Identifying and managing pregnancy-related pelvic girdle pain

What you need to know: • Pregnancy-related pelvic girdle pain is common, but not a normal sequela of pregnancy; consider the diagnosis in pregnant women with pain in the lumbosacral region, sacroiliac joints, and symphysis pubis joint • Diagnosis is clinical and supported by focused examination, such as by simple provocation tests when performed by trained clinicians, without neurological deficit • Provide information, reassurance, and practical advice on activity pacing, sleep, and adaptations, and offer simple analgesia such as paracetamol • In line with local referral processes, offer referral to pelvic health physiotherapy for women with persistent, functionally limiting, or worsening symptoms; physiotherapy may include education, exercise, and movement strategies