Circumcision
Bleeding During Pregnancy
Back pain
Almost everyone has some back pain in pregnancy. Sometimes back pain is worse than other times. The good news is it usually goes away after delivery. In the meantime here are some things to do.
-Heat- Can help relax sore muscles, this can be done with rice packs, heating pads, tubs, or showers.
-Massage- you, your partner, or a professional can help massage some of the pain.
-Maternity belts- Following is some information on maternity belts. It is helpful to reposition the baby.
-Physical Therapy- we have a great physical therapist for back pain at Adventist Health Tillamook. If your back pain is really bad, do some physical therapy.
-It is OK to use bengay/ icy-hot/lotion to help sore muscles.
-Stretching/Yoga is very helpful. The following are some links for stretching in pregnancy and also some stretching.
https://www.youtube.com/watch?v=Sja4az8lnvc
Back pain during pregnancy isn’t surprising, but it still deserves attention. Consider seven ways to relieve back pain during pregnancy — from good posture and physical activity to complementary therapies.
By Mayo Clinic Staff
Back pain during pregnancy is a common complaint — and it’s no wonder. You’re gaining weight, your center of gravity changes, and your hormones are relaxing the ligaments in the joints of your pelvis. Often, however, you can prevent or ease back pain during pregnancy. Consider seven ways to give pregnancy back pain the boot.
As your baby grows, your center of gravity shifts forward. To avoid falling forward, you might compensate by leaning back — which can strain the muscles in your lower back and contribute to back pain during pregnancy. Keep these principles of good posture in mind:
• Stand up straight and tall.
• Hold your chest high.
• Keep your shoulders back and relaxed.
• Don’t lock your knees.
When you stand, use a comfortably wide stance for the best support. If you must stand for long periods of time, rest one foot on a low step stool — and take time for frequent breaks.
Good posture also means sitting with care. Choose a chair that supports your back, or place a small pillow behind your lower back.
Wear low-heeled — not flat — shoes with good arch support. Avoid high heels, which can further shift your balance forward and cause you to fall.
You might also consider wearing a maternity support belt. Although research on the effectiveness of maternity support belts is limited, some women find the additional support helpful.
When lifting a small object, squat down and lift with your legs. Don’t bend at the waist or lift with your back. It’s also important to know your limits. Ask for help if you need it.
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Sleep on your side, not your back. Keep one or both knees bent. Consider using pregnancy or support pillows between your bent knees, under your abdomen and behind your back.
While evidence to support their effectiveness is limited, massage or the application of a heating pad or ice pack to your back might help.
Regular physical activity can keep your back strong and might relieve back pain during pregnancy. With your health care provider’s OK, try gentle activities — such as walking or water exercise. A physical therapist also can show you stretches and exercises that might help.
You might also stretch your lower back. Rest on your hands and knees with your head in line with your back. Pull in your stomach, rounding your back slightly. Hold for several seconds, then relax your stomach and back — keeping your back as flat as possible. Gradually work up to 10 repetitions. Ask your health care provider about other stretching exercises, too.
Some research suggests that acupuncture might relieve back pain during pregnancy. Chiropractic treatment might provide comfort for some women as well. However, further research is needed. If you’re considering a complementary therapy, discuss it with your health care provider. Be sure to tell the chiropractor or acupuncturist that you are pregnant.
If you have severe back pain during pregnancy or back pain that lasts more than two weeks, talk to your health care provider. He or she might recommend medication such as acetaminophen (Tylenol, others) or other treatments.
Keep in mind that back pain during pregnancy might be a sign of preterm labor or a urinary tract infection. If you have back pain during pregnancy that’s accompanied by vaginal bleeding, fever or burning during urination, contact your health care provider right away.
Corona Virus and Adventist Health Tillamook
First things first
C-Section
At Adventist Health in Tillamook, our c-section rate is lower than the national average. If you are a first-time mom with a baby that is head down your risk of a cesarean section is ~15%, which is a lot lower than the national average of 25%
I find it interesting when people talk about cesarean sections. I hear things like “too many, correct rate, always delivered vaginally in the past”. I want to remind everyone that in 1900 1 in 200 moms died in childbirth and 1 in 10 babies died in their first year of life. In addition to high death rates, deliveries left some mothers or babies deformed for the rest of their life.
C-sections are the most wonderful thing to happen to mankind. We have come so far, it is easy to lose perspective.
I have had mothers who have had a C-section and a vaginal delivery tell me that their C-section was an easier/quicker recovery*

Risks
- Increase risk of infection
- Increase time to recover
- More discomfort as you are recovering
- Increase risk for serious injury to internal organs, especially if you have more than 2 cesarean sections.
Benefits
- Decrease risk of serious bleeding
- Decrease risks of urine or fecal leakage as you get older
- Decrease risk of prolapse of your uterus or bladder as you get older
- Can be safer for the baby
- More predictable, a cesarean section can be planned and is relatively fast.
Recovery
No sex or tampons for the first six weeks
No lifting more than 10 lbs (your baby and a light bag) for the first week
You will be in the hospital for ~2 nights after your delivery
When you go home you will be able to move around comfortably
You will not be able to do general household chores
You will be tired and sore
We will send you home with pain medications
*most people would say a vaginal delivery is easier to recover from, but most people that have C-sections need them and the surgery is easier on their body or their baby. There is always a reason we do C-sections.