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Continuing to work when pregnant and with Pelvic Girdle Pain (PGP) symptoms

Posted by Madeleine Speed, the Pelvic Partnership, January 2016

The Pelvic Partnership receive a number of calls and emails from our members about how to keep working when pregnant and managing PGP symptoms. On balance, most are from women who want to continue working for as long as they can ahead of going on maternity leave but aren't sure how to bring up the subject at work.

workHow is it for you?

PGP symptoms in pregnancy are usually caused by stiff or stuck pelvic joints and an associated asymmetry in the pelvis which can hamper efficient function. The symptoms can include pain and difficulty walking and performing other routine tasks and movements. With good manual therapy, you will be aiming to stop the symptoms getting worse by releasing the stiff or stuck pelvic joints and realigning the pelvis. You should then start to notice improvements in function and relief from pain. However, this does depend on finding a manual therapist experienced in treating PGP, which may take some time. In the meantime, you may have to cope with the challenging symptoms of PGP at work.

No two women are the same so PGP symptoms can vary in severity and the associated level of pain and immobility can similarly differ from one woman to the next.

  •  Some women with mild PGP can continue working during their pregnancy until a week or so before their estimated due date. They may be tired and find it difficult to stand or walk for long periods during their job but generally, they are fine and continue with the day-to-day tasks involved in their role.
  • Other women may find that their PGP symptoms become more pronounced just a few weeks after falling pregnant so that as the pregnancy progresses, the symptoms make it very difficult to function as before either at home or at work. Again, the symptoms might be OK one day and then flare up the next. 

You may not know how you might feel with PGP as you continue in the pregnancy but you may already have a clear idea about whether or not you can manageto stay at work. Sometimes it isn't really a practical option to stop working early as you need the income particularly as there's a new baby on the way. Other women may plan to finish work with the birth of their baby and not return until they have completed the family and the youngest is ready to start school. Whatever your situation, if you want to stay at work but are worried about how you will manage, here are suggestions that may help you to bring up the subject with your employer so you can explore options together.

What can you do and what will you struggle to do?

It is worth having a chat at home with your partner about how you are managing at work. Whatever you decide to do about staying for as long as you can in your work role, it is important to have your partner on board so you feel that your family is behind you and backing your decision. It will then be easier to concentrate on how you think you will need to adapt to keep working for as long as possible. Aspects to consider:

  • Just as each woman will find PGP symptoms may affect them slightly differently, so too will the demands of a particular job. If you have a very demanding physical job your challenges with PGP are going to be different from someone whose role is fairly sedentary or involves no driving between sites.
  • Have a look at aspects of the job that are going to prove hard for you as the pregnancy progresses and see if you can come up with some ideas for managing. It may be that the loos and meeting rooms require trips up or downstairs so it may be a good idea to think of ways you could move your desk to a higher or lower floor to avoid having to use the stairs all the time.
  • You may have a colleague who would be happy to work more closely with you to fetch and carry without causing problems to either of you.
  • Have a good list of the tasks that will be hard for you and some constructive ideas about how you could get around this. You might be nervous about suggesting that you work for some of your time from home but if you can show that it can be done in your role (and that you are much more likely to keep managing the work), then you will probably find your request is looked upon favourably.

Approach your boss about PGP as soon as you can

It is worth talking to your boss about your situation as soon as you can so that there is some time to plan a transition in the way you work. In this way, preparations are more likely to go smoothly and your employer is less likely to feel they have to react quickly without proper thought and consideration for your situation.

  • Book some time to talk about the situation so your line manager has your full attention and you aren't likely to be interrupted.
  • Set up a further meeting so you can let the information about PGP sink in before you suggest ways to alter the tasks or the way you do them.
  • Draw up a list of the tasks you find difficult and how you might get around them.
  • Explain that if you can work together to manage the PGP, you are much more likely to cope in the job without needing time off because you aren't coping.
  • Try and come up with some positive ideas of how to manage your job so that your line manager recognises that you are positive and constructive. shopping
  • Encourage your line manager to set up a meeting with your personnel or Human Resources department so you have their expertise and support to help you.
  • If you can show that your work can still be covered with help from colleagues, with some extra equipment and with some time spent working from home, your boss is much more likely to support your ideas.

Both you and your employer have an interest in how you are doing

Companies have invested time, money and resources to train you up and if you have been in your post for more than a few years, your line manager will value the experience and the skills you bring to the job. Replacing you will be costly and undesirable in many ways so it is usually to your boss's advantage as well as yours to have you stay in post for as long as possible. If you are worried about how your boss will react, see if there is a senior colleague who is sympathetic to your situation who can join in any meetings to support you.

"I was nervous about talking to my male manager about my problems with PGP during pregnancy. When I finally had the courage to arrange a meeting to discuss it, he had already noticed I was struggling and anticipated that there was a problem - he had lots of ideas for supporting me." Sreela.

"My boss wasn't very good about the situation and said he thought I was making a fuss about the pregnancy and shouldn't be at work. However, his line manager is a woman whose sister had PGP so she was very helpful and intervened to smooth away the friction and come up with ways that were acceptable to my immediate boss and really helped me." Jane.

"I found that we could delegate some of the more physical aspects of my role to a junior in our team who I then supervised and mentored and this worked really well for both of us. A bit of creativity and some goodwill on both sides can usually help to find a solution through some of the difficulties." Liz.

"My immediate line manager thought that I would be 'off sick' for much of my pregnancy because of my PGP symptoms. As a result, initially she seemed very negative and unhelpful. However, when we set up a meeting with personnel to start planning, it was obvious that she suddenly 'got' that we just needed to make a few tweaks and practical changes to help me to keep working. Once the penny had dropped and she became supportive, the relatively minor changes we made helped me to continue working right up to the week before my baby was due." Sandra.


Need a strategy to cope with the advent countdown?

Posted by Madeleine Speed, the Pelvic Partnership, December 2015

Dec 2015 blogWith the beginning of December, we start the inevitable advent countdown and time seems to go far too fast to make room for all the usual seasonal events and activities. This should be a time of Christmas cheer and goodwill but the run up to the big day can easily degenerate into a period of stress, difficulty and expense. Sometimes staying positive and upbeat can be an enormous uphill struggle and particularly if you are battling with symptoms of pain and discomfort which are typical in pregnancy-related pelvic girdle (PGP) pain. So what can you do to cope?

If you are starting to feel stressed, it may be reassuring to know that you are not alone. We've canvassed some of our members to see what strategies have worked to keep them focused and cheerful... 

1. Getting down to it. Open a bar of chocolate, perhaps pour yourself a glass of wine and find a notebook or your iPad to draw up a plan. Putting this off can make you feel guilty or panicky. List tasks and chores that you don’t want to forget; sometimes it helps to work backwards from Christmas to give yourself time to organise what needs to be done and when so you can avoid a rush. Transfer these priorities into your calendar and be realistic about what really needs to be done and how long tasks should take - don't be over-ambitious! 

2. Don't try to do it all yourself. Get friends and family on board. Remind them about your PGP so that they understand you'll need their help and support now as much as ever! Ask family members what jobs and treats they would like included in the run up to Christmas and add them to yours. If you are hosting at your house, ask family and friends to come with a dish to contribute or at least the willingness to take on some of the preparations. Praise, encouragement and the odd bribe can go down very well in accomplishing a team effort ahead of the day and on it.

3. Save your feet and conserve your energy. Use any internet access you have, whether it is your iPad, PC or your smart phone to help with shopping. It can really take the pressure off browsing for gifts and then getting down to the serious task of shopping for presents, food and the household necessities (without getting up from the sofa). Those in the family under 12 are often the most knowledgeable about showing the quickest way to great websites and online services. Even if you like to look around the supermarket for your fresh fruit or meat, you can still use the delivery services that supermarkets provide to get the bulky items: tins, soap powder, pet food, etc.

4. Plan in some treats. To help you manage the tasks in the run up to Christmas, plan some treats in between the chores, for example, take fifteen minutes here and there during the day to help you relax so you can take everything in your stride. You might need the help of others in your family to enable you to have time for a relaxing bath, read a book, sit with your feet up, eat some chocolate, phone a friend or whatever else helps you to chill. Don't forget to include festive treats and events that you enjoy and not just those of the children or your partner. Some 'me time' is important and not selfish, because you need to keep your batteries charged up in order to manage your PGP, family and household. If you are having fun, others in the family will feel more relaxed, too. 

5. Keep it real. It is well worth avoiding unrealistic ideas of what a family Christmas should entail. Avoid situations that wind you up or you don't enjoy. Sometimes it can be better to be honest about not wanting to go to see Auntie Flo as well as all the other relations. It's hard being happy and upbeat if you are exhausted. Remember you are only human and that PGP takes time to manage and can make you tired. Keep your standards realistic: it may be better to do three tasks 'well enough' than one to perfection.

6. Share chores. Ask a friend to team up with you to help with a particular task that you find hard will be easier and more fun if you face it together. Ask your friend to help you and maybe reward them with tea and cake. Alternatively, perhaps return the favour by doing a chore they loathe that you can do sitting down.

7. Little and often. Breaking larger tasks into smaller ones and doing these in short bursts can help. Trying to wrap all the presents on Christmas Eve can be a big mistake as it becomes a chore rather than fun (and it takes hours). Similarly, doing some cooking ahead to pop in the freezer. It's always useful to delegate some tasks to children or adults in the family. 

8. Slow down and rest. This time of year can make you want to rush through the day as quickly as possible to get things done before Christmas. Resist the temptation to do too much and pace yourself so you don’t hurt your pelvis or wear yourself out. Make sure you are eating well, resting and getting enough sleep.

9. Count to ten. If you start to feel stressed and that you are losing it, count to ten or back away from a difficult situation. It won't help to react there and then if you are cross or upset. Anticipate the things that might wind you up and see if you can manage your way through them to avoid confrontation or upset.

10. A sense of humour. It isn’t always possible to see the funny side of things when you are tired or in pain. However, when you relax and laugh, everything feels a little easier. Find some programmes over Christmas that will make you laugh out loud. Ask the family or any guests to pick comedy or funny films in the run up to Christmas and try to watch something funny each day.

We hope these suggestions are useful and that there are a few ideas that might work for you. At very least, these could be a starting place and a catalyst for helping you to work out how best plan and manage your approach to Christmas - so that instead of wishing the whole thing was over, you can relax and enjoy the festive period. Wishing you and your family a very Happy Christmas.
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Please note, the Pelvic Partnership consists of volunteers who have had Pelvic Girdle Pain and wish to support other women. We aim to pass on information based on research evidence where available. We are not medical professionals and cannot offer medical advice. The Pelvic Partnership takes no responsibility for any action you do or do not take as a result of reading this information.
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