Symphysis Pubis Dysfunction (SPD)

You will need to keep separation of your legs to a minimum - which is the tricky bit during delivery. If everything goes smoothly and you don't need an epidural, you might find it comfortable to deliver on all fours, kneel up against the back of the bed or lie on your side with your upper leg supported.

If you push in a sitting position during the second stage, do NOT let your feet be placed on your attendants' hips.

If you need an epidural, remember it will mask the warning pain of SPD as well as the contractions and the above is even more important.

If by any chance you need an assisted delivery, which requires you to have your legs in stirrups (lithotomy position), it is vital that your partner reminds your midwives that you have SPD. They will be very careful to lift your legs up together symmetrically. The same applies if you need stitches after your baby has been born.

Most women recover spontaneously soon after birth, but you will need to rest (as much as possible) and avoid doing anything that provokes the pain.