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Shi Z, Yan F, Lu Y, Liu W, Wang Z, Zhang H. Pregnancy-related low back/pelvic girdle pain: Prevalence, severity, and risk factors in Zhengzhou, China. J Back Musculoskelet Rehabil 2023:BMR220147. [PMID: 37248876 DOI: 10.3233/bmr-220147] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) significantly affect the quality of life of pregnant women. Understanding their severity and risk factors may help prevent and alleviate such pain and their resulting dysfunction. OBJECTIVE This study investigated the prevalence, severity, and biopsychosocial risk factors of pregnancy-related LBP and PGP in Zhengzhou, China. METHODS The Numeric Pain Rating Scale (NPRS), Chinese version of the Roland-Morris Disability Questionnaire (RMDQ), and other questionnaires were self-administered by 1020 pregnant women undergoing treatment at a tertiary hospital between July and December 2019. Binary logistic regression was used to identify factors associated with pregnancy-related LBP and/or PGP. RESULTS The prevalence of LBP and/or PGP during pregnancy was 63.0%, and most participants (80.4%) had both. The mean NPRS and RMDQ disability scores were 2.44 ± 2.10 and 6.66 ± 4.65, respectively. A higher gestational body mass index, LBP and/or PGP during menstruation, history of pregnancy-related LBP and/or PGP, and constant pressure were significantly associated with pregnancy-related LBP and/or PGP. Subjective support was a protective factor against LBP and/or PGP. CONCLUSION The prevalence of LBP and/or PGP was high. The risk factors should be included in routine prenatal care to identify patients at risk of LBP and/or PGP.
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Affiliation(s)
- Zhiyi Shi
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Fan Yan
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Ying Lu
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Weihua Liu
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Zhenzhen Wang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Hongmei Zhang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
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Wuytack F, Begley C, Daly D. Risk factors for pregnancy-related pelvic girdle pain: a scoping review. BMC Pregnancy Childbirth 2020; 20:739. [PMID: 33246422 PMCID: PMC7694360 DOI: 10.1186/s12884-020-03442-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 11/19/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Pregnancy-related Pelvic Girdle Pain (PPGP) is a common complaint. The aetiology remains unclear and reports on risk factors for PPGP provide conflicting accounts. The aim of this scoping review was to map the body of literature on risk factors for experiencing PPGP. METHODS We searched the databases PubMed, Embase, CINAHL, PsycINFO, MIDIRS, and ClinicalTrial.gov (3 August 2020). We selected studies with two reviewers independently. Observational studies assessing risk factors for PPGP were included. Studies examining specific diagnostic tests or interventions were excluded. RESULTS We identified 5090 records from databases and 1077 from ClinicalTrial.gov. Twenty-four records met the inclusion criteria. A total of 148 factors were examined of which only 14 factors were examined in more than one study. Factors that were positively associated with PPGP included a history of low back or pelvic girdle pain, being overweight/obese, already having a child, younger age, lower educational level, no pre-pregnancy exercise, physically demanding work, previous back trauma/disease, progestin-intrauterine device use, stress, depression and anxiety. CONCLUSIONS A large number of factors have been examined as potential risk factors for PPGP, but there is a lack of repetition to be able to draw stronger conclusions and pool studies in systematic reviews. Factors that have been examined in more than five studies include age, body mass index, parity and smoking. We suggest a systematic review be conducted to assess the role of these factors further in the development of PPGP.
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Affiliation(s)
- Francesca Wuytack
- School of Nursing & Midwifery, Trinity College Dublin, 24 D’Olier Street, Dublin 2, Ireland
| | - Cecily Begley
- School of Nursing & Midwifery, Trinity College Dublin, 24 D’Olier Street, Dublin 2, Ireland
| | - Deirdre Daly
- School of Nursing & Midwifery, Trinity College Dublin, 24 D’Olier Street, Dublin 2, Ireland
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