Sometimes back pain is a red flag that something serious is going on. Among the most worrisome causes of pregnancy back pain is preterm labor. Dr. Rosser advises that women watch for pain that is "new" and "cyclical," which could be a sign of uterine contractions, along with vaginal bleeding or any change in vaginal discharge that could indicate a placental issue or an early rupture of your waters.
Damla Karsan Dryden, M.D., an ob-gyn at Texas Children's Pavilion for Women in Houston, advises patients to watch for an abdominal sensation that might be described as a "tightening uterus," which could be painless or could feel like mild, period-like cramping. If this sensation is accompanied by back pain that comes and goes at regular intervals, uterine contractions could be happening, which could possibly signifying preterm labor. Although a woman in this situation can take the recommended dose of acetaminophen (Tylenol) and rest on her side for a bit, "if the back pain is severe and is not relieved with rest and pain medicine, she should contact her health care provider," Dr. Dryden advises.
https://www.parents.com/pregnancy/my-body/aches-pains/pregnancy-back-pain-when-to-worry/
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