There is little predictability regarding pelvic stress during childbirth (other than there is big stress). Spine & Pelvis is usually not a major concern for the Obstritician so making them aware of longstanding mechanical problems does not usually have any practical effects – in my experience (25 years).

The options would be to select less stressful delivery positions, ie Squatting, Gym Ball, or water but these are only reduction strategies – the pelvis is still significantly stressed.

The other alternative is Elective Caesarian (which I,m sure you have considered). The downside is the abdominal wall incisional trauma – but this is reversible with focused post-partum effort.

Good Luck

David

I have a history of Right innominate malalignment and have had a series of SIJ injections into the intervetebral and spinal ligaments as well as the Sacroiliac joint as part of my treatment between 6 and 9 years ago. I have had a recurrent problem with this ever since. However I am now pregnant and desperately need to gain some advice on whether it would be safe and or advisable for me to have a natural labour.

Any indication as to any short and or long term risks surrounding this would be hugely appreciated!!