Mainly women develop back pain at some point during pregnancy. Since the size and weight of your growing abdomen place more strain on your back, you may detect your posture changing. To protect your back from poor posture, unnecessary strain and painful injury, follow these guidelines:

* Evade standing with your abdomen forward and your shoulders back. Do the opposite.
* When standing, rest one foot on a small box, brick, or stool. Try not to stand for long periods of time.
* Sit with a back support or pillow against your lower back, for prolonged periods of seating, take a break every hour.
* Avoid heavy lifting. Lift only by rising from a squat, keeping your waist and back straight.
* Avoid stretching to reach something, such as on a high shelf or across a table.
* Sleep on a firm mattress (plywood under a mattress helps). Lie on your side, with a pillow between your knees.
* Stay active, and do simple back exercises.

You can help diminish back pain by wearing supportive, low-heeled shoes and avoiding flat or high-heeled shoes. A pregnancy support belt that rests under your abdomen can also help take the strain off of your back.

Bathe in a warm bathtub, or apply heat or cold to your tired or achy back. Besides, massage can help relieve muscle strain and tension.

When to Call a Doctor

Consult your doctor or nurse-midwife about back pain that gets worse or doesn't go away. It could be a symptom of a serious problem, for example a kidney infection or preterm labor.

Speak with your doctor or nurse-midwife about seeing a physical therapist for back pain that interferes with your daily routine or awakens you at night or for leg pain or numbness (sciatica). A physical therapist can give you safe and simple exercises that are tailored to the cause of your back pain.