s u m m a r y p o i n t s• The hormonal and mechanical changes which result from pregnancy have the capacity to exacerbate existing chronic pain conditions as well as produce pain unique to this physiological and anatomical state.• Pain in pregnancy is very common and can impact negatively on maternal satisfaction with the pregnancy.• Management of pain requires a multidisciplinary, biopsychosocial approach. The possible presence of co-existing pathology and obstetric conditions must be borne in mind when assessing pain in pregnancy.• Treatment of pain in pregnancy should focus on non-pharmacological interventions in the first instance with due consideration of the risk of medications to the mother, fetus and the course of the pregnancy.