Q: My friend suffered from pain caused by "pubis symphasis"
during her past five pregnancies. She is currently eight
weeks into her sixth pregnancy, and she's already
experiencing pain. Are there any exercises that can help?
Any magic cures (homeopathic remedies, etc.)? She broke her
coccyx during her first labour 16 years ago, but went on to
have normal, uncomplicated births with her fourth &
fifth children. Her youngest child will be two when the new
baby arrives. Her birth was extremely fast (40 minutes). Is
homebirth an option?
-Chamutal
UK
====
A: In osteopathic medicine, some very simple manipulations
can be used to "reset" the cartilage of the pubis symphysis.
A D.O. in your area who is skilled in osteopathic
manipulative medicine (OMM) may be able to offer some relief
(and, perhaps, teach her some muscle energy techniques to do
at home).
-Tami Michele, med. student
====
A: SPD is the new discovery in the U.K. Where I work there
is one of the highest instances. Things that can help:
-Rest!
-Sleep on a slippery sleeping bag so you can turn over
easily in bed
-Try not to abduct hips
-Sit on a plastic bag in the car so you can slide when
getting out
-A pelvic support like a girdle reduces pain
Homebirth is no problem; just be careful about abducting the
hips. Use a piece of string to measure how far you can
comfortably open your legs. Use the string in labour so as
not to allow anyone to open your legs more than this
distance! --If the condition gets quite bad you may need
crutches. Hydrotherapy is really useful.
-Julie
Reprinted from Midwifery Today E-News (Vol 2 Issue 26 June 28, 2000)
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