What do you thin?k:
I have had SPD (Symphysis pubis dysfunction) or Pelvic Girdle Pain since early pregnancy.
I am being induced early (at 38 weeks) due to the severity of the condition.
It has the following impact:
? I have severely restricted mobility, and need crutches/Zimmer frame to walk, or a wheelchair for any distance further than a few feet.
? I cannot get up and down from a fixed bed/couch without assistance.
? My legs must be moved together at all times.
? Moving my legs, in particular for examination will cause incredible pain. I will need pain relief for any form of pelvic exam, external or internal, especially with the application of Prostaglandin.
? When a Pelvic Exam is required, please be aware that my Pain Free Gap (how far I can open my legs without serious pain) is currently x cm.
? I will need help lying down and/or turning over if this is required for any reason.
? I will need an Epidural from the beginning of labour.
? As I will be unable to feel pain due to the effects of the epidural, care needs to be taken to support my back, observe my Pain Free Gap and move my legs together during labour.
? If possible, I SHOULD NOT deliver in a lithotomic position with legs/feet on midwives hips, or in stirrups as this will not help my condition. A better position would be laying left or right laterally with someone holding my upper leg.
? If an assisted delivery is needed, please could I opt for a Ventouse delivery, as I understand this can be done laterally?
 
AFTER DELIVERY
After the birth, if I need stitches, please could this be done without the use of stirrups? If stirrups have to be ?used? please ensure that my knees be supported to prevent further damage to my pelvis.
I would like, a pelvic support belt to wear postnatally to help stabilise my pelvis.
I may also require enforced bed rest and would be grateful if my notes made this clear for the staff on the postnatal ward.
I would like to see a Physiotherapist whilst in hospital to discuss treatment and modification to standard postnatal exercises. I would also like a referral for follow-up physiotherapy action while I am still in hospital, as I WILL NEED this help to fully stabilise my pelvis following birth.
Thank you for taking the time to read my plan. I hope it does not offend your professionalism in any way. I realise things do not always go to plan but I wanted to make you aware of my condition, and the pain I am in.