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http://bura.brunel.ac.uk/handle/2438/33261| Title: | Identifying and managing pregnancy-related pelvic girdle pain |
| Authors: | Jakes, A Chadha, K Igualada-Martinez, P |
| Issue Date: | 6-May-2026 |
| Publisher: | BMJ Publishing Group |
| Citation: | Jakes, A., Chadha, K. and Igualada-Martinez, P. (2026) 'Identifying and managing pregnancy-related pelvic girdle pain', BMJ, 393, e088930, pp. 1–6. doi: 10.1136/bmj-2025-088930. |
| Abstract: | A 28 year old nulliparous woman complains of gradual onset pelvic pain at 30 weeks’ gestation of pregnancy. The pain is aching in nature and worse on climbing stairs and turning in bed. She denies any urinary or bowel symptoms and has not noticed any fluid or blood loss from her vagina. Fetal movements are normal. |
| Description: | What you need to know: • Pregnancy-related pelvic girdle pain is common, but not a normal sequela of pregnancy; consider the diagnosis in pregnant women with pain in the lumbosacral region, sacroiliac joints, and symphysis pubis joint • Diagnosis is clinical and supported by focused examination, such as by simple provocation tests when performed by trained clinicians, without neurological deficit • Provide information, reassurance, and practical advice on activity pacing, sleep, and adaptations, and offer simple analgesia such as paracetamol • In line with local referral processes, offer referral to pelvic health physiotherapy for women with persistent, functionally limiting, or worsening symptoms; physiotherapy may include education, exercise, and movement strategies |
| URI: | https://bura.brunel.ac.uk/handle/2438/33261 |
| DOI: | https://doi.org/10.1136/bmj-2025-088930 |
| ISSN: | 1759-2151 |
| Other Identifiers: | ORCiD: Paula Igualada-Martinez https://orcid.org/0000-0003-2718-0083 |
| Appears in Collections: | Department of Health Sciences Research Papers |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| FullText.pdf | Copyright © 2026 BMJ Publishing Group Ltd. All rights reserved. This article has been published in the British Medical Journal (The BMJ), 2026, following peer review, and the Version of Record can be accessed online at https://doi.org/10.1136/bmj-2025-088930 (see: https://www.bmj.com/company/wp-content/uploads/2018/09/Non-Open-Access-Articles-September-2018.pdf) It is archived under a Creative Commons-NonCommercial 4.0 International licence (https://creativecommons.org/licenses/by-nc/4.0/). | 2.99 MB | Adobe PDF | View/Open |
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