Back Labour during Pregnancy

Back Labour – Reasons, Symptoms & Treatment

Pregnancy and labour take a toll on you physically, emotionally and mentally. Exercise, diet and rest are the three most important things to pay attention to in order to keep yourself strong and fit. However, there are several issues that can arise during a pregnancy that you may not have prepared for. One of them is back labour.

What Is Back Labour?

Pregnant women sometimes experience pain during labour, which can occur in the abdomen and pelvic region but is most common in the lower back. This is known as Back Labour. It occurs in around a fourth of all pregnant women, and the pain is usually worse when going through contractions. This is most commonly assumed to be due to the force exerted by the foetus on your lower back.

What Does Back Labour Feel Like?

Back labour pain is at its peak during and between your contractions, making it nearly unbearable during this time. What does back labour feel like in the beginning? The pain you feel during labour is usually manageable at first, feeling like standard backaches. However, when contractions begin, an incredible burning feeling in the lower back could emerge, dwarfing the pain caused by the labour itself. Back labour pain is consistent with jumps in pain when the contractions arrive. Some women have described it as feeling as if your back is breaking with every contraction.

Causes Of Back Labour

Studies have shown that there are multiple factors that affect back labour. Before you know how to control and cope with back labour pain, here are some of the reasons of back labour:

  • Position of the foetus: One of the most common reasons of back labour is how the baby is positioned inside your body. The ideal situation is when the foetus is upside down with the chin tucked into the neck and facing the back. But if your baby is facing the abdomen, its head can put pressure on your tailbone, causing more pain as your baby gets bigger. This is known as a posterior baby or a sunny-side up baby.
  • Women with small waists: Women who have small waists tend to have babies longer than their torsos, which means that the baby exerts pressure on the mother’s back instead of the cervix due to lesser space.
  • Stiff ligaments: Pregnant women with rigid ligaments can make it tricky for the baby to find the right position in the uterus.
  • Wrong posture: Standing without bending knees slightly or tipping forward the pelvis increases the risks of back labour.
  • Injuries to the back or ligaments: A history of back or ligament injuries greatly increases the chances of developing back labour.
  • Shape of the pelvis: Occasionally, some women have pelvises that can only accommodate a foetus arranged in the posterior position.

Signs And Symptoms

Back labour contractions are associated with several symptoms:

  • Pregnant women with back labour are likely to have a much longer and more painful birth.
  • One of the early signs of labour back pain is the inability of women with posterior babies to feel when their contractions have started.
  • Labour contractions that do not occur at regular time intervals
  • Extra time spent pushing during labour due to the awkward position of the baby

Risk Factors

While there are no direct risks linked with developing back labour, there are a few factors associated with the posterior arrangement of the foetus.

  • Being overweight
  • Having a prolonged pregnancy
  • Being pregnant for the first time
  • Medical induction of labour

Interestingly, sometimes, foetuses can be in a posterior position but not cause back labour in the mother at all. In a 2005 study conducted among women in labour, moms-to-be with posterior babies were not likelier to complain of back pain than women who had downward/sideward-facing babies. However, the study was inconclusive as 90% of the women eventually opted for an epidural for pain management.

Will It Cause Complications For Baby Or Me?

While back labour can be extremely uncomfortable, it cannot hurt either you or your child. However, it is possible for posterior babies to drop into the birth canal, which can cause complications like difficult labour, exhaustion and vaginal tearing. This situation can be controlled by using forceps to pull the baby through the birth canal, episiotomies to enlarge the vaginal opening, or caesarean surgeries.

How To Improve Foetal Position

As back labour is most commonly caused by the baby sunny side up, fixing the position of the baby can help with the back labour pain. Some of the techniques used to improve foetal position are:

  • Sleeping on the left side: This makes the baby move around, removing pressure from the back.
  • Leaning in while sitting: Leaning forward in a sitting position also convinces your foetus to shift its position. The ideal way of doing this is by straddling a birth ball or an armless chair.
  • Stay active: Indulging in a few hours of cardio exercises every day can help shift the foetus around, especially downward-directed activities like breaststroke swimming.
  • Pelvic tilts: If you are carrying a posterior baby, it is essential to perform these exercises multiple times a day. Pelvic tilts help reduce the pressure on the spine.
  • External cephalic version: Posterior babies usually switch positions a few weeks before pregnancy. But if your baby still hasn’t moved, there are some procedures you might want to consider. The doctor can use a technique called External Cephalic Version to manually turn the baby into the delivery-friendly position while using ultrasonography as a guiding system.

How Do I Get Relief From Back Labour?

Labour time is stressful enough for an expecting mother without having to deal with the physical discomfort of back labour. The treatment for back labour is easy to do and quite effective.

  • Using hot and cold compresses alternatingly on your lower back
  • Steady counter pressure via a back massage will relieve some pain
  • Taking a warm bath or shower
  • Applying pressure by having cylindrical or spherical objects, like bottles or balls, rolling down your back

How To Prevent Back Labour?

It is not possible to tell if you will experience back labour when giving birth. However, as mentioned above, fixing the position of the baby is one of the best methods to prevent back labour. In addition to getting your baby the right way up, visiting your chiropractor regularly will help to manage any developing pains. Ensure you get an ultrasound done to check the baby’s position often so you can start treatments as soon as you find out your baby is posterior. You can also visit a childbirth training class to receive advice and pain-relieving techniques from someone trained in the subject.

Other Comfort Measures

There are a few other methods to have a comfortable pregnancy without back labour. Some of these are:

  • You could give birth in a standing or kneeling position as it puts less pressure on the back
  • Staying on your hands and knees throughout labour is also helpful in relieving back labour
  • An alternative technique is injecting sterile water into the lower back, which gives pain relief for several hours. It must be noted that while this is popular, the mechanism behind how it works is still unclear

Although back labour is incredibly painful, it does not indicate that anything is wrong with your pregnancy. The outcome of most back labour cases is a normal birth. However, a few women might require an epidural to take care of the pain. The most important thing you can do is to stay fit and be in tiptop shape for the arrival of your baby.

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