The most common causes of non-obstetric pain are appendicitis, biliary diseases, ovarian disorders, breast or cervical disorders and bowel obstruction. These pain bouts are not problems on their own but are rather outcomes of some bodily disorders or issues that plague the mother across the pregnancy tenure.
What makes non-obstetric pain a vital field of study is the harm it poses to the mother or the foetus. The pregnancy tenure anyway proves to be an uncomfortable time for the mother and added pain just makes the whole experience much worse. This, coupled with the fact that many groups of medicines cannot be administered during pregnancy, makes pain management a tough thing.
For instance, protein binding, lipid solubility, mother’s metabolism rate, and the molecular weight all impact the placental transfer of medications from the mother to the foetus. Testing of many drug components has been limited in this case, which makes prescribing medicines a difficult job. This is especially during the organogenesis stage – between the fourth and tenth weeks – where harmful medication stands to cause developmental problems and organ abnormalities.
Some medicines may not directly impact the development of the foetus, but it can induce complications to the process of pregnancy, like cause a delay in labour, decrease the amniotic fluid volume, or place the newborn at risk of pulmonary hypertension.
One more problem that medicines administered for non-obstetric pain can cause is tampered with the quality breast milk that a lactating mother produces. Although only a minor fraction of medicinal dosage that the mother has ingested passes on to the baby via breast milk, even with that minimal exposure, neonatal drug allergy and slower infant drug metabolism are risks that need to be considered.
Non-obstetric pain can affect any mother during pregnancy. Caused by a whole host of reason, there symptoms would be similar to any other physiological pain that sets in. They may come as chronic bouts or may keep on occurring as a prolonged issue. The faster one contacts the doctor, the easier it is to detect the possible root cause of the pain and treat it accordingly. Make sure multiple opinions are sought before starting any treatment or medication, to ensure that each and every foreign substance, even if they are medicines, is safe for the mother, for the child, and for the pregnancy process.