Considering abortion due to severe spd.

[AppleJac]

This pregnancy was a very much planned and wanted pregnancy.

Im 13+5 weeks. I had spd from 6 weeks with dd who is now 4 but as i had no other children to care for it was manageable. I had physio from 20 weeks which helped abit but i was still in agony. I was not pain free until dd was 8 months old.

This time i ve been seeing a chiropractor for 6 months before conceiving and he aligned all my pelvis which was out of line and sorted out my sciatica. I really thought i had solved any pain i might of had in a future pregnancy.

Spd started at 10 weeks so just over 3 weeks ago. Im now in agony on my lower right side of my pelvis with every single step i take. Im still seeing the chiropractor every 4 weeks and im doing all the exercises i should but im now crying with the pain.

I just cant go on like this. The pain is excruciating im considering ending the pregnancy

Agree that it doesn't have to become worse with each pregnancy. I had it fairly badly with DC1, then did two specialist ante-natal pilates classes a week from the start of my second pregnancy, and fairly regularly saw an osteopath. (Wouldn't trust a chiropractor personally)

That, plus being careful, kept it away until the last few weeks with DC2.

However I had the complete support of DH, who lifted and coped with DC1 throughout, plus doing housework and other similar things.

You could ask your GP to spell out the pain involved for you to your DH perhaps?

I am so sorry you are going through this. Spd pain is awful.

You asked some questions about painkillers. I was on codeine all through my pregnancy. Some GP's were not keen, and some were fine with it. Any consultant I spoke to was absolutely fine with it and did not see it as a risk at all. It's not been tested on pregnant women, but is considered safe because it is so widely used, with no ill effects on babies. Some GP's may prescribe it themselves, others will not want to. Either way, I think you need to discuss pain relief with a consultant because you cannot continue like this. Book a gp appointment asap. Also call midwife (don't wait for next appointment), as she may be able to refer you to a consultant faster than the gp.

I totally understand you considering termination. You must feel desperate. I had Spd for a couple of weeks and that was horrendous enough. Please talk to the medical prefessionals and consider all options. They may be able to offer more help than you think they will, especially if they know how seriously you are considering termination due to pain . As much as I understand termination as an option, I do worry you will regret it, and I hope that there are other options available to you. Taken it a day at a time for now.

If you talk honestly with your husband, do you think he will step up and help more at home?

Lowering your standards will help too. I hate living in a messy, dusty house and feeling like I cannot do anything about it, but it is temporary, and may be a case of having to make do with certain things.

from me. I do hope that you can find some way through this.

Just to make it clear, there is no judgement at all from me re considering a termination. You must absolutley do what is right for you. I just picked up from your OP, that you really do want this baby and so I hope there is another way for you, because you want this baby. SPD is awful and horrible and so debilitating, but it is temporary, and so I hope there is a way to overcome those obstacles.

All levels of doctor can prescribe all meds, a consultant will have specialist knowledge.
So sorry you are going through this.

I think a GP can prescribe it. It's a very old drug, therefore lots of studies have been done on it, and I'm 100% certain it's safe in pregnancy. My GP prescribed it for me.

I know nothing about spud, but would referral to a pain clinic help? It was that and the amitriptyline that restored me to where l was 15 years ago painwise

GP prescribed it. It's an old drug and lots of studies and research have been done about pregnancy. I'm 100% certain it's safe in pregnancy.

I know nothing about spd but would referral to a pain clinic help? A combination of them and the tablets restored me to where l was 15 years ago in terms of pain.

😐

I would see a sports physio rather than a chiropractor tbh.

Definitely talk to the GP about pain relief.

I had adhesions in the first trimester and spd ever since. I know exactly how you feel op. My gp prescribed codeine which I can take with paracetemol. For spd nhs were useless. I've found a private physio through the pelvic partnership who put my pelvis back! I see her weekly or fortnightly. I also have had counselling as the pain has made it hard to cope with the pregnancy.

My dh understands how I am and does everything he can to make things easier for me. I couldn't be doing this if I hadn't got his support. My 4 year old is old enough to understand mummy has 'poorly legs' and I rely on other people to do active things with him at the moment.

It's hard and difficult. Only you know what the right decision is for you. I hope you can get some help for the pain tomorrow.

You will prob need to see a consultabt about this drug, but there have been studies (more so on women who are opiate abusers/drug users whilst pregnant) but im on it and pregnant for a chronic long term pain condition. Its a patch called bupranorphine, which is a slow release morphine patch so you have a constant delivery of pain releif medication. There are less (some of course to be expected) withdrawal symptoms for the neonate.and its out of the system very quickly. Perhaps one to research prior to an appt.

I'm so sorry to hear of what you are going through . You've had some great advice from lovely ladies here .

Your husband sounds like a complete and utter arse and you need to stop doing anything except essential things and let him step up.

Don't do any housework at all ( maybe just squirt some bleach round the loo and kitchen bin ) , just look after your LO and make meals for you both . Don't cook dinner at night , have a decent meal at 4pm with your LO.

Don't do his washing . Don't do any washing until YOU are dunning out of clothes .

Start eating your way through the kitchen store cupboard and the freezer until he complains there's no food in the fridge and he can go to the shops.

He needs to experience how much you are doing in the house and he won't know until you stop it .

I'd definitely have him sleep on the sofa as any movement in bed makes your SPD worse .

And remember to tell him that you are following medical advice to rest as much as possible

I was hospitalised in my first pregnancy with SPD. Didn't have it on my second.

And start by telling DH that you are seriously considering termination. A decent husband would be stepping up immediately once you told him you were in pain, but even though he's been crap he still deserves the full information to motivate him to belatedly pull his weight.

Ask your GP or mw to make an urgent referral to consultant for a pain management plan because of the severity and effect on your mental health. You can be seen this early.

How are you OP?

Hello - try looking at the Pelvic Girdle Partnership. They have all the up to date research... I had it with baby number 3 in the third trimester and it was awful. I was on crutches but couldn't bear to use them for long. Poor DCs 1 and 2 hated it. Luckily, it got much better almost as soon as I had DC3. I've just found out I'm pregnant with an unplanned number 4 and am dreading spd/PGP again.... so much so that I'm thinking of terminating. I'm also over 40 this time round so really worried - especially about the affect on DCs. Anyway, I just wanted to wish you well OP and re-emphasise that there is help available - even if a lot of physios don't really know about the latest research etc, I've heard there are some brilliant ones.