My 2nd last post as #diaryofamomtobe
However, if it starts to hurt, we shouldn’t brush it off with these reasons.Such a condition that causes pain in the pelvic joints can affect up to 1 in 5 pregnant women, and its recognised as Symphysis Pubis Dysfunction (SPD) or Pelvic Girdle Pain (PGP).
During pregnancy, your body produces a hormone called relaxin, which softens your ligaments to help your baby pass through your pelvis during delivery. Well, have you ever wondered how a woman is able to lift her legs up so high towards her chest for a normal delivery? Yes I have, and I’m sure I’m not the only one haha! I was thinking, ‘I’m not even close to doing a split, so how will I be able to hold that position comfortably?’ Naturally, you will become more flexible as your body gets ready for birth. Your nerves and muscles are able to adapt to the new changes, and your body should cope well with the changes to your posture as your baby grows. We women are made to do this! And this would perhaps be the most flexible I’ll ever be in my life!
So when does SPD occur? The pain may kick in when your body doesn't adapt so well to the stretchier, looser ligaments caused by relaxin.
SPD can be triggered by:
During my second trimester, I felt a sharp pain and stiffness in my upper thighs as I was walking about to and fro at work. My role requires me to walk from clinics and hospitals on a daily basis. Yes I would say that’s my pregnancy exercise to keep fit! I got very used to walking fast and getting tasks done at a steady pace. However, I noticed this sharp pain prevented me from walking fast and taking wider strides. I didn’t know what I was experiencing so I shared this with none other than...my elder sister, Lynn. We share everything! What are sisters for, right! Thank God, she picked up this knowledge months ago during her pre and post-natal yoga course. We weren’t sure if it was SPD for certain, but I was willing to try out some methods to ease the pain. I was advised to take smaller steps, walk slower and avoid carrying heavy items which adds weight to my pelvis. The next few days, WALA! I texted her immediately. I felt so much better!
On the other hand, my third trimester proves to be different as the mild stiffness and sharp pain comes when I am lying down on the bed. This is especially when I need to toss and turn about at night! At times when I am lying down and Mr J calls me out, I would take a few more minutes than usual just to get out of bed! I need my legs to ‘warm up’, roll to my side, put my feet on the floor, up and away I go! I would be telling Mr J, ‘ Yes I am coming! While I am still tossing and turning trying to get up!’.
In fact, it’s actually quite commonly shared in our mommies circle that doctors would just advise us to rest. However, it’s A LOT MORE THAN THAT! So here’s a short list here to help you out:
A woman’s body during pregnancy is indeed amazing! It goes through changes to support the growing baby. Every woman is different and one may or may not experience this condition. If the pain is unbearable or is affecting your daily routine, you can share this with your gynae and you will be referred to a physiotherapist. A physio will then be able to diagnose if it is SPD. You may even help to shed some light to someone who is going through this but is totally clueless! Don’t let anyone go through this alone. I really hope the methods to relieve the pain will come in useful for you! :)
Pregnancy should not be an excuse to be eating all the time. I found this table below as a good reference for you. Everybody’s pre-pregnancy weight is different. One way to know what’s the healthy range to put on is through your BMI as shown in the table below. For me, I have always been in the borderline range due to high metabolism. You can ask people who are close to me, they know I eat a whole lot and will wonder where it all went to.:D I wasn’t overly cautious about putting on weight during pregnancy. I know the healthy range for me is 12.7kg-18.1kg total. As I’m writing this, I’m at 39+ weeks now and have put on a total of 13+kg. If I didn’t know the healthy and acceptable range, I would have been shocked each time I stand on the weighing scale during check-ups. Without the knowledge, I would have restricted myself from eating which would cause harm to both our health!
Another concern is, how much more exactly do you have to consume per day? Only an estimated of additional 300 calories is needed per day. Yes you heard me right! This equates to a bowl of cereal or a slice of bread! In the third trimester, you will need more, up to 500 calories per day. Here’s the reason why you should be disciplined. Putting on too much weight increases your chance of gestational diabetes, hypertension, complications during delivery and even stretch marks! On the other hand, putting on too little weight increases the chance of premature birth and might cause both mother and baby to be malnourished. Putting on a healthy weight is definitely the best option. Always discuss your nutritional needs with your doctor as you might have a different health history.
One is also expected to put on different amount of weight at the different stages of pregnancy. During your first trimester, your baby is still small, which means you don’t need to be actively gaining weight yet. However, if you’re having nausea or vomiting, you might not gain even 1kg or might even lose a little bit of weight. That’s totally normal! Have it monitored and as long as your appetite gets better, you will make up for those lost kilograms in the second trimester.
In your second trimester, your baby starts to grow. This is when weight gain should pick up each time you’re at your monthly check ups. Your doctor will check if your baby is putting on the weight too. In your third trimester, baby’s weight gain will double and triple whereas your weight gain may start to slow down. Some women may find their appetite growing smaller due to space constraints.
One more thing before I end! You may wonder, where did the 12kg go if my baby is currently estimated at 2.7kg now? This weight is actually found in the placenta, amniotic fluid, uterine enlargement, maternal breast tissue, maternal blood volume, fluids in maternal tissue and maternal fat stores. There it is! There’s so much more to count in besides your baby’s weight.
I am sure this knowledge will come in very useful to everyone! If you’re not pregnant, you can always share, encourage and advise a love one and to prevent them from having unnecessary worries about weight gain during pregnancy! If you’re planning for a baby, always consult the doctor you’re seeing, and just rest, relax and embrace this blessed journey.
All 3 of us sisters will be sharing stories from our different perspectives. The good, the bad and the ugly, we're telling it as it is.