never be too careful.

How to Relieve Pelvic Pain During Pregnancy

While pelvic pain can be frustrating, there are several ways to manage and alleviate discomfort:

• Prenatal Support Belts – A maternity support belt can help relieve pelvic pressure and provide stability.
• Exercise and Stretching – Gentle exercises, such as prenatal yoga, Kegels, and pelvic tilts, can strengthen the pelvic muscles and improve flexibility.
• Warm Baths or Heat Therapy – Applying a warm compress to the affected area or soaking in a warm bath may help relax tense muscles.
• Rest and Proper Posture – Avoid standing for long periods and practice good posture to reduce strain on the pelvis.
• Use a Pregnancy Pillow – Sleeping with a pregnancy pillow between your knees can help keep your hips aligned and reduce discomfort at night.

When to Seek Medical Attention

While mild to moderate pelvic pain is common, certain symptoms require prompt medical evaluation:

• Severe or sudden pelvic pain that does not improve with rest.
• Pain accompanied by vaginal bleeding, fever, or chills (which may indicate an infection or miscarriage risk).
• Difficulty walking or moving due to intense pain.
• Regular contractions before 37 weeks, as this may signal preterm labor.
• Pain with urination or foul-smelling discharge, which may indicate a UTI or other infection.

Pelvic pain is a common pregnancy symptom, but you don’t have to suffer in silence. If you are experiencing discomfort, talk to one of our OB/GYNs or certified nurse midwives about ways to manage your symptoms safely. With the right strategies and support, you can have a more comfortable pregnancy experience.

At Cherokee Women’s Health, we’re here to guide you through every stage of pregnancy. If you have concerns about pelvic pain or any other symptoms, don’t hesitate to reach out for expert care and support at 770.720.7333. Or, simply schedule an appointment online.