It may be wise to request a referral early in pregnancy in order to get advice to reduce the They may come through “sunny side up” or with their heads at an angle (asynclitic) or even with their head facing side to side in your pelvis.Īsk to be referred to a physiotherapist who can offer help and support by teaching exercises, providing specialist pregnancy belts, and suggesting simple lifestyle changes to minimize pelvic instability. Let your birth team know that you may labor very fast from 4cm and that your caregivers need to monitor you carefully and take heed if you want to push suddenly.ĭue to the lax ligaments and joints within the abdomen and pelvis, babies of women with hEDS/HSD may come through the pelvis and be born in a less standard position. As good as this sounds, it can be intense and frightening without the proper education and support. Women with hEDS/HSD are more prone to tearing and may take longer to heal.Įarly labor (from 0 to 4cm) may last as long as that of an unaffected woman, women with hEDS/HSD are more prone to a precipitate (very fast) active labor. Your perineum is the area between your vagina and your anus and is the skin that gets stretched open as your baby is born. It is vital that mental health is monitored and, where appropriate, treated in pregnancy to reduce the likelihood of postpartum mood disorders. It has been noted that people with hEDS/HSD appear to be more prone to anxiety and depression. The palpitations should return to normal-for-you after the birth as hormone levels settle down. Tell your GP who can arrange a quick ECG to ensure that there is nothing to worry about. These may increase, or become apparent for the first time, in pregnancy. Many people with hEDS/HSD are used to heart palpitations and ‘flutters’. Most NHS physios run back care classes for pregnant women and your midwife should have details of these. Take great care when lifting – avoid if possible but, otherwise, bend your knees, keep your back straight and bring the item to be raised in close before picking it up. This may mean asking for extra help with household tasks and sitting down for ironing, washing up, etc. Pace your activity and avoid overdoing it on good days. Use a small cushion for your lower back and raise your legs on a comfy stool if it helps. Consider the chair you use in the house and at work and ensure that your feet can rest comfortably on the floor. Try to tuck your tailbone under as you sit and walk, and ‘walk tall’. There is a natural lordosis (swayback) in pregnancy and good posture can help to correct this just enough to reduce over-stretching of the ligaments. This may occur with or without pelvic girdle issues. Some women with hEDS/HSD continue to suffer from PGP for many years after childbirth and considerable support may be needed. Symptoms can begin earlier in the woman with hEDS/HSD and it may take a lot longer for them to disappear after birth. Some studies have found that whilst the general pregnant population has a 7% incidence of PGP, this is increased to 26% in women with hEDS/HSD. The increased laxity and instability of the pelvic joints cause pain all around the pelvis, which can range from mild aching after sitting still, to considerable disability requiring the use of crutches or a wheelchair. This used to be called ‘symphysis pubis dysfunction”. If symptoms persist, see your GP for a prescription for safe antacids. Spicy foods, caffeine, alcohol, citrus fruit, and (despite what friends may tell you) milk can all make symptoms more likely whilst eating small regular meals, drinking water (to dilute the acid), avoiding late evening meals, and lying on your left side at rest can all help improve symptoms. This is a burning, acidic feeling in the esophagus (gullet) caused by stomach acid leaking. I don’t see many in the birth worker communities discussing this topic so I decided to do a deep dive! Read on to see some of the impacts hypermobility can have on pregnancy and birth as well as some tips on management. With the rise of greater understanding around diagnoses like Ehlers-Danlos Syndrome and others that impact mobility and collagen production, it’s becoming more and more important to discuss the impact on pregnancy and birth.
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