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Can breech position of the baby lead to symphysis pubis dysfunction?

Q: I am 30 weeks pregnant and suffer from symphysis pubis dysfunction. I had a scan and the baby is in the breach position. Is this making my pain worse? Is their enough room for the baby to change its position on his own without help?

A:Pregnancy does cause some tolerable pain in the bones of the pelvis and spine. If you already have some problem with the symphisis pubis, the pain is sure to get aggravated with advancing pregnancy. Regarding the baby changing his position (which normally occurs after 32nd week) there are many causes for persistent breech presentation - one of them is a contracted pelvis. It is not possible for me to predict what will happen in your case without examing you.

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