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Pelvic pain in pregnancy

10-minute read

Key facts

  • Pelvic girdle pain refers to pain or discomfort in your pelvis, hips, or thighs during pregnancy.
  • This pain can be mild or severe making it hard to sit, stand or walk.
  • Pelvic pain is common in pregnancy, especially if you've had previous back or pelvic pain, an injury to the area, a physically demanding job, are overweight or you smoke.
  • Your doctor and physiotherapist can help you manage pelvic pain in pregnancy.
  • Your health team may recommend that you modify your daily activities, wear a pelvic support garment and start a physiotherapy or exercise program.

What is pelvic girdle pain?

Pelvic girdle pain (PGP) is pain or discomfort in the bones and joints of your pelvis during pregnancy. It is very common during pregnancy. In the past it was called 'pelvic instability' or 'symphysis pubis dysfunction (SPD)'.

PGP can happen at any time, but it usually starts between 14 and 30 weeks of pregnancy. It can also continue after your baby is born.

The joints that most often cause pain are:

Pelvic girdle pain can severely affect your physical abilities. PGP is not dangerous for you or your baby. It usually goes away without treatment within 3 months after birth, but symptoms may return in future pregnancies.

What are the symptoms of pelvic girdle pain in pregnancy?

Symptoms of PGP range from mild discomfort to severe pain in your pelvis. You may also find it difficult to walk and move around, especially if your pain is severe.

Pain may extend to your:

You might also have a clicking or grinding feeling in your joints. The pain might get worse when you:

What causes pelvic girdle pain in pregnancy?

The exact cause isn't fully understood, but it likely involves a mix of hormonal and physical changes that happen during pregnancy.

Normal physical changes in pregnancy can lead to pelvic girdle pain. As your uterus gets bigger, you carry more weight at the front of your body, which changes your posture. This puts stress on the bones and muscles of your spine and pelvis.

During pregnancy your pelvic ligaments relax and other joints become more mobile. This can lead to your pelvic joints being unstable and painful, possibly due to changes in your hormones.

You are more likely to have PGP if you:

When should I see my doctor?

If you are experiencing back, pelvic or hip pain during pregnancy, you should see your doctor. Your doctor will ask you about your medical history and do a physical examination. They will work out whether your pain is due to PGP.

There are other causes of pelvic pain in pregnancy and some can be serious.

See your doctor immediately to check for other causes of your pain if you:

How is pelvic girdle pain diagnosed?

Your doctor can diagnose PGP after asking you about your symptoms, examining you and ruling out lower back problems as the cause. Tests are usually not required.

It's best to avoid x-rays during pregnancy as they can cause harm to your baby. If your doctor refers you for an x-ray, they may be concerned about other causes of pain or if your pain is severe and not getting better. Be sure to remind them that you are pregnant.

How is pelvic girdle pain treated?

There are several strategies that you can use to help you manage and control pelvic girdle pain including:

You can try and identify what daily activities cause you pain and try to adjust or avoid those activities. Here are some changes you can make:

Wearing a pelvic support garment can also help to reduce pain. Pelvic support garments can help stabilise your pelvic girdle and improve symptoms. Make sure the garment is fitted correctly and use it for short periods of time. Ask your physiotherapist for more information about pelvic support garments.

Which health professionals can help manage PGP?

Your doctor may refer you to a physiotherapist. A physiotherapist can teach you exercises to help you to manage your pain. They can also give you advice on changes you can make to your daily activities to avoid pain. Ask your physiotherapist to suggest an exercise program to help you when you first start to feel pain or discomfort.

How can I relieve pelvic girdle pain at home?

Here are some pain-relieving strategies you can try at home when you experience pain:

Extended bedrest without the guidance of a doctor is not recommended. Speak to your doctor if you feel you need to lie down for extended periods of time while you're pregnant.

Severe pelvic girdle pain

If you are unable to walk because of severe pain, you may need to use crutches or a wheelchair.

Rarely, you may need some time in hospital to ease the pain.

If your pain is severe and you are not improving with standard care, your doctor may refer you to a specialist pain service or a surgeon. It is very rare to need surgery for PGP.

What are the complications of pelvic girdle pain?

Pelvic girdle pain can lead to:

Will pelvic girdle pain affect labour and birth?

In most cases, people with PGP can have a normal labour and vaginal birth

Your physiotherapist can advise you how to position yourself during labour in a way that puts less stress and strain on your pelvis and hips. You might find it more comfortable to labour in a bath, if your birthing room has one.

You will be offered various pain management options during labour. If possible, discuss these options with your medical team ahead of time, during your pregnancy. Let your birthing room team know you have PGP.

Will I have pelvic girdle pain in future pregnancies?

If you have PGP during pregnancy, it's very common to have it again in future pregnancies. Unfortunately, your pain may also be worse during future pregnancies.

If you've had PGP in a previous pregnancy, speak with your health team to develop a strategy to manage your pelvic pain early. Managing your pelvic girdle pain early can help to avoid pain from worsening as your pregnancy progresses.

Can pelvic girdle pain be prevented?

You can reduce your chances of having PGP in pregnancy by getting regular exercise and by keeping your abdominal and pelvic floor muscles strong. Talk to your physiotherapist about how to do this.

Resources and support

If you are having trouble with pelvic pain during pregnancy, talk to your doctor or midwife.

You can visit Women's Health Education Network (WHEN) for more information and support.

The Government of Western Australia has an informative video to help with tips on how to manage pelvic girdle pain.

The Royal Women's Hospital provides a pregnancy-related pelvic girdle pain fact sheet.

Do you prefer to read in languages other than English?

The Multicultural Centre for Women's Health has a catalogue of health resources for women, available in more than 70 languages.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

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