Low Back Pain and Pelvic Pain During Pregnancy

Department of Clinical Science, Obstetrics and Gynaecology, Umeå University, Sweden.
Spine (Impact Factor: 2.3). 05/2005; 30(8):983-91. DOI: 10.1097/01.brs.0000158957.42198.8e
Source: PubMed


Cross-sectional study. Women giving birth at one of two hospitals of northern Sweden from 1 January 2002 until 30 April 2002 were invited to fill in a questionnaire on their obstetric and gynecological history, actual pregnancy, and delivery.
The aim of this study was to investigate prevalence and risk factors for low back pain and pelvic pain (LBPP) during pregnancy.
Although low back pain and pelvic pain during pregnancy is a most common complication of pregnancy, its etiology is unknown and the pathophysiology is poorly understood.
The sample was analyzed by calculating the prevalence of LBPP during pregnancy. Univariate and multivariate logistic regression was performed to calculate odds ratio (OR) and its 95% confidence intervals (CI) where applicable. Parametric and nonparametric testing was used to establish differences between groups.
The response rate was 83.2% (N = 891). The prevalence of LBPP during pregnancy was 72%. Most cases reported both anterior and posterior pain. Increasing parity, history of hypermobility, and reported periods of amenorrhea were risk factors for LBPP. Women with LBPP had significantly higher prepregnancy weight, end-pregnancy weight, and prepregnancy and end-pregnancy body mass index. Age at menarche and use of oral contraceptives were not associated with LBPP. Nonrespondents were of the same age and parity as respondents.
A majority of pregnant women report LBPP. Parity, LBPP during a previous pregnancy, body mass index, a history of hypermobility, and amenorrhea are factors influencing the risk of developing LBPP during pregnancy.

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    • "The etiology of LBP during pregnancy is multifactorial and frequently associated with biomechanical, hormonal and vascular changes [3]. Reported risk factors for LBP during pregnancy include maternal age [1], socioeconomic class, presence of LBP before pregnancy or during previous pregnancies, heavy work [2], parity , body mass index, family history of LBP, diagnosis of hypermobility and a family history of hypermobility [5]. Given the concerns about the prescription of medication during pregnancy, physical modalities, often provided by physiotherapists, have been recommended as a first line management for LBP during pregnancy. "
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    ABSTRACT: Objectives: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. Methods: A sample of 105 post-partum women was recruited. All participants answered a questionnaire; women who experienced LBP during pregnancy (n=71) continue in the study and later they were also interviewed. Content analysis, descriptive and inferential statistics were used to analyse the data. Results: Reports of LBP were common (n=71; 67.6%) and slightly more frequent in primiparous (n=40; 56.3%) than multiparous (n=31; 43.7%) women. Multiparous women with LBP were significantly older (p< 0.001) and reported more sleep disturbances (p=0.026) than primiparous women with LBP. LBP prevented women performing their daily activities (n=41; 57.7%) and worsened with the advance of pregnancy (n=55; 77.5%), yet 93.0% (n=66) of these women received no treatment. Conclusion: LBP is a prevalent and important clinical condition affecting the daily life of many pregnant women. Nevertheless, few women seek any treatment and physiotherapy is rarely considered. Given the significant impact on quality of life, health professionals need to be proactive in asking women about LBP.
    Full-text · Article · Sep 2014 · Journal of Back and Musculoskeletal Rehabilitation
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    • "Pelvic girdle pain (PGP) is a major health issue, affecting about 50% of pregnant women [1] [2] at all socio-economic levels [3] , resulting in sick leave [4] and possible long-term pain [5] [6] [7] . Although the vast majority of studies have been carried "

    Full-text · Article · Jun 2014
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    • "Several maternal complications occur due to overweight and obesity, including gestational diabetes, pregnancy induced hypertension and preeclampsia, and high rates of c-section, all of them associated with longer hospitalization [10] [11] [12] [13] [14] [15]. Pregnancy is a period in which women need a special care. "
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    ABSTRACT: Gestational weight gain (GWG) may interfere in perinatal outcomes and also cause future problems throughout woman's life. The aim of this population-based study is to evaluate the GWG in Campinas city, southeast of Brazil. A total of 1052 women, who delivered in the three major maternity hospitals in Campinas, were interviewed during postpartum period. The general average of GWG was 13.08 ± 6.08. Of total women, 13.6% were obese and 24.6% were overweight and, in these groups, 55.9% and 53.7%, respectively, exceeded GWG according to the Institute of Medicine recommendations. 6.2% of total women had low body mass index (BMI) and 35.5% in this group had insufficient GWG. Overweight and obese women had a higher risk of excessive GWG and delivery by c-section. The c-section rate was 58.9% and increased according to GWG. Prematurity was more prevalent first in obese and then in low BMI women. Considering the high BMI in women in reproductive age, it is necessary to take effective guidelines about lifestyle and nutritional orientation in order to help women reach adequate GWG. All of them could improve prenatal outcomes and women's heath as a whole.
    Full-text · Article · May 2014
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