Hi Leeloo
Don't panic. I'm obviously not a doctor but I'd say if you're 'only' experiencing SPD this late then you have a very mild case and you won't cause too much damage if you're very active. Having said that, if you're worried about the actual pain stopping you from being active (rather than aggravating the condition which is a slightly different thing), then there are other things you can do. I had SPD from Week 28 and could barely walk so bouncing on a fitball was a good option for me.
It sounds like you're already in labour, or close to, so there's no point me recommending Juju Sundin's book so I'll give you a brief rundown on stuff you can do in labour (SPD or no SPD). I presume you wanted an active labour as part of pain management. Juju Sundin recommends pain management techniques that distract the brain - based on the theory that the brain can only process one thing at a time so if you distract it with something else, it can't concentrate on the pain. Trust me, I've used it, it works.
So, if you feel you can't do active labour in terms of walking etc., here's some other things you can do:
1. Bounce on fitball.
2. Say/moan/shout "ahhhhh" (think Buddhist chant rather than agonised scream) when you have a contraction. Concentrate on what your voice is doing and on the sound you're making.
3. If you have some stress balls, or any balls (other than your DH's) bang those together, concentrating on hitting them together and what noise they're making.
4. Combine 2 & 3.
5. I used those till I was 7cm and my DD was posterior and I'd had 7 hours sleep in 3 days. So when I say they work, believe me, they work.
Juju has lots more stuff but I wanted to send you something reassuring sooner rather than later. But don't stress about this - call the hospital and ask for their advice. They are used to dealing with concerned mums-to-be. You need to focus on what you can do, not what you can't.


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