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Just thinking about the question of hip/belly pain.
- This could be as a result of a growing uterus stretching the broad
and round ligaments.
- You need to rule out the presence of infection from a UTI, perhaps
advancing to the kidneys as in pyelonephritis.
- Vaginitis, chorioamnionitis, candidiasis (thrush) need to be
excluded.
- Also constipation causes referred pain, (very common in pregnancy,
esp in women taking iron supplements) as does appendicitis and any
type of irritable bowel condition. Increased Progesterone
levels tend to lead to decreased muscle contractility.
- Uterine anomalies may also cause the aching, like a bicornuate
uterus, adhesions and fibroids, ovarian cysts and any congenital
malformations of the Mullerian tract that the women may indeed not
even know that she has. Did she start off with a retroverted
uterus? What was her menstrual cycle like?
- Could it be hormonally caused? Could it indeed be
preterm labor or a uterine response to fetal movements?
- Could it also be a mechanical type problem of a gravid uterus
'leaning' on surrounding nerve areas?
- It would be handy to ask the woman if anything she does
exacerbates it or makes it better and investigate it
accordingly.
I'm sure there are many more possibilities given the anatomy of the
area, but these should give you something to go on with.
Gayle
-------Original
Message-------
Date: Tuesday, 27 May
2003 6:00:46 AM
Subject: Re:
[ozmidwifery] 2 questions about pregnancy
Nat,
labour is generally shorter in a second
labour.I usually feel fairly
confident telling mums it will be in the
vicinity of half the lst labour
given there are no factors that slow
it down.( this doesnt follow for 3rd
labours from 2nd though) It can
often be shorter with an epidural ( because
pain perceived is
decreased and the the pelvic muscles are relaxed) but can
also be
longer ( contraction strength often diminishes for a while but
that
in itself is usually countered by the use of a synto infusion -
hence the
cascade of intervention. + 2nd stage can often be longer if
there is no urge
to push ). I dont feel there is a 'safe' answer to
give that she could
depend upon. Epidurals are for reducing pain, not
reducing the length of
labour. They reduce pain and increase
intervention.
Her hip/belly pain could be ligament pain which
occurs because of the
stretching uterus. they tend to stay tender
until the end of the pregnancy.
Try a little heat.
hope this
helps.
Robin
----- Original Message -----
From: "nat j"
<[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent:
Monday, May 26, 2003 10:33 PM
Subject: [ozmidwifery] 2 questions
about pregnancy
>
> Hello, my name is Nat and im a
direct entry midwifery student and i
> had two questions asked of
me which i could not answer with any certainty
by
> a pregnant
woman and i was hoping for a little push in the
right
direction,
> or an answer.
>
> They
were;
>
> Whether labor is generally longer or shorter with
an epidural for a second
> baby, or not? and
>
> What
would be the cause of the child bearing woman's severe, almost
period
> pain like, cramping below her pregnant belly that goes
out towards the hip
> region?
>
> I was thinking that
it could be her uterus streaching, but with the pain
> extending
to her hips i wasn't sure and wanted another opinion
>
> Any
help would be greatly appreciated, Thankyou.
>
>
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