Prognosis of women with pelvic pain during pregnancy: a long‐term follow‐up study

@article{Rst2006PrognosisOW,
  title={Prognosis of women with pelvic pain during pregnancy: a long‐term follow‐up study},
  author={Cecile C. M. R{\"o}st and Jacqueline Jacqueline and A. Kaiser and Arianne P. Verhagen and Bart W. Koes},
  journal={Acta Obstetricia et Gynecologica Scandinavica},
  year={2006},
  volume={85}
}
Study design. A follow‐up study of women with pelvic pain during pregnancy. Objectives. To evaluate prognostic factors for pelvic pain. Methods. Out of a cohort of 870 pelvic pain patients, 598 women, who delivered less than 42 months prior to the follow‐up measurement, were selected for follow‐up. Results. Data of 430 women were available for analysis with a mean follow‐up duration of 18 months postpartum. Forty‐three women still experienced moderate or severe pain and were seriously hindered… 

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During postpartum period, low back pain (LBP) before pregnancy, parity, active straight leg raise test score ≥ 4, bilateral P4 test, and sitting position during breast-feeding were significantly associated with increased risk of PGP in both vaginal and caesarean modes of deliveries, but further studies are needed for definitive conclusions.

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This unique long-term follow up of PGP highlights the importance of assessment of pain in the lumbopelvic area early in pregnancy and postpartum in order to identify women with risk of long term pain.

Pelvic girdle pain in Indian postpartum women: a cross-sectional study

The finding suggests that unilateral posterior pelvic pain provocation test (P4), ASLR test score ≥4, caesarean section delivery and sitting in breast-feeding posture were associated with increased risk of PGP during postpartum.
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References

SHOWING 1-10 OF 22 REFERENCES

Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up

The aim was to describe the physical status and disability among women with back pain 3 years after delivery, and it was found that women with combined lumbar and posterior pelvic pain were significantly more disabled and had significantly lower endurance in theLumbar back and hip abduction muscles.

Follow‐Up of Patients With Low Back Pain During Pregnancy

Pelvic Pain During Pregnancy: A Descriptive Study of Signs and Symptoms of 870 Patients in Primary Care

Pregnant patients with pelvic pain show a considerable level of complaints, and the overall severity of complaints is not related to previous peripartum pelvic pain or type of deliveries or to commonly used tests.

Understanding Peripartum Pelvic Pain: Implications of a Patient Survey

It is hypothesized that peripartum pelvic pain is caused by strain of ligaments in the pelvis and lower spine resulting from a combination of damage to ligaments (recently or in the past), hormonal effects, muscle weakness, and the weight of the fetus.

Reduction of Sick Leave for Lumbar Back and Posterior Pelvic Pain in Pregnancy

Sick leave for lumbar back and posterior pelvic pain in the intervention group was significantly reduced with the program, and the program was cost effective.

Reduction of Back and Posterior Pelvic Pain in Pregnancy

An individually designed program reduced sick leave during pregnancy using a non-elastic sacro-illac belt and good physical fitness reduced the risk of back pain in a subsequent pregnency.

Symptom‐giving pelvic girdle relaxation in pregnancy, I: Prevalence and risk factors

Symptom-giving pelvic girdle relaxation is a considerable problem both in pregnancy and post partum, and the occupational risk can possibly be prevented.

Postpartum Low‐Back Pain

Of the four factors that correlated to persistent postpartum back pain, physically heavy work was found to have the strongest association with persistent back pain at 12 months.

Symptom‐giving pelvic girdle relaxation in pregnancy, II: Symptoms and clinical signs

Symptom-giving pelvic girdle relaxation in pregnancy causes considerable disabilities concerning daily activities and seriously interferes with many activities of daily living such as housekeeping, walking, working, and sexual life.

Responsiveness of Outcome Measurements in Rehabilitation of Patients With Posterior Pelvic Pain Since Pregnancy

The usefulness of the Québec Back Pain Disability Scale, the hip adduction strength assessment, and the active straight-leg-raise test was proved by the current study and it seems possible to gain appropriate information about the course of posterior pelvic pain since pregnancy with a small test battery.