Addressing Pregnancy Pain: Why Mothers Must Be Taken Seriously

About half to three-quarters of expectant mothers experience significant pain during pregnancy, often without adequate treatment. This lack of attention can lead to preventable suffering and long-term health issues. Many mothers avoid medications due to concerns about potential harm to their unborn child, unaware of the risks associated with untreated pain.

Mothers frequently hear that pregnancy-related pain is merely a temporary discomfort. While it is true that some pain subsides after childbirth, persistent pain can disrupt sleep, work, and parenting responsibilities. For many, this pain does not fade away; conditions such as back pain and headaches can linger for months, becoming chronic and severely affecting overall health.

Normal changes during pregnancy, including hormonal fluctuations and the added weight of the unborn baby, contribute to discomfort. These factors can lead to conditions like lordosis, where the spine curves abnormally due to the baby’s weight. Pain often intensifies in the third trimester when the baby’s weight peaks, highlighting the necessity for healthcare providers and support systems to take mothers’ pain seriously.

Despite this, research indicates a concerning trend: over 50% of mothers who report pain receive little to no treatment. This is underscored by a meta-analysis that reviewed existing studies on the subject. Current treatment options are limited, with common medications like Tylenol primarily effective for mild pain and not suitable for moderate to severe discomfort.

Alternative treatments, such as heat or cold applications, massage, chiropractic adjustments, and physical therapy, can be beneficial. However, these options may not be covered by insurance, leading to additional financial burdens for expectant mothers. The most effective pain management strategies often involve a combination of therapies, but accessibility varies widely among healthcare providers.

When mothers report pain, they frequently receive advice to rest, take over-the-counter medications, or go on maternity leave. For many, these solutions are impractical. Early maternity leave can deplete limited time off before childbirth, compelling mothers to prioritize their responsibilities over their health. This creates a cycle where unmet expectations lead to guilt, potentially resulting in mental health challenges.

Research from a team of nurse researchers reveals that approximately 44% of women with severe pain experience moderate to severe depressive symptoms during the third trimester. Untreated depression poses serious risks, including suicide, which contributes to 5% to 20% of maternal deaths in the United States.

In cases of severe pain, some mothers may receive prescriptions for opioid or narcotic pain relievers, but misuse is a significant risk. Statistics show that 1 in 5 women with pain report misusing these medications, which can lead to complications for newborns, including withdrawal symptoms after birth. Neonatal opioid withdrawal syndrome is becoming increasingly common and costs the U.S. healthcare system over 462 million USD annually.

Effective pain management is crucial, especially as suicide and drug overdoses have emerged as leading causes of death in the year following childbirth.

Encouraging Open Communication

Addressing pregnancy pain effectively begins with open communication between mothers and healthcare providers. Research suggests that by adjusting expectations and expressing their feelings clearly, mothers can actively participate in their pain management.

Pregnancy is a time when listening to one’s body and adjusting expectations is essential. It is perfectly acceptable for a mother to slow down if pain hampers her ability to lift her child or engage in daily activities. It is the quiet moments shared with children that create lasting memories.

Engaging in conversations about pain can be challenging. Choose a suitable time for discussions with loved ones, ensuring a calm environment free from distractions. Clearly articulate feelings and needs, using “I” statements such as “I feel…” to foster understanding. Sharing reliable articles or inviting family members to medical appointments can also help them grasp the situation better.

It is equally important to address concerns directly with healthcare providers. Before appointments, mothers should prepare a list of main concerns and questions. They should be candid about their pain, describing its nature and how it impacts daily life. Mild pain that disrupts sleep or everyday activities warrants attention, and if current treatments are ineffective, mothers should explore additional options, including referrals to specialists.

If treatment is effective but insurance limitations arise, mothers should seek assistance in appealing these decisions. Often, ongoing treatment throughout pregnancy is necessary to manage pain effectively.

Recognizing and addressing pregnancy pain is not merely about alleviating discomfort; it is about ensuring the well-being of mothers and their families. By taking pain seriously, both mothers and healthcare providers can work toward better outcomes for expectant families.