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Bekkenløsning

Bekkenløsning, eller bekkenleddsmerter, opptrer hos mer enn 15 prosent av alle gravide i Norge. Hos de aller fleste går plagene tilbake etter fødselen.

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Bekkenløsning behandles først og fremst ved å tilpasse egen hverdag. For eksempel kan det hjelpe å belaste beina jevnt, å gå med korte skritt, og legge en pute mellom beina når du skal ligge på siden.

Sist oppdatert:

30. mai 2019

Innhold i artikkelen

Hva er bekkenløsning?

Bekkenet består av flere bein. Normalt er de ulike beina føyd tett sammen, og det er liten bevegelighet mellom dem. Ved graviditet blir sammenføyningene påvirket av svangerskapshormoner, som gjør at de blir mer føyelige. Dette er en naturlig prosess som klargjør bekkenet for den forestående fødselen. Hos noen gravide kan bevegeligheten mellom de ulike bekkenbeina utløse smerter.

Ileosakralleddene og symfysen (skambeinet) er markert med rødtIleosakralleddene og symfysen på underlivsbeinet er markert med rødt
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"Bekkenleddsmerter" er begrepet som brukes når den gravide opplever bekkenløsningen som et smertefullt problem og melder seg som pasient. Da har hun gangvansker og smerter lokalisert over bekkenleddene. 15 prosent av norske gravide kvinner rapporterer å ha bekkenleddsmerter i siste del av svangerskapet. Bekkenleddsmerter er den hyppigste årsaken til sykemelding i svangerskapet.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Bekkenleddsmerter . Referanselisten for dette dokumentet vises nedenfor

  1. Stuge B, Mørkved S, Danielsson A. Bekkenleddsmerter (symptomgivende bekkenløsning, bekkenleddsyndrom). Veileder i fødselshjelp 2014. Norsk gynekologisk forening
  2. Stuge B. Diagnostikk og behandling av bekkenleddsplager. Tidsskr Nor Legeforen 2010; 130: 2141-5. doi:10.4045/tidsskr.09.0702 DOI
  3. Bjelland EK, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol 2010; 203: 146. PubMed
  4. Vleeming a, Albert HB, Östgaard HC, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008; 17: 794-819. PubMed
  5. Bjelland EK, Stuge B, Engdahl B, et al. The effect of emotional distress on persistent pelvic girdle pain after delivery: a longitudinal population study. BJOG 2013; 120: 32-40. doi:10.1111/1471-0528.12029 DOI
  6. Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieen JH,Wuisman PI, et al. Pregnancy-related pelvic girdle pain. I. Terminology, clinical presentation, and prevalence. Eur Spine J 2004; 13: 575-89. PubMed
  7. Robinson HS, Eskild A, Heiberg E, Eberhard-Gran M. Pelvic girdle pain in pregnancy: The impact on function. Acta Obstetr Gynecol Scand 2006; 85: 160-4. PubMed
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  9. Palsson TS, Graven-Nielsen T. Experimental pelvic pain facilitates pain provocation tests and causes regional hyperalgesia. Pain 2012;153:2233-40. doi: 10.1016/j.pain.2012.07.013 DOI
  10. Damen L, Buyruk HM, Guler-Uysal F, Lotgering FK, Snijders CJ, and Stam HJ. Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand 2001; 80: 1019-24. PubMed
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  14. Owe KM, Bjelland EK, Stuge B, et al. Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women. Br J Sports Med 2015. doi:10.1136/bjsports-2015-094921 DOI
  15. Bjelland E, Owe K, Stuge B, et al. Breastfeeding and pelvic girdle pain: a follow-up study of 10 603 women 18 months after delivery. BJOG 2014. doi: 10.1111/1471-0528.13118 DOI
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  20. Stuge B. Current Knowledge on Low Back Pain and Pelvic Girdle Pain During Pregnancy and after Childbirth: A Narrative Review. Current Women's Health Rev 2015; 11: 68-74. doi:10.2174/157340481101150914201838 DOI
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  22. Stuge B, Hilde G, Vollestad N. Physical therapy for pregnancy-related low back and pelvic pain: a systematic review. Acta Obstet Gynecol Scand 2003; 82: 983-90. PubMed
  23. Elden H. Treatment modalities for pelvic girdle pain in pregnant women (doctorate). The Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden, 2008.
  24. Stuge B, Laerum E, Kirkesola G, Vøllestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine (Phila Pa 1976) 2004; 29: 351-9. pmid:15094530 PubMed
  25. Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021 May;24(3):223-233. PMID: 33988941. PubMed
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  29. Bjelland EK, Stuge B, Vangen S, et al. Mode of delivery and persistence of pelvic girdle syndrome 6 months postpartum. Am J Obstet Gynecol 2013; 208: 298.e1-7. doi:10.1016/j.ajog.2012.12.002 DOI
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  32. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand 2001; 80: 505-10 PubMed
  33. Wu WH, Meijer OG, Uegaki et al. Pregnancy-related pelvic girdle pain (PPP), I Terminology, clinical presentation and prevalence. Eur Spine J 2004; 13: 575-89. PubMed
  34. Bjorklund K, Bergstrom S, Nordstrom ML, Ulmsten U. Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy. Acta Obstet Gynecol Scand 2000; 79: 269-75. PubMed
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