Abstract
Objective
The purpose of the current pilot study is to determine the point and period prevalence
of site-specific back pain, low back pain (LBP), pelvic girdle pain (PGP), and combined
pain (Combo Pain) in pregnant women at a large urban centre in Ontario.
Methods
Point and period prevalence for LBP, PGP, and Combo Pain were determined using a questionnaire
and accompanying pain diagram. Women were included in the study if they were healthy,
of child-bearing age (18–45 years), currently experiencing a singleton pregnancy (any
trimester), and proficient in the English language.
Results
Data collected from 287 women were included in the analysis. Three-quarters of women
suffered from some sort of pregnancy-related back pain. The point and period prevalences
for women who were experiencing LBP, PGP, and Combo Pain were 15.7%, 17.8%, and 15.3%
and 33.4%, 27.9%, and 30.7%, respectively. Secondary analyses demonstrated that increasing
GA and suffering from both pains at some point prior to pregnancy (Prior Both) increased
the risk of experiencing PGP and Combo Pain during pregnancy, respectively.
Conclusion
The current study demonstrates that 76% of sampled women experienced pregnancy-related
back pain and the prevalence of site-specific pain (LBP, PGP, and Combo Pain) increases
with increased gestation. Risk factors include advanced GA and experiencing both types
of pain prior to pregnancy (Prior Both). Furthermore, it is suggested that a standard
definition of pain by location should be developed and employed so that future studies
can elucidate appropriate prevention strategies and treatment options for each.
Résumé
Objectif
Cette étude pilote avait pour but de déterminer la prévalence de la douleur au dos,
plus précisément de la douleur lombaire (lombalgie), de la douleur de la ceinture
pelvienne (DCP) et de la douleur touchant ces deux régions (douleur combinée), ressentie
par des femmes enceintes d'un important centre urbain d'Ontario le jour où elles ont
répondu à un sondage et durant leur grossesse en général.
Méthodologie
La prévalence de la lombalgie, de la DCP et de la douleur combinée le jour du sondage
et au cours de la grossesse en général a été déterminée à partir des réponses au questionnaire
et d'un diagramme corporel. Les femmes retenues pour l'étude étaient en santé, en
âge de procréer (18 à 45 ans) et enceintes d'un seul fœtus (peu importe le trimestre),
et elles maîtrisaient bien l'anglais.
Résultats
Au total, 287 femmes ont été retenues. Trois participantes sur quatre ont dit éprouver
de la douleur au dos liée à la grossesse. La prévalence de la lombalgie, de la DCP
et de la douleur combinée était respectivement de 15,7 %, de 17,8 % et de 15,3 % le
jour du sondage, et de 33,4 %, de 27,9 % et de 30,7 % au cours de la grossesse en
général. Des analyses secondaires ont montré qu'un AG avancé et le fait d'avoir souffert
à la fois de lombalgie et de DCP avant la grossesse augmentaient respectivement le
risque de DCP et de douleur combinée durant la grossesse.
Conclusion
L'étude a montré que 76 % des participantes éprouvent de la douleur au dos liée à
la grossesse, et que la prévalence de la douleur (lombalgie, DCP et douleur combinée)
augmente à chaque grossesse. Les facteurs de risque comprennent l'AG avancé et le
fait d'avoir souffert à la fois de lombalgie et de DCP avant la grossesse. Par ailleurs,
cette étude semble indiquer qu'une définition normalisée de la douleur devrait être
établie pour chaque région, puis employée au cours d'études ultérieures visant à mettre
au point des stratégies de prévention et des options thérapeutiques pour chacune.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Obstetrics and Gynaecology CanadaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Low back pain during pregnnacy in Iranian women.Physiother Theory Pract. 2010; 26: 40-48
- Prevalence of low back and pelvic pain during pregnancy in a Norwegian population.J Manipulative Physiol Ther. 2012; 35: 272-278
- The prevalence of recalled low back pain during and after pregnancy: a South Australian population survey.Aust N Z J Obstet Gynaecol. 2002; 42: 482-485
- Prevalence of musculoskeletal dysfunctions among Indian pregnant women.J Pregnancy. 2015; 2015 (437105)
- Gestational low back pain: prevalence and clinical presentations in a group of pregnant women.Rev Dor. 2013; 14: 4
- Identification and management of pregnancy-related low back pain.J Nurse Midwifery. 1998; 43: 331-340
- Prevalence of back pain in pregnancy.Spine. 1991; 16: 549-552
- Back pain during pregnancy: a prospective study.Spine. 1996; 21: 702-709
- Pregnancy and low back pain.Curr Rev Musculoskeletal Med. 2008; 1: 137-141
- Pelvic pain and low back pain in pregnant women—an epidemiological study.Scand J Rheumatol. 1995; 24: 135-141
- Pregnancy and low back pain.Nurs Res Pract. 2012; 2012 (387428)
- Prevalence and Factors Associated With Low Back Pain and Pelvic Girdle Pain During Pregnancy: A Multicenter Study Conducted in the Spanish National Health Service.Spine. 2012; 37: 1516-1533
- Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning.Spine. 2006; 31: 149-155
- Pregnancy-related pelvic girdle pain (PPP), 1: terminology, clinical presentation, and prevalence.Eur Spine J. 2004; 13: 575-589
- Low back pain in 1,100 Iranian pregnant women: prevalence and risk factors.Spine. 2009; 9: 795-801
- Low-back pain of pregnancy.Acta Obstet Gynecol Scand. 1994; 73: 209-214
- Incidence of four syndromes of pregnancy-related pelvic joint pain.Spine. 2002; 27: 2831-2834
- European guidelines for the diagnosis and treatment of pelvic girdle pain.Eur Spine J. 2008; 17: 794-819
- Simultaneous confidence intervals for multinomial proportions.J Stat Plan Inference. 1999; 82: 12
- A language and environment for statistical computing.R Foundation for Statistical Computing, Vienna, Austria2012
- Etiology and prognosis of pregnancy-related pelvic girdle pain; design of a longitudinal study.BMC Public Health. 2005; 5: 1
- Back and pelvic pain in an underserved United States pregnant population: a preliminary descriptive survey.J Manipulative Physiol Ther. 2007; 30: 130-134
- Is pelvic pain in pregnancy a welfare complaint?.Acta Obstet Gynecol Scand. 2000; 79: 24-30
- Pelvic girdle pain and low back pain in pregnancy: A review.Pain Pract. 2010; 10: 60-71
- Pregnancy related pelvic girdle pain and low back pain in an Iranian population.Spine. 2007; 32: E100-E104
Article info
Publication history
Accepted:
October 30,
2017
Received:
August 15,
2017
Footnotes
Competing interests: The authors declare that they have no competing interests.
Identification
Copyright
Copyright © 2018 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
