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According to Obstetrics, Normal and Problem Pregnancies by Steven Gabbe, Fourth Edition, the most widely read textbook on Obstetric Medicine...
Back pain in pregnant women can be prevented to a large degree by:
1. Avoidance of excessive weight gain.
2. Exercise to strengthen back muscles.
3. Good sitting and sleeping posture.
4. Sensible shoes, not high heels, should be worn.