Something I’ve been thinking about a lot lately, mostly because I’ll be turning 31 soon is how my body will react to the time when my husband and I want to try starting a family.
If my pain and discomfort is already at the point that it’s at now, what’s going to happen when there’s extra weight from the baby? What might happen when my hips start shifting in order to get ready to have the child?
Some of the forums I’ve read have had women explaining how their bodies reacted. Some have stated that their physicians have told them that a C-section will be absolutely necessary, and some have gone through the whole process naturally. The general consensus as far as mobility is concerned is that the stiffness and pain will slowly increase, and some have had to be on bed rest because of the level of discomfort.
I’m not so much worried about the potential of bed rest, my biggest concern would have to be the chances of passing it on to the child. There are many factors that can cause congenital hip dysplasia, but the biggest factor is a family history. There’s a lot that I don’t know about my families medical history, so I don’t know if there is a strong family history of hip dysplasia in my family.
Some factors of hip dysplasia can include being female, being the first born, breech positioning, and swaddling in the first few months after birth. The only two things I know for a fact is that I was the first born female, as far as everything else, I don’t have the answers.
Although there are physical tests that can be done when we’re first born, it typically isn’t done unless there is any concern that hip dysplasia could have happened. There are two methods that can be conducted, the Ortolani or the Barlow methods. The Ortolani method checks for a clicking sound that may be audible when pushing the knee upward and feeling the popping sensation. The Barlow method uses gentle pressure to check if the hip can be dislocated in the socket. If either of these tests are positive then treatment may be necessary. Check for Hip Dysplasia
This would involve the use of a Spica cast or a Pavlik harness, these help to keep the hips flexed in an outward position, and typically this will help put the hip in the correct spot. If this doesn’t work then surgery is usually necessary. Treatments for Children.
Thankfully, since I know now that hip dysplasia is a factor then I will be able to voice my concerns and be able to help with early detection so the child wouldn’t have a late diagnosis and not have to go through the same amounts of pain and discomfort. Of course, there is part of me that is uncertain about having children because I wouldn’t wish any of this on anyone, let alone a child.
Another bit of information I’m still unclear about in my situation is whether or not I had any problems walking when I was just learning how to walk. Usually, if hip dysplasia isn’t diagnosed at birth then as the child begins to walk there may be some tell-tale signs that can show up. Having problems walking in general, walking with a limp, or an inability to sit and stand properly.
In the time I’ve had to reflect on some of the signs and symptoms I may have had growing up, there definitely were warning signs. In grade school I remember experiencing a lot of pain in my thighs, knees, and ankles. Whenever I would voice this concern it would get looked past, and brushed off as typical growing pains. This may have been part of it because my adult height is 6’0” so I had a lot of growing to do. But it also could have been some early symptoms of what was to come. At this time I was also figure skating and taking ballet classes, and I remember feeling a lot of discomfort after a long morning of practice.
When I was in 5th grade I had an accident when I was practicing for a skating competition that I was to take part in. I ended up falling onto my left knee, and caused injury to my kneecap. As far as I remember I broke off a small piece of the bottom left side of my kneecap. Because I did this just before I started puberty, the orthopedic physician thought that surgery would have been too extreme so we opted to use a series of leg braces to try and heal the injury. Three different full-length braces and six months of crutches, it healed relatively well.
Someone I know asked if they had noticed any underlying hip issues when I had the x-ray’s and the MRI for the knee injury. And no, nothing was ever noticed or brought to our attention. I don’t ever remember having many issues with walking or being on my feet for extended periods of time before I hurt my knee. Afterward, I do remember having a lot of pain in my left leg, whether it was from my hip or the knee I’m unsure.
All I know is that it’s something I’m going to have to think about carefully, and really know all of my options before I make any decisions.