Hi guys - I'd forgotten about this thread. Thanks for all the info. I'm 29 weeks into a second pregnancy (I originally posted before getting pregnant). I had an 18 month recovery after my first pregnancy, did clinical pilates before and during this pregnancy. It struck again at 7 weeks and I was told by my phsyio that I would soon be in a wheelchair if I didn't rest it. Resting or not to rest seems to be quite a controversial issue. Some people advocated rest, some don't and I guess I say, whatever works for you. Carrying on as normal did not work for me in my first pregnancy. Resting in this pregnancy has worked wonders and I'm in much less pain now than I was 10 months postnatally last time. I wear a pelvic belt virtually 24 hours a day and ice up to three times a day. THese are also working wonders. I am basically housebound with a toddler - I can walk to the shops at the end of my street (50 metres) and back and that's about it. Any more than that and I will be in pain. I basically have a choice between mentally going nuts at being housebound (I don't drive) or doing more, being in pain and having a longer recovery post-natally. I choose to go bonkers.

After a long chat with my physio (who specialises in pregnancy), I've opted for an elective caesar. While SPD certainly does not mean that you need to have a caesar, in my circumstances it's the most sensible option. She said that if I went for a VB again, that I would need to specify only 20 minutes of pushing (regardless of the position). Any more could further damage my pelvis which is what happened last time with a 2.5 hour pushing stage. The three midwives that I've spoken to have also advised that they think a caesar would be better FOR ME given my birthing history and troubles with SPD.