Symphisis pelvic dysfunction in pregnancy

Symphysis pubic dysfunction (SPD) is the name given to the altered position of joints in your pelvic area that may take place in pregnancy due to pressure from your growing baby and the pregnancy hormone, relaxin, affecting your bones and muscles within your groin.

It happens so your baby’s head can more easily fit through your pelvis but rarely, a complete separation of the symphysis pubis (the lower joint of the pelvic bone) can occur. This can reduce your mobility and cause pain.

The main symptom of SPD is pain in the pelvic area, often at the front but possibly felt throughout the lower back, hips and groin. It’s usually difficult to open your legs wide and you may also hear your pelvis making a clicking sound, as you move. As even simple activities like getting into the bath can be a huge ordeal, it’s important to seek help and support. Your OB-GYN or nurse-midwife may refer you to a physiotherapist or chiropractor. In the short term, you may find some relief from a pelvic support belt, which helps to hold you together so to speak.

It’s important that you don’t overdo things when you have SPD. Take care to rest regularly and if you feel pain, try to stop whatever movement may have triggered it. Take care to dress carefully and don’t overextend your legs by climbing stairs as you would normally (try putting both legs on the same stair at same time) or doing breaststroke when you visit the pool.

When you go into labor, make sure your caregivers know you have SPD. You’ll need to avoid squatting – pushing on all-fours or while lying on your side will be the best options for you. If you have an epidural your pain will be masked, so make sure your legs aren’t held in positions that might make your condition worse.

If you have any unanswered questions, use our answers page to gain wisdom from other moms or our resident experts for this or any other issues you may be having during your pregnancy.

The information in this feature is intended for educational purposes only. If you have any concerns about your health, the health of your child or the health of someone you know, please consult with a doctor or other healthcare professional.

Related Articles

• Guide To : Trying for a baby: Am I Pregnant? (Some signs of pregnancy)
• Guide To : Pregnancy: Pelvic Floor Exercises
• Mum Health: Pelvic floor exercises
• Guide To : Pregnancy: Symphysis pubis dysfunction
• Third trimester: How can pelvic floor exercises help?