Is it really related to postpartum back pain? Is it really related to confinement?

Whenever I am in the clinic, patients who say back pain, especially many girls, have increased their frequency of back pain after giving birth.When the waist hurts, there is no strength to do anything. Standing pain, sitting pain, lying down or pain, why not comfortable, upset and irritable, work and life will be seriously affected.

I was asked the most question is "Doctor, why did I have back pain after giving birth to a child? Is it the root cause that the confinement hasn’t sat down?" About this problem, it is really not related to the confinement. TodayLet’s talk about postpartum back pain in detail.

Back pain during pregnancy is a common symptom of pregnancy discomfort. According to foreign literature reports, the incidence rate is about 50%.At present, the specific mechanisms and causes of low back pain during pregnancy are not completely clear. Hormone levels, changes in biomechanics, changes in circulatory systems, and social psychological factors are not just because of calcium deficiency. Calculium lack of back pain during pregnancy occurs.Do not attribute to "calcium deficiency" when you do it:

1. Change hormone level changes, and the changes in the level of sex hormone levels in the body when the ligament is relaxed.Protection is likely to cause back pain.

2. Spinal extension muscles and lumbar spine preferry increases. As the fetus grows, the volume and capacity of the uterus increase in a short period of time. At the same time, due to the low abdominal muscle function, the spine and back extension are pulled, causing the spine to cause the spine.The front convex.The rapidly increasing spinal bumps change the load distribution of the waist and back, which can easily cause back pain.If pregnant mothers do the work with heavy physical labor, more stroke posture, and working repeatedly during work before pregnancy, the probability of back pain after pregnancy is greater.

3. Direct compression of the uterus of the fetus and pregnancy on the lumbosacral nerve root. As the pregnancy time increases, the uterus increases backwards. Therefore, the weight of the fetus and the uterus directly compressed the nerve root, causing pain.

4. Neurocers The uterus of local ischemia and pregnancy pressure on the aortic artery, which can block the blood flow of the aorta, leading to ischemia of local neuro tissue, causing low back pain.

Under pregnancy, low back pain can appear in various periods of pregnancy. It is the most common in the third trimester, and the symptoms are different. Some are mild pain. There are also severe pain that affects life. The pain points are different.Pain below knee.Pain usually worsen at night, especially when turning over, affecting sleep.

Back pain in early pregnancy is not serious, and the pain is mild. By the time of pregnancy, the uterus increases, the fetal weight increases, and the degree of pain can increase with the increase of the gestational week.Under pregnancy, low back pain will increase after excessive activity, and it will be alleviated after rest, and there are rarely long -term pain.If the pain time is long and there is no relief after rest, this may be other problems. You need to go to the hospital for detailed examination.

Features of low back pain during pregnancy: (1) Most of them are mild and moderate pain, which can be relieved after rest or changing the posture;(4) Pain can not be fixed during pregnancy; (5) The incidence increased with the number of pregnancy weeks, and most of them disappear after giving birth.

After pregnancy, low back pain is first seen. If you do n’t pay attention to the postpartum back pain during pregnancy, you will have hidden dangers. After delivery, you will have a big seizure.

[Artifact to relieve low back pain]

1. Being belt, U -shaped pillow

The abdomen belt can help support the uterus, reduce the pressure of the abdominal, reduce the burden on the back muscles and spine, and help maintain the correct posture.The use of the belt belt depends on the situation, and some pregnant mothers can feel back pain and not suitable for use with the belt belt.

Lying on the side when sleeping, using a U -shaped pillow, you can support the weight of the uterus. The pillows between the two knees can reduce the mechanical load of the back and relieve low back pain.

2. When sitting, put a pillow

When sitting, try to keep a upright posture. In this way, the spine is straight, and you can take a stool to support the calf, and at the same time placing a pillow to support the back behind the waist, which can effectively relieve low back pain.It is recommended not to sit for a long time, get up every hour and walk around.

[Tips for daily life]

The American Obstetrics and Gynecologist Society recommends that the following measures are used to relieve low back pain during pregnancy:  low heels that can well support the arch of the arch, but not flat heels. Avoid raising heavy objects. If the bed sleeps too soft, put a wooden board between the mattress and the mattress.When you get the matter, squat down, bend your knees and keep your back straight.好 Sitting in a chair with a good back support or using a small pillow to provide support., Sleep on the side and put a pillow between the knees to provide support.Heat therapy, cold therapy or massage at the pain site.或 If you need to stand or sit down for a long time, rest from time to time and place the other feet on a low stool to relieve waist pressure.

In addition, when sitting or standing in life, keep a upright posture, but it is not recommended to stand for a long time.Avoid the motion of back pain, reduce the climbing stairs, and avoid housework that needs to bend over.When lying or getting up, try to bend your legs and knees as much as possible, support the upper body with the power of the arm, slowly get up, and the movement range should not be too large.

[Pay attention to control weight]

Obesity pregnant mothers have a greater probability of back pain, and weight control is important.In 2007, "Chinese Nutritionist Training Teaching Materials" recommended before pregnancy weight index (BMI) and the recommendation value of weight growth is: BMI <19.8 before pregnancy, the appropriate weight increase during pregnancy is 12.5 ~ 18.0kg;~ 16.0kg; BMI26.0 ~ 29.0 before pregnancy, an appropriate weight increase during pregnancy is 7.0 ~ 11.5kg; BMI> 29 before pregnancy, an appropriate increase in weight during pregnancy increases 6.0 ~ 6.8kg.

Controlling weight can not only reduce the degree of back pain during pregnancy, but also have good benefits for yourself and your baby, but also reduce the risk of metabolic diseases and obesity in the future.

[Do not forget the appropriate exercise]

Exercise during pregnancy can relax, improve sleep quality, prevent obesity, improve perseverance and muscle strength, effectively relieve and prevent back pain.However, some women with severe diseases cannot exercise during pregnancy, including severe cardiopulmonary disease, stretch hypertrophy, cervical diseases, vaginal bleeding, premature birth, and premature birth history.In addition, all healthy pregnant women are advised to conduct moderate exercise of about 30 minutes a day (if there is no habit of exercise before pregnancy, the first few days should be slowly increased from 5 minutes to 10 minutes, 15 minutes, and last 30 minutes).

Walking is a good aerobic exercise, a good choice for novice sports, and this sport is also small in pressure on joints.In addition, swimming, smaller aerobic exercises and dynamic bicycles are good choices.However, please avoid raising heavy objects during exercise!

Before exercise, make warm -up, supplement enough water, and avoid the temperature caused by severe exercise to increase significantly.The intensity of exercise is better to talk normally during exercise.If dizziness, headache, shortness of breath, chest pain, fast heartbeat, and continuous uterine contraction, vaginal fluid and bleeding after rest, you should stop exercise and seek medical treatment in time.

[Diverse diet during pregnancy]

The types of food during pregnancy should be diversified, a balanced diet, mainly grain, and more intake of fresh vegetables, fruits, and beans. Daily consumption of dairy and dairy products should be guaranteed. It is recommended to eat fish, poultry, eggs, thinnerMeat, soy products and seafood, food should be light and less oil, clean and hygienic.Calcium supplementation from 14 weeks of pregnancy, 0.6g ~ 1.5g per day, pay attention to the sun.

【Pose back pain】

What to do with postpartum back pain is a question that many postpartum women care about.Most postpartum back pain also encountered many problems in seeking medical treatment. She went to many hospital departments, but they could not get satisfactory treatment, and could not even figure out what was reasons for postpartum back pain.

What to do with postpartum back pain also plagues doctors.The gynecological association is often attributed to inflammation. Chronic pelvic inflammatory disease or low back pain caused by cervicitis and vaginitis, but the effect of medication is not ideal.Here, we all ignore an important reason, that is, back pain.During pregnancy, with the continuous development of the fetus, the pelvic leaning and lumbar spine have gradually increased, which can easily lead to back pain. This typical phenomenon has been mentioned just now, which is back pain during pregnancy.Another reason is that postpartum strain, which is too tired to nurture babies, often causes problems, and often cause back pain.The latter two are back pain in pose.

There are also many mothers who have misunderstandings. "I have a child with a child, and it will start to hurt later. It must have something to do with anesthetic."Here is a clarification of this misunderstanding: hemp medicine does not cause low back pain. Most of the causes of low back pain are caused by posture back pain. Abdominal muscles are relaxed, postpartum breastfeeding, and incorrect physical posture.

【Potting bottom dysfunction】

In addition, for postpartum women, do not forget when there is pain in the back of the back or soreness in the lower abdomen. This may also indicate that there is a pelvic floor dysfunction. The pelvic floor function assessment should be performed during 42 days of postpartum inspection.

In this way, the question of postpartum back pain has an answer -it is the key to correct the unreasonable posture of the waist.To restore the body as soon as possible, changing the bad posture is the top priority.

At present, there are many actions to correct the posture, but most of the movements are difficult. It is difficult for patients to adapt, and the greater difficulty is not easy to persist.However, the correction posture requires a process, a continuous process, and the effect that is not easy to persist is naturally limited.

In fact, the key to correcting the posture is to correct the center of gravity of the human body.The bad posture is often moved forward and leaning forward. If you can effectively correct the center of gravity of the body, you can effectively correct unreasonable postures.The problem of correctional center of gravity can be used with orthopedic shoes. For the human body, the shoes are equivalent to the foundation of the building, such as wearing high heels, which is equivalent to the oblique of the human body’s foundation forward, and the posture will become unreasonable.We will tell patients not to use high heels, and obstetrics and gynecologists will also tell mothers that do not wear high heels early after giving birth, which can easily lead to back pain.

For treatment, because postpartum mothers need breastfeeding, generally do not use drugs for treatment, so they must intervene from changes in living habits and rehabilitation exercises.

1. Merit: After giving birth to a baby, take care of the baby’s work very heavy.Be sure to do your best to avoid excessive fatigue. It is best to allocate housework with your family and take care of your baby’s work.In addition, we must master the skills and tricks to avoid long -term bending and fatigue and cause back pain.

2. With the help of tools: Master the correct breastfeeding posture. Mommy should not bend over the hump when breastfeeding. You can use breastfeeding pads to adjust the baby’s height, so that the baby’s face is close to Mommy’s chest to adapt to Mummy’s height and body curve.When holding a baby, let your baby lie in Mummy’s arm, so that the head, neck, spine, and waist are well relied on.When sitting and hugging the baby, it is better to sit on a low stool.If you are sitting high, if you sit by the bed, you can put one foot on one foot.Do not rely on oblique, give good support for the waist.

3. Using the right waist protection, it is best to have good breathability and design humane waist.

4. Try to wear flat shoes to avoid prematurely wearing high heels, middle heels and slopes, so as not to increase the pressure of the spine.In daily life, you can also use the front height and low -heeled shoes to force the center of gravity to move back to correct the pelvic forward and the lumbar spine.

5. Start exercise as soon as possible. 24 hours after giving birth, the body allows to start simple activity, such as stretching or extended exercise in bed.Two months after childbirth, began to exercise the strength of the waist and abdomen muscles.

Therefore, mothers who have postpartum back pain don’t worry about whether the confinement is not sitting. Go to the hospital for examination in time, find the reason, start exercise, or treat it as soon as possible.(Small programs have been added here, please go to today’s headline client to view)


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