Women often experience shoulder and upper back pain from engorged breasts, changes in posture, different sleep positions, and poor body mechanics during their pregnancy. (According to the March of Dimes, women can gain two pounds in their breasts alone!) As your pregnancy progresses, there is more stress on your upper back muscles. Your center of gravity shifts forward and your muscles are working hard to maintain your posture. What can you do? Wear the right size bra! It’s important to wear the right size bra, as an incorrect fit can put too much pressure on the girls and can cause mastitis (inflammation of the mammary glands) and plugged milk ducts. Additionally, supportive bras will help prevent unnecessary strain on your neck and shoulders. We know pregnancy comes with a lot of expenses. But skimping on good bras will contribute to upper body pain and discomfort. This pain will be worse than that on your wallet. While we recommend you visit a department store or lingerie shop to have a bra expert help you select the best bra, here are some tips if you’re shopping solo. A bra fits well if: However, you may find it more comfortable to wear a maternity or soft cup bra. These types of bras can also be worn in bed if you feel you need extra support while sleeping. This excerpt has been reprinted with the permission of Demos Health Publishers from Jill Hoefs’ and Denise Jagroo’s new book, Your Best Pregnancy: The Ultimate Guide to Easing the Aches, Pains, and Uncomfortable Side Effects During Each Stage of Your Pregnancy (Demos Health, November 2014). Jill Hoefs, MPT, is a certified physical therapist and owner of Body Align Physical Therapy with locations in New York City and Summit, NJ. She is a licensed instructor in the Tupler Technique and specializes in treating diastasis recti. In addition to treating patients, Hoefs teaches classes on child birth preparation and postpartum recovery.