Coccyx pain in women after childbirth

Enferm Clin. Jul-Aug 2019;29(4):245-247. doi: 10.1016/j.enfcli.2019.01.005. Epub 2019 Mar 9.
[Article in En, Spanish]


The coccyx is a bone with its own morphology and mobility and pain can occur due to trauma such as a difficult or instrumental delivery. Coccydynia can make it impossible to carry out the activities of daily life, its affects can be both physical and psychosocial, and causes great maternal morbidity. This article highlights the factors that predispose women to coccydynia and actions to relieve and improve it. Postpartum coccydynia is pain that appears as soon as a sitting position is adopted after delivery. Coccyx morphology, body mass index, vaginal delivery, instrumental delivery, multiparity, female sex, mature age and short perineum in women with difficult delivery are risk factors. The activities to improve pain begin with analgesia and coadjuvants, rehabilitation and pelvic floor massage, infiltrations, psychotherapy or, finally, surgery.

Keywords: Coccyx; Cóccix; Dolor; Matrona; Midwifery; Mujeres embarazadas; Pain; Período posparto; Postpartum period; Pregnant women.

Publication types

  • Review

MeSH terms

  • Coccyx*
  • Female
  • Humans
  • Pain Management
  • Pain* / etiology
  • Puerperal Disorders* / etiology
  • Puerperal Disorders* / therapy