Minor Problems of Pregnancy

Backache
Backache is due to the laxity of spinal ligaments and weight of the pregnancy causing an exaggerated lumbar lordosis. Pregnancy can exacerbate the symp¬toms of a prolapsed intervertebral disc, occasion¬ally leading to complete immobility. Advice should include maintenance of correct posture, avoiding lifting heavy objects (including children), avoiding high-heels, regular physiotherapy and simple analgesia (paracetamol or paracetamol-codeine combinations).


Symphysis pubis dysfunction
This is an excruciatingly painful condition usually occurring in the third trimester. The symphysis pubis joint becomes loose , causing the two halves of the pelvis to rub on one another when walking or mov¬ing. The condition will only improve after delivery, and the management revolves around simple anal¬gesia and, under the physiotherapist s direction, a low stability belt may be worn.

Constipation
Constipation is usually blamed on the effect of proges¬terone in slowing gut motility, but the physical weight of the gravid uterus on the rectum may contribute, as may concomitantly administered iron tablets. A high-fibre diet should be encouraged, increase daily fluid intake and a mild (non-stimulant) laxative such as lactulose may be suggested.