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Severe SPD/PSD

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#1 Zingiber

Posted 11 September 2012 - 08:12 PM

I've got severe SPD/PSD i.e.pain from pelvic instability, to the point that i crawl into bed as soon as I get home in the afternoons and pretty much stay there till the next morning.

DP is away this week so the last two nights i've just lain here and cried...I am physically and emotionally drained... this started at 12 weeks back in early June and i've been in pain pretty much constantly ever since....I don't sleep, I can't do any exercise.....just walking from the car to the supermarket is beyond me most days so the fridge and pantry are empty because i just can't face going shopping, the house is a sh*tfight and I am completely miserable.

Is anyone else going through this? I've been to chiro and physio which provides short term relief and I saw my OB yesterday who said I could take Mersyndol Night sparingly nut it hasn't done much. My mother has been of no support...just boasts that she went through 4 pregnancies and has now p*ssed off overseas on holiday for a month.

I'm at the point where I am seriously considering an early elective caesarian. Baby is measuring very big for dates (I 27w1d, she's meauring 28w4d) and while I would have preferred a natural birth I can't imagine even trying, starting from a base of this level of pain.

Sorry for the big whinge but I just don 't know what to do.

#2 babycat

Posted 11 September 2012 - 08:37 PM

Zingiber - I don't belong here but saw this in active topics.

I had PGP with my second pregnancy, not as severe as yours, but wondering if the Physio has given you a support belt or tummy band?  Along with specialised Pilates, I was given a pelvic support belt and then later in the pregnancy a tubigrip tummy band and I found these really helped.  Also icing the pelvis for 20 mins every 2 hours where you can really helped.  

Good luck with the rest of your pregnancy, I hope you manage to get some relief.

#3 Impatientmummy

Posted 11 September 2012 - 09:24 PM

Im currently 38 weeks & being induced this week due to spd. It is horrible, I have my good & bad days with it. As pp asked do you have a support belt? If not I would recommend getting one, I cannot go to sleep without it, for some reason laying down makes mine a hell of a lot worse! When you get in & out of the car or bed make sure you move both legs together, this helps to stabilize your pelvis a bit. I was on codeine for my pain but OB wanted me to stop at 36 weeks so bub doesn't have any in her system when she is born, I found taking it & using ice packs would help quiet a bit, if you have a bath it may hurt getting in & out but once in there it is heaven! When walking up stairs bring your feet together before going up the next step, might take a bit longer but it does make a difference, does work involve a lot of sitting? A fit ball might be worth investing in if you do, I find it a lot comfortable to sit on, when you shop leave the heavy non fridge/freezer stuff in your car for your DP to get out if hes not home, if you can get him to go shopping with you or consider home delivery while he is away, pushing a big heavy trolley sets mine off something shocking! If I think of any other things that might help I will let you know, bed time for me but couldn't not reply knowing how painful it is, hope you get some relief soon.

#4 aryastark

Posted 11 September 2012 - 11:10 PM

Zing I thought you were getting a support belt? Maybe you could ask a close friend to do some shopping for you? I'm sorry to hear you're in so much pain, perhaps electing a c section is the best way to go. It seems like you're going to be too sore to give birth naturally. That's just me being pessimistic though.

You've got a massive work load, maybe you could delegate? Hope you're feeling better soon.

#5 Zingiber

Posted 12 September 2012 - 06:40 AM

thanks for responding, yes, i have a belt and do all the right things with gettng in and out of car, steps etc This week has been particularly bad and I am really worried that it is going to continue to get worse...with 12 weeks to go, that it could get worse is more than i can cope with. I've been in bed now for 13 hours save for a couple of awkward and painful waddles to the bathroom. Am feeling a bit better this morning....though i havent tried to get up yet....

DP has been away a bit lately which is why shopping has been left to me, ALL my family are away/OS at the moment (timed that well didn;t they) so i'm a bit short of help and having a bit of a wallow in self pity.

i don't think my OB takes this issue quite seriously enough, but then i'm not sure i communicate quite how serious it is as i don;t want to come across as being a sook.

I haven't told work about the pain...i'm the only female and a manager of 11 men (all blue collar labourers) so i'm not about to discuss or expect sympathy from them for pelvic pain.

#6 Zingiber

Posted 12 September 2012 - 07:09 AM

impatientmummy - how much and how often were you taking codeine....i really worry about the effect on the baby.

i've been taking mersyndol about 1 tablet every second day (450mg paracetamol, 9.75mg codeine and doxylamne )

#7 Impatientmummy

Posted 12 September 2012 - 08:56 AM

I was told I could take up to the maximum dose (8 tablets) but didn't feel comfortable with that so I would take a max of 4 tablets a day then just paracetamol for the rest if I needed. I found if I woke up sore I would take 2 straight away, 4-6hrs later I would take either another 2 if the pain was still bad or if it was feeling ok I would just keep on top of paracetamol for the rest of the day. On my days off when I could lounge around, have baths & easier to ice I would try not to take any so I wasn't constantly taking pills. My OB is a lot happier for me to take paracetamol as often as I need but not so keen on codeine so was happy with me doing it that way, if your in that much pain your better off to get on top of it, I found by doing that & wearing the belt 24/7 really helped with in a month or so I was able to start having more days of either less or no codeine, I've had spd from 23 weeks, 15 weeks later I actually feel better than I did in the beginning. Good luck & please talk to your OB about how bad it really is especially if you are feeling you may want an elective c-section, your OB will be able to inform you of positions to use in labour that wont aggravate your pelvis if you want a VB, you may want to consider a birth plan with these positions & the fact you have spd, I didn't have one first time round but I do this time because of this, its very basic but lets whoever looking after me know whats going on.

#8 MrsLightyear

Posted 12 September 2012 - 09:30 AM

Hi Zingiber,
I've been having a hard time with spd too and have had a few accupuncture sessions which seem to have helped. I tried taking codeine (at the suggestion of my ob) but I found that our baby wouldn't move at all for about 12 hours after taking it, so I wasn't comfortable keeping taking it. I've also found heat packs to be great, I have 2 big wheat packs and if i go to sleep with them positioned around my hips I seem to have less pain the next morning.

I did a bit of reading online about peoples experiences with spd and vaginal births and it seems that in some cases birthing can agrivate the spd so much that recovery can take months. I think it's worth having a very honest chat with your ob about your pain levels and birthing options.

#9 Zingiber

Posted 12 September 2012 - 05:16 PM

thanks again for replies. 5pm and I am back in bed. For a couple of hours at least until I have to make something for dinner...DP home tonight which will be nice.

I've booked in for a massage on Friday and a chiro (or was it acupuncture?) session on Monday. Am going to try to work out a schedule to see them as regulalrly for the next few months as whats left of my health insurance will allow.

re. Codeine...
"I found that our baby wouldn't move at all for about 12 hours after taking it, so I wasn't comfortable keeping taking it"

I am finding the same...not no movement at all, but noticeably less especially in the morning when she is normally very active. I think I will only take the codeine as a last resort on days when things are really bad.

"in some cases birthing can agrivate the spd so much that recovery can take months"

I have read the same and it is this prospect that REALLY worries me....i've put on an obscene amount of weight (nearly 20kg) as it is largely due to being so incapacitated for pretty much my entire pregnancy (and the associated comfort eating)....I was banking on being able to start trying to lose it as quickly as possible after the birth.

talk about depressing :-(

#10 Impatientmummy

Posted 12 September 2012 - 05:34 PM

I guess Ive been lucky that my bub still moves as normal regardless of if Ive had any. My OB has warned me it can take a month to feel better after birth however they can give you a steriod injection into the joint which can help speed the healing process if things are really bad. I really get the feeling you need to talk to your OB & be honest with how you are feeling & coping, he will be a better guide than any of us as to what options are going to work best in your situation. Good luck with the rest of your pregnancy, I really hope things settle down for you.

#11 Oma Desala

Posted 05 October 2012 - 08:05 AM

Hi Zing, I just had a random thought RE: labour. Do they have baths or birth pools where you are going?  If you choose to go naturally you may find that the neutral environment that the water provides will help lower the pain and it will also reduce the risks of tearing.

Also, while I too have heard that recovery after a VB could take months there are also cases where the pain and discomfort are gone within days.  Obviously no one can say for certain who will fall into which category but something worth keeping in mind.

I do hope by now you've been able to find something that gives you some form of releif. I have good and bad days with SPD too (more bad than good at the moment).

All the best

#12 steen2007

Posted 05 October 2012 - 11:36 AM

I had SPD with all my pg and it is becoming an issue again with this one.

DH is living in Vic until 1 week before I am due, so no help there and with 2 boys to run after, they are now being put to use!

I have hired a cleaner and just head to bed when the boys go down.

We just cope as best we can. OB said panadol and codeine both fine, but codeine makes me ill so panadol only here.

It hasn't affect my birth or labour and was gone within a week, so I guess we just have to sometimes grin and bear it.
Sucks but there it is!

#13 MuppetGirl

Posted 08 October 2012 - 12:58 PM

Hey Zing, I haven't been around the DIG lately but I wanted to let you know I totally understand.

I had SPD with my DS and have severe SPD this time. The belt doesn't do much to alleviate the pain and I cannot take codeine. Panadol doesn't really provide much relief.

In terms of the pain during labour, honestly I don't believe it makes much of a difference. What your pelvis has done now is what it is supposed to do during labour anyway, it has just done it really early.

With my DS the pain from the SPD was gone within a few weeks but it had considerably lessened after the birth due to the decreased weight/load on the pelvis.

Hang in there hun. It sucks, it hurts and there is not a lot that you can do, just rest whenever you can. xx

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