Are you known for your clumsiness? You know, the type of person who slips in the shower, trips over curbs, or bumps their head on cabinets? That’s definitely me. My mom often warned me that if I wasn’t careful, I would “break my backside.” Ironically, it took 39 years for that prophecy to come true, and it happened in a flash. I was rushing down the stairs in my socks when I lost my footing on the carpet. I flew through the air and landed hard on the step below, and I knew instantly that my coccyx was injured.
The pain was beyond anything I had experienced before. I struggled to even speak due to the agony. Crawling on my side, I made my way back up the stairs and knew I needed urgent care. The x-ray confirmed my worst fears: a hairline fracture of the tailbone. The doctor informed me that the only remedy was time and rest. I was stunned!
I received painkillers and was advised to use a doughnut pillow to sit, as sitting on anything hard would be nearly impossible for weeks—perhaps even months. That first night at home, my husband had to help position me in bed, just like he did during my pregnancy. I took the painkillers and endured. I carried that doughnut pillow everywhere, often opting to stand instead of sit. Even three years later, I occasionally feel a twinge of pain and have to find relief by lying down or standing.
So, why am I sharing my tailbone saga? Because this kind of injury can actually occur during childbirth! When pushing a baby out, the coccyx, or tailbone, is put under considerable pressure. If the tailbone is properly aligned, it tilts back to accommodate the baby. However, if it tilts forward, the increased force can lead to bruising, dislocation, or even a fracture.
According to the Birth Injury Justice Center, several factors can contribute to a tailbone fracture during delivery, including:
- Delivering a baby face up
- A baby weighing nine pounds or more
- A long or complicated labor
- A small or narrow pelvis
- The use of forceps or vacuum during delivery
- Medical negligence
Additionally, if you’ve experienced a tailbone fracture before, the chance of it occurring again increases. It’s crucial to inform your healthcare provider about any previous tailbone injuries before labor begins, as they can take steps to minimize pressure.
If you do find yourself with a tailbone injury during delivery, there are ways to help manage the pain. Rest is paramount. Ice the affected area several times a day, and your doctor may prescribe pain relief, depending on your nursing status. Lying on your side can offer comfort, and a doughnut or wedge cushion will be a lifesaver in the initial days and weeks following the injury. Staying hydrated and consuming plenty of fiber will help avoid constipation, which can aggravate the situation.
Healing from a tailbone injury can take weeks to months, and lingering pain may persist long after. If the pain continues, you might be referred to a specialist for further treatment, which may include physical therapy or cortisone shots.
Every day, women bring new life into the world, and our bodies perform remarkable feats. Yet even the strongest among us can face challenges. If you’ve fractured your tailbone, I empathize with you. If this has happened during childbirth, you are a true warrior and deserve recognition for your strength.
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In summary, a tailbone injury during childbirth is a risk that many women may face, especially during difficult deliveries. Understanding the factors that contribute to this injury can help in taking preventive measures. If you do experience a tailbone injury, rest, ice, and proper care can assist in your recovery. Embrace your strength, and know that you are not alone in this journey.
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