Gebe Okuluna Başvuran Gebelerde, Gebeliğe Bağlı Lumbopelvik Ağrı ile İlişkili Demografik, Fiziksel ve Obstetrik Faktörlerin İncelenmesi: Kesitsel Bir Çalışma

Abstract

Amaç: Bu çalışmanın amacı, Hacettepe Üniversitesi, Kadın Hastalıkları ve Doğum Ana Bilim Dalı, Gebe Okulu’na başvuran gebelerde, gebeliğe bağlı gelişen lumbopelvik ağrı ile ilişkili demografik, fiziksel ve obstetrik faktörleri incelemek ve lumbopelvik ağrı ile bağımsız olarak ilişkili değişkenleri belirlemektir. Gereç ve Yöntem: Çalışmaya 114 gebe dahil edildi. Gebelerin demografik, fiziksel ve obstetrik özellikleri kaydedildi. Gebeliğe bağlı lumbopelvik ağrı varlığı, yüz yüze görüşme ile değerlendirildi. Bireyler, gebeliğe bağlı lumbopelvik ağrı varlığına göre ağrısı olan ve olmayan olmak üzere iki gruba ayrıldı. Gruplar Mann-Whitney U, Pearson ki-kare veya Fisher kesin testi kullanılarak karşılaştırıldı. Tek değişkenli analizlerde p<0.10 bulunan değişkenler çok değişkenli lojistik regresyon analizine dahil edildi. Bulgular: Bireylerin yaş ortalaması 29.62±4.77 yıl, ortalama vücut kütle indeksi (VKİ) 29.71±4.10 kg/m² idi. Gebelerin %20.2’sinde (n=23) lumbopelvik ağrı olduğu bulundu. Tek değişkenli analizlerde VKİ ve çalışma durumu lumbopelvik ağrı ile ilişkili bulundu (p<0.05). Çok değişkenli analizde yalnızca yüksek VKİ’nin lumbopelvik ağrı ile bağımsız olarak ilişkili olduğu belirlendi (p=0.024). Sonuç: Gebeliğe bağlı lumbopelvik ağrı Gebe Okulu popülasyonunda sık görülen bir kas-iskelet sistemi problemidir. Yüksek VKİ, lumbopelvik ağrı ile bağımsız olarak ilişkili tek değişken olarak belirlenmiştir. Bulguların doğrulanması için daha geniş örneklem büyüklüğüne sahip, çok merkezli ve prospektif çalışmalara ihtiyaç vardır.

Keywords

• Gebelik
• Bel Ağrısı
• Pelvik Ağrı

Supporting Institution

Yok

Ethical Statement

Çalışma, Hacettepe Üniversitesi Sağlık Bilimleri Araştırma Etik Kurulu tarafından onaylanmıştır (No: SBA 26/208).

Thanks

Yok

Demographic, Physical, and Obstetric Factors Associated with Pregnancy-Related Lumbopelvic Pain Among Pregnant Women Attending an Antenatal Education Program: A Cross-Sectional Study

Abstract

Objective: This study aimed to investigate the demographic, physical, and obstetric factors associated with pregnancy-related lumbopelvic pain in pregnant women attending the Antenatal Education Program of Hacettepe University, Department of Obstetrics and Gynecology, and to identify the variables independently associated with lumbopelvic pain. Materials and Methods: 114 pregnant women were included. Demographic, physical, and obstetric characteristics were recorded. The presence of pregnancy-related lumbopelvic pain was assessed through face-to-face interviews. Participants were divided into two groups according to the presence of pregnancy-related lumbopelvic pain: those with lumbopelvic pain and those without lumbopelvic pain. Groups were compared using the Mann-Whitney U test, Pearson's chi-square test, or Fisher's exact test. Variables with p<0.10 in univariate analyses were included in the multivariable logistic regression analysis. Results: The mean age of the participants was 29.62±4.77 years, and the mean body mass index (BMI) was 29.71±4.10 kg/m². Pregnancy-related lumbopelvic pain was present in 20.2% (n=23) of the participants. In univariate analyses, BMI and employment status were associated with lumbopelvic pain (p<0.05). In the multivariable analysis, only higher BMI was independently associated with lumbopelvic pain (p=0.024). Conclusion: Pregnancy-related lumbopelvic pain is a common musculoskeletal problem among women attending the Antenatal Education Program. Higher BMI was the only variable independently associated with lumbopelvic pain. Larger multicenter prospective studies are needed to confirm these findings.

Keywords

• Pregnancy
• Low Back Pain
• Pelvic Pain

Supporting Institution

None

Ethical Statement

The study was approved by the Hacettepe University Health Sciences Research Ethics Committee (No: SBA 26/208)

Thanks

None

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