Week 18 • Second Trimester

Back Pain at Week 18

Lower back aching and discomfort

📆 Second Trimester Overview

Begins as belly grows, affects 30-40%

🔍 What Causes Back Pain at Week 18?

  • •Growing uterus shifting center of gravity
  • •Additional weight strain on spine
  • •Hormone relaxin loosening ligaments
  • •Postural changes
  • •Weakened abdominal muscles
  • •Stress and tension

✓ Normal Signs

  • ✓Dull, aching pain
  • ✓Worse after standing/sitting long
  • ✓Improves with rest
  • ✓Both sides affected

⚠ Concerning Signs

  • ⚠Severe, constant pain
  • ⚠Fever with back pain
  • ⚠Vaginal bleeding
  • ⚠Numbness in legs
  • ⚠Pain with urination

💊 Relief Strategies

  • ✓Practice good posture
  • ✓Wear pregnancy support belt
  • ✓Low-heeled, supportive shoes
  • ✓Sleep with pillow between knees
  • ✓Prenatal yoga and stretching
  • ✓Swimming for low-impact exercise
  • ✓Apply heat or cold packs
  • ✓Prenatal massage
  • ✓Avoid heavy lifting

🏥 When to Call Your Doctor

Contact your healthcare provider if you experience:

  • ⚠Severe pain that doesn't improve
  • ⚠Numbness or weakness in legs
  • ⚠Back pain with vaginal bleeding
  • ⚠Fever with back pain
  • ⚠Rhythmic back pain (contractions)