A pregnant woman has severe back pain. Why does the lower back hurt during pregnancy, and what to do? Relieving Lower Back Pain During Pregnancy - Physical Activity

Pregnancy is a period when a woman does not get tired of listening to the changes taking place in her body. The occurrence of pain during this life stage can be both the norm (the result of physiological changes) and a sign of a pathology that requires a doctor's consultation.

Most often, pregnant women complain of back pain. Usually these are patients who are overweight, leading a sedentary lifestyle and women who had similar problems even before conceiving a child. The pain in this case can be of a different type: stabbing, shooting, aching, cramping, spasmodic, radiating to the leg, etc. But there are a number of other causes that cause back pain, and they should be discussed in more detail.

Important:the appearance of back pain (even if they are of a physiological nature) requires an appeal to specialists, since in this case one cannot miss the onset of the development of the disease.

Causes of back pain during pregnancy

Back pain is typical for the first trimester of pregnancy, which is associated with an increase in the level, which has a relaxing effect on the ligaments and muscles of the uterus, which shifts the internal organs, shifts the center of gravity. Such pain usually stops by the 20th week of pregnancy. The action of the hormone is physiological in this case, since it prepares the birth canal of a woman for the process of childbirth, and after them everything gradually returns to normal.

note: the growing uterus in pregnant women disrupts their balance, which changes the manner of gait and posture: the shoulders are retracted, the neck is bent, because the back has a greater load than usual. As a result, the muscles of the lumbar region are constantly tense, which is manifested by pain.

to physiological causes of back pain caused directly by pregnancy, and not having a pronounced negative impact on the health of a woman and her unborn child, include:

  1. Weight gain. With an increase in body weight during the period of bearing a child, the load on the legs and lumbar also increases.
  2. Softening of the ligaments between the vertebrae. They relax as a result of the action of relaxin relaxin (a hormone) that prepares the pregnant woman for childbirth, which causes back pain. Normally, they are observed only in the first half of pregnancy.
  3. Growing uterus. As it increases, it compresses the nerve endings and blood vessels that surround the spine. The appearance of such pain is typical in the third trimester, when a woman is in a supine position.
  4. Changecenter of gravity. This reason has been discussed above.
  5. Prolonged standing. Such a load leads to tension in the back muscles, a change in posture and pain that disappears after rest.
  6. False contractions Braxton Hicks. They are considered physiological, start at 37 weeks and are a sign that a woman's body is preparing for childbirth. In this case, the uterus from time to time comes into tone, there are aching pains in the abdomen and back (lower back).
  7. Lowering the baby's head Back pain in this case is the result of pressure on the fetal head, which descends into the small pelvis and compresses the nerve endings. It occurs at a later date.

Pathological causes of back pain during pregnancy are the result of existing diseases in future mother. They require mandatory examination by a specialist and treatment.

It could be:


Treatment of back pain in pregnancy

Note:physiological pain in the back does not require treatment. Treatment of back pain during pregnancy, accompanying some kind of pathology, should be carried out taking into account their cause.

The therapeutic regimen for various diseases includes:

Pregnant women who have back pain, and are at risk of having it, should follow the general recommendations:

Important:back pain will help eliminate exercise for pregnant women. They should be performed regularly to strengthen the muscles of the abdomen and thighs.

Prevention

The goal of preventing back pain in the expectant mother is a healthy and active image life, both during and before pregnancy. That is why you should not give up fitness activities, moderate physical activity every day, because they will help prevent diseases that cause back pain.

Strengthening exercises should be started as early as possible. Training the necessary muscle groups will minimize the likelihood of developing back pain during pregnancy. Adequate physical preparation is also the key to a successful birth. It is important to monitor your posture, walk without slouching, sit correctly from the first months of pregnancy. It is also worth avoiding stressful situations, as nervous shocks exacerbate any chronic diseases and provoke attacks of pain.

The lower back during pregnancy often serves as an indicator of health, reacting to various physiological and pathological conditions. The main symptom is usually pain that appears in the lower back. But the causes, consequences and methods of treatment are always completely different, since there are extremely many mechanisms for the formation of this symptom. After the conception of a child, the process of uterine growth begins actively, proportional to the development of the fetus. In a woman's body, in response to an increase in intra-abdominal pressure caused by the growth of the uterus, numerous adaptive changes occur.

Etiological aspects of pain in the lower back

The causes that lead to the appearance of pain during pregnancy in the lumbar region can be very different. Below are the main etiological factors that affect the appearance of pain in the lower back in pregnant women.

  • Kidney pathology. This should include nephropathy, urolithiasis, pyelonephritis of pregnant women, as well as autoimmune processes in the renal parenchyma associated with complications of gestation.
  • Pathology of the musculoskeletal system. The compression of the spinal column by the growing uterus leads to an exacerbation of degenerative-dystrophic processes. The most striking example is osteochondrosis of the spine.
  • Pathology of the uterus. Hypertonicity of the posterior wall, which often accompanies a pregnant woman, is manifested precisely by pain in the lumbar region.
  • Myositis. Inflammation of the muscle tissue of the lumbar region. A common problem not only in pregnant women, but also in ordinary people both sexes.
  • Pathology of the ovaries. Inflammatory changes in the female reproductive system progress during pregnancy, as local immunological reactivity decreases. This is how adnexitis, oophoritis and often even banal cervicitis appear.

The list can be continued with rare causes, including vascular pathology in the basin of the Adamkevich artery, irradiation of pain from the gastrointestinal tract, systemic connective tissue diseases, and many other pathological processes. It is extremely difficult to independently determine the etiological basis of lower back pain, so any manifestations should be considered potentially dangerous and immediately consult a doctor.

Clinical picture of various types of pain syndrome of the lumbar zone

Since the causes, due to the impact of which the lower back aches, are different, the symptoms are always different. A common nuance that unites all etiological aspects is only the very fact of the presence of pain. Due to the peculiarities of the anatomical structure of the urinary system, problems with the kidneys are more likely to occur during the cold season. Inflammatory diseases - pyelonephritis in pregnant women occur with the following characteristic features:

  • the pain is constant, aching, sometimes quite strong;
  • there is no irradiation;
  • no vaginal discharge;
  • often accompanied by pain when urinating;
  • the temperature rises;
  • clear connection with hypothermia.

If the inflammation in the kidneys is purulent, then impurities in the form of flakes and turbidity are visible in the urine.

Pyelonephritis is a dangerous condition that threatens the development of intoxication and renal failure.

Hypertonicity of the uterus, especially in the early stages, is often manifested by pulling pains in the lower back. At the same time, the rectum can be irritated, which changes the nature of physiological functions. Pain is not permanent, may increase or decrease depending on the impact of environmental factors. There is no temperature, and the appearance of discharge always indicates the seriousness of the problem. The very concept of "hypertonicity" implies increased muscle tension. This is clearly visible on palpation of the abdomen - the uterus is hard to the touch, sometimes painful when touched by hands.

Characteristics of pain in the lumbar zone in the pathology of the spine

The importance of osteochondrosis during pregnancy cannot be underestimated. Although the disease does not seriously threaten the life of a woman, the pain syndrome sharply limits movement and lowers mood. The main clinical manifestations of the disease are listed below:

  • severe pain, sometimes unbearable, sharply intensifying with the slightest movement;
  • often occurs when large sizes uterus - in the second and third trimesters;
  • radiates to the leg and buttock;
  • never accompanied by fever;
  • the general condition of the woman practically does not suffer;
  • the lower back is painful on palpation, and the abdomen is absolutely intact.

The insidiousness of the problem in the pathology of the musculoskeletal system lies in the fact that back pain is extremely difficult to stop. The usual group of drugs (NSAIDs) used for any person is not available, as it is contraindicated in pregnancy. Therefore, often the pain syndrome is delayed, and completely disappears only after childbirth. Fortunately, osteochondrosis of the spine usually does not affect the fetus.

If the stomach and lower back hurt at the same time, then this condition is categorically not typical for the pathology of the musculoskeletal system. Uterine hypertonicity, as well as acute gynecological pathology, should be excluded. Adnexitis and even ovarian apoplexy occurs, although not often, but quite regularly in medical practice. But in each case, the situation really threatens the life of the woman and the unborn child, and therefore requires immediate diagnosis and treatment.

How to diagnose pain syndrome

If a woman has back pain during pregnancy, then the exact etiology of this problem must be established. Not only therapeutic measures depend on this, but also the prognosis for the birth of a healthy baby. Since there are many causal factors, the whole complex of diagnostic procedures is prescribed. These should include:

  • blood test;
  • Analysis of urine;
  • ultrasound scan of the pelvis;
  • vaginal examination with smear examination;
  • Ultrasound of the abdominal cavity;
  • MRI of the pelvis or spine in complex cases.

Of the generally accepted examination methods, only radiography is not used, since radiation can harm the fetus.

Be sure to take into account the clinical picture of the pain syndrome. If the lower abdomen aches, and the pain radiates to the lower back, then the problem is probably due to the hypertonicity of the uterus. The diagnosis is confirmed by ultrasound. You can do an ultrasound at any stage of pregnancy. If there are acute pains in the lower back, aggravated by physical activity, with no changes in the analyzes, pathology of the spine should be assumed. Fever and leukocytosis in the urine, as well as expansion of the pelvicalyceal complex on ultrasound, indicates the presence of pyelonephritis.

How to relieve pain in a pregnant woman

In all situations when a pregnant woman's back hurts, medical assistance is required. Drug therapy is far from always needed, but it is important not to miss the moment associated with a threat to the life and health of a woman. With the initial degree of hypertonicity, psychological peace, friendly supportive relationships in the family and restriction are needed. physical activity. This is usually enough to completely stop the pain syndrome.

If the lower abdomen is pulled, and the pain spreads to the lumbar region, then there is a reason for concern and the appointment of drug therapy. Since there are many causes of an unpleasant condition, therapeutic actions are carried out according to the results of the diagnosis. With pain syndrome, complex treatment includes the appointment of the following groups of drugs:

  • simple analgesics - paracetamol, metamizole;
  • antispasmodics - drotaverine;
  • hormones - synthetic progesterone;
  • vitamins;
  • antibiotics in the presence of active bacterial inflammation in the kidneys or the female reproductive system;
  • tocolytics, if necessary, further relax the walls of the uterus.

The list of allowed drugs can be continued, as the choice of medication is carried out by an experienced doctor.

Even rubbing cannot be used on its own, as they may contain non-steroidal anti-inflammatory drugs, which are absolutely contraindicated during pregnancy. It is also unacceptable to use widely used antibiotics inside.

Even one tablet of fluoroquinolones can cause irreparable harm to an unborn child, although these drugs are always successfully used to treat pyelonephritis in men and women. You can take only paracetamol on your own if you have a reliably known diagnosis of osteochondrosis.

What affects the prognosis in pain syndrome

The question of why the lower back hurts during pregnancy should be on the agenda of a woman and her relatives from the first moment of the development of an unpleasant symptom. How early a problem is detected depends on further fate future child. If the painful condition is due to the pathology of the musculoskeletal system, then it will be extremely difficult to stop negative sensations. However, the situation practically does not affect the process of pregnancy and the birth of a healthy child.

At the same time, even mild pulling sensations in the lower abdomen, accompanied by vaginal discharge and lower back pain, require an early visit to the doctor. This situation directly threatens the further progression of pregnancy. The presence of fever can also negatively affect kidney function, so pyelonephritis necessarily requires complex treatment. You should not be afraid of using medications during pregnancy - in most situations it is justified and does not carry a serious risk to the fetus. Indeed, in the end, it is important that the expectation of the baby be happy, and this state is easier to achieve without pain in the lumbar region.

Back pain is experienced by almost ¾ of all women, regardless of the timing of pregnancy. If this is observed in the later stages, then, as a rule, everything is attributed to weight gain, which leads to a large load on the back muscles. However, what to do if your back hurts during early pregnancy? Should mom be worried about this?

Causes of back pain during the first trimester

It is generally accepted that pain in the lower back can be one of the first signs of pregnancy. In part, this is true. The fact is that already in the first weeks of pregnancy, the uterus quickly increases in size, and therefore, the muscles and ligaments that support it begin to stretch, which causes discomfort in the lumbar region.

However, pain in the first trimester can be of a different nature and not always their causes are harmless.

Physiological pain

  • At about 9 weeks, the body of the future mother begins to actively produce the hormone progesterone, whose task is to maintain the growing fetus and prevent unauthorized termination of pregnancy;

Therefore, if in the period from 9 to 12 weeks you feel such ailments, then do not worry. This is just another confirmation of the normal course of pregnancy. As a rule, by the 12th week, the woman's condition should return to normal.

  • However, if before pregnancy you suffered from such ailments as osteochondrosis, lumbar scoliosis, spinal stenosis or intervertebral hernia, then the pain syndrome in this case will be quite intense and will accompany the expectant mother until the birth itself.

pathological pain

The reasons why your back hurts during pregnancy are not always so harmless. In some cases, the cause lies in the disease or pathological condition of the body. These include:

  1. Development ectopic pregnancy(Related article: How to identify an ectopic pregnancy?>>>). As a rule, in this condition, the pain is one-sided and can radiate to the rectum, less often to the scapula. This is how tubal abortion works. Half of women with ectopic pregnancy experience bloody issues from the vagina;

Important! If such a condition was not detected in time, then a rupture of the fallopian tube is possible, as a result of which there is a sharp pain, a fall blood pressure and pulse, loss of consciousness. In this case, the woman needs urgent surgical intervention.

  1. Risk of miscarriage. In this case, a woman needs to pay attention to other accompanying symptoms:
  • pain in the lower abdomen;
  • bleeding from the vagina, regardless of their intensity;
  • nausea (do not forget that nausea can also be a common companion of a pregnant woman. Read about it in the article: Nausea during pregnancy >>>).

To prevent discomfort during this period, try:

  1. Avoid wearing high heels;
  2. Watch your posture;
  3. Find time to relax during the working day;
  4. Do not stay in one position for a long time (sitting or standing);
  5. If there are no contraindications, then you need to do gymnastics, which is suitable for pregnant women. Swimming is equally effective.

Causes of back pain during the second trimester

Physiological causes

If your back hurts during the second trimester of pregnancy, then most likely this is a manifestation of an actively growing uterus and muscle tension in this area. Most of all, those who spend most of the working day in one position (sitting at the computer or standing at the counter) are most susceptible to this.

Another cause not associated with pathology is weight gain. If in the first trimester you had toxicosis, then the weight gain was insignificant. In such situations, the body tries to catch up, and a pregnant woman during the second trimester is able to gain from 5 to 10 kg, which cannot but affect the condition of the spine and lumbar muscles.

To prevent this, you need:

  • pay attention to your diet by adding more calcium-rich foods to it. By the way, a lot useful information you can get from our course: The secrets of proper nutrition for the expectant mother >>>;
  • you need to get up or sit down smoothly, without jerking;
  • during work, change the position of your body more often;
  • while sitting, lean back against the back of a chair;
  • do not lift heavy objects;
  • do gymnastics.

Pathological causes

This period is characterized by an exacerbation of various chronic diseases that could disturb the expectant mother even before pregnancy. If you feel that your back hurts in the second trimester of pregnancy, then these may be manifestations:

  1. neurological diseases;
  2. chronic diseases of the musculoskeletal system;
  3. kidney problems such as pyelonephritis or kidney stones.

Causes of the third trimester

According to statistics, one in three women who are in an interesting position, back pain during pregnancy in the third trimester.

Physiological causes

  • The main cause of back pain during pregnancy after 27 weeks is the manifestation of weight gain by this time and an increase in the volume of the uterus, which begins to put pressure on the surrounding organs and muscles;
  • By about 30 weeks, the center of gravity in a pregnant woman shifts. Therefore, when walking, it leans back and the lower back is subjected to increased stress;

In the last weeks, discomfort in the lower back is often associated with the preparatory processes of the body for the upcoming birth and the beginning of the divergence of the bones of the pelvis and sacrum. Also, if your lower back hurts during pregnancy after 37 weeks, then it is likely that you are starting labor and it's time to go to the hospital. Read the article

Pregnancy is stressful for all body systems. Hormonal changes and additional load cause discomfort and pain in various parts of the body. For example, almost all women with more or less intensity back pain during pregnancy.

Why is this happening? Can pain be avoided? Is it worth it to endure pain and in what cases should you definitely consult a doctor? You will get answers to these and other questions after reading this article.

Back pain during pregnancy - the main causes and nature of pain

The back can hurt both in early and late pregnancy. Pain caused physiological and pathological reasons.

Physiological causes- These are natural factors caused by hormonal and metabolic changes in the body.

Pain is often caused by a hormone relaxin. This substance is produced in all pregnant women and increases the elasticity of the pelvic and sacral ligaments. Without relaxin, the child simply will not pass through the birth canal.

The second natural reason is an increase in the size and weight of the fetus in the later stages of pregnancy. The heavier the fetus, the greater the load on the spine. In this case, the center of gravity of the body shifts, and the uterus increases in size, which leads to compression of the nerve endings. This causes pain, sometimes very intense.

Also in the later stages, so-called “trial” or “training” contractions often occur - in this way the body prepares for childbirth. This also causes severe pain and not only in the back, but throughout the pelvic-lumbar girdle.

Pathological causes are more dangerous and almost always require professional attention. Severe back pain in early dates fraught with the threat of miscarriage, so it is necessary to notify the gynecologist about them.

Most frequent pathological causes pain:

  • diseases of the spine - intervertebral hernia, protrusion, osteochondrosis;
  • infectious and inflammatory diseases of the kidneys and other organs of the genitourinary system - pyelonephritis, cystitis, glomerulonephritis;
  • gynecological diseases;
  • diseases of the digestive system - cause girdle pain;
  • neoplasms;
  • hypothermia;
  • cardiac pathologies - pain gives in the area of ​​\u200b\u200bthe shoulder blades.

The nature of pain is varied, as are the causes of pain. The pains are aching, constant, sharp, muscular, localized in the coccyx or in the left / right half of the back, in the lower and upper parts. The intensity often increases as the duration increases.

In the early stages, these are usually aching and short pains in the lower back, similar to menstrual periods. In the later stages, the lower back and back muscles hurt along the entire length. In a horizontal position, pain decreases or disappears completely.

Sometimes the back hurts not due to physiological causes or pathologies, but due to excessive stress. For example, you work too hard or exercise excessively. Lifting weights also does not help to relax the spinal muscles and ligaments, especially during pregnancy.

The most likely causes of pain are related to physiology: muscles and ligaments do not have time to adapt to rapidly changing weight. However, you can not make a diagnosis on your own - if the pain has appeared and manifests itself more or less constantly, medical diagnosis is required.

Diagnosis of back pain during pregnancy

Diagnostic methods during pregnancy differ in many ways from conventional studies. In order not to harm the health of the fetus and mother, only sparing instrumental and laboratory procedures are used.

These include:

  • general clinical blood test;
  • blood biochemistry;
  • Analysis of urine;
  • Ultrasound of the abdominal cavity, pelvic region, kidneys;
  • bacteriological culture (smear) - determines the state of the vaginal microflora and detects infectious agents;
  • prenatal screening.

Diagnostic measures are prescribed by the doctor on the basis of examination and conversation (clarification of symptoms). An experienced specialist is able to make a diagnosis without additional research, but in order to prove his case, he needs mandatory scientific confirmation.

If the analysis does not show signs of inflammation and infection, then the pain is caused by physiological causes. In this case, competent conservative treatment is required - physiotherapy, nutrition correction, lifestyle changes.

If in the blood high level leukocytes, elevated ESR, there is protein in the urine and other inflammations and infections, further tests are prescribed to determine the primary cause of the disease.

Diagnostic methods such as CT and MRI, punctures for taking amniotic or cerebrospinal fluid are prescribed to pregnant women only when the benefits of these procedures obviously exceed possible harm for a child.

Therapeutic procedures depend on the diagnosis. If the causes of pain are pathological, the doctor prescribes therapy. Usually this drug treatment anti-inflammatory drugs, safe antibiotics, auxiliary drugs, depending on the identified pathology.

Pain of a physiological nature is eliminated at home, outpatient procedures are less often prescribed - for example, professional massage.

So how do you ease the pain? Consider methods with a proven therapeutic effect.

Back exercises

Therapeutic exercises, if performed correctly, will strengthen the muscular corset and quickly relieve pain. But you can't exercise without consulting your doctor.. Ideally, the gynecologist should develop an individual gymnastic complex for you.

Exercise will not only relieve symptoms, but also prepare the muscles, joints and ligaments for the upcoming birth. If you want the maximum therapeutic effect, buy a subscription to special classes for pregnant women. Individual lessons with an instructor will reduce the likelihood of injury and errors during exercise.

Homework is also effective if done correctly. You only need a rug, light dumbbells and a special ball for gymnastics - a fitball.

Exercises for pregnant women with a fitball in this video:

Back massage

Massage is useful for a person in any condition, but during pregnancy it should be performed exclusively by a competent massage therapist and only as directed by a gynecologist. The best option is when the doctor himself finds a specialist for you and explains to him the specifics of your condition.

Massage is not prescribed in the first trimester, since this is the most dangerous period in terms of the baby's vulnerability. In the second and third trimesters, a woman can no longer lie on her stomach. Therefore, massage is done in a sitting position or lying on its side.

Correct posture for sleeping

It is clear to all pregnant women that you cannot sleep on your stomach. This is dangerous for the health of the fetus, and inconvenient for the expectant mother. Already from the third month, women are forbidden not only to sleep, but even just to lie on their stomachs.

However, sleeping on your back during pregnancy is also impossible.. In the supine position, the uterus, enlarged in size, begins to put pressure on the internal organs, causing pain in the pelvic, abdominal and dorsal regions. In addition, it is fraught with insufficiency of cardiac circulation - in this position, the vena cava is clamped.

The safest sleeping position for pregnant women is on the left side with a special pillow between the legs for comfort. And don't be afraid to accidentally lie on your back while you sleep. Nature is wise - in this position you will not lie for a long time.

Swimming

Swimming is no less useful for pregnant women than gymnastics. I think there is no need to say that pregnant women should swim with caution and under supervision.

Proper nutrition

Oddly enough, but nutritional correction not only normalizes weight, but also relieves back pain. A full intake of essential vitamins and microelements into the body has a beneficial effect on strengthening muscles and ligaments, which eliminates pain symptoms.

Bandage

Excessive stress on the spine is the most common cause of back pain during pregnancy. A bandage will help relieve or completely eliminate pain.. Modern models of bandages are comfortable, light, aesthetic. They are easy to pick up in accordance with the size and features of the figure.

Do not wear a bandage all the time: it threatens the appearance of stretch marks on the abdomen. Wear occasionally - for example, during long walks.

When back pain is the norm, and when you need to sound the alarm

Even pain that occurs naturally requires therapeutic action. Painful sensations disturb sleep, deprive of peace of mind and provoke the development of depression. It is all the more important to eliminate the causes of pain in pathological conditions.

Pain in the first or second trimester, which has a specific pulling and aching character and is localized in the lower back, often serves as a harbinger of miscarriage or ectopic pregnancy. And if they are accompanied by premature contractile activity, you need to see a doctor urgently.

The mandatory intervention of professionals requires any inflammation and infection of the urinary and reproductive systems. If the pain is accompanied by vaginal discharge of any nature, go to the gynecologist right now.

How to reduce the load on the back - proven ways

Less stress means less pain. The first tip from the experts to reduce strain on your back muscles is to wear comfortable clothing and shoes. Pregnant women should definitely not wear heels, even small ones, and definitely not wear tight, tight clothes.

The second tip is to rest more during the day. If you are used to intense physical labor (in the garden, in the garden, around the house), then during pregnancy you will have to change your habits. Intersperse physical activity with periods of rest.

It is forbidden to lift weights or move heavy objects: even 2 kg in late pregnancy is an excessive load. Let the husband lift the weight.

Summing up

The back hurts during pregnancy most often for natural reasons - the muscles do not have time to adapt to new conditions. But sometimes the causes of pain are pathological in nature and require qualified assistance.

In any case, your gynecologist should definitely know about pain in the back, whatever they may be. Contact him even with a slight deterioration in well-being.

Be healthy and see you soon!

What to do when the stomach stiffens and the lower back hurts during late pregnancy in the third trimester.

On the way to the happiness of motherhood, the body and the future mother herself have to go through heavy loads and trials.

The last trimester is the most difficult period before the final throw. For the lower back, the last trimester of pregnancy means a constant load and pain.

fetus in the womb b develops rapidly, the main systems of vital activity are formed, demanding more and more from the mother's body, which entails physiological changes that are natural, no matter how unpleasant they may appear for a pregnant woman:

  • lumbosacral pain, - due to the wearing of ever-increasing weight, softening of the hip ligaments, which prepares the way out for the child;
  • false contractions- painless, similar to the training of real childbirth, but rare, with a long period of time;
  • breast augmentation and the allocation of colostrum from it;
  • vaginal discharge, but insignificant;
  • fatigue;
  • need frequent urination - already a large fetus presses on the mother's bladder;
  • constipation and heartburn- the muscles of the digestive tract are weakened;
  • haemorrhoids- observed in almost all women;
  • phlebeurysm- the flow of blood circulation increases, red meshes of veins form on the skin;
  • moderate swelling- a little ring, shoes are tightening.

Important! The above phenomena are natural in their manifestation to a certain moderate degree, when they do not stop the life rhythm of a woman.

Pathological changes are changes that exceed the permissible norm.:

  • backache, unbearable pain associated with the development of diseases of the musculoskeletal system;
  • strong painful contractions - a signal of a threat to the fetus;
  • copious discharge of a strange kind;
  • increased swelling - the danger of preeclampsia;
  • pain, burning during urination - the risk of infections Bladder and kidneys.

In any case, if there is a feeling that something has gone wrong, you should communicate your suspicions and doubts to the observing doctor.

27-28 week

The uterus rises even higher, shortness of breath and dizziness may appear. The time of active growth of the fetus. During this period, he weighs about a kilogram and back pain increases significantly.

The growing uterus begins to press on the sciatic nerve, located in the pelvic cavity. Lumbar pains begin to descend down the thigh down to the calves. Fluid accumulates in the body, swelling occurs that compresses the nerve endings. Numbness and convulsions may appear. In the body of a woman there is not enough calcium, which provokes cramps in the limbs.