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An Important but Overlooked Public Health Problem: Pregnancy-Related Low Back Pain

Year 2021, , 865 - 872, 27.12.2021
https://doi.org/10.31832/smj.898585

Abstract

Objective: Different prevalence rates and trigger factors associated with pregnancy-related low back pain (PRLBP) have been reported. Therefore, the main aim of this study was to identify the PRLBP frequency in the city of Kahramanmaraş. Secondary aim was to detect the factors associated with PRLBP.
Materials and Methods: This descriptive cross-sectional study conducted on pregnant women in the city of Kahramanmaraş. Data were obtained between August 2019 and October 2019 using a questionnaire form that was prepared by the researchers considering the literature data.
Results: A total of 727 participants were enrolled and the frequency of PRLBP was 59.69% (n=434). The median VAS score of pregnant women with PRLBP was 5 (1-10) and highest score was detected in the third trimester. Higher gestational week (p<0.001), living in an urban area (p<0.001), higher level of education (p=0.001) and presence of low back pain before pregnancy (p<0.001) were found to be associated with PRLBP in this study. No significant association was detected between doing exercise during pregnancy and PRLBP (p=0.069 ).
Conclusion: A considerable proportion of pregnant women in Kahramanmaraş city center reported the presence of PRLBP. Future research should focus on developing strategies to prevent PRLBP, an important public health problem.

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References

  • 1. Coste J, Delecoeuillerie G, Cohen de Lara A, Le Parc JM, Paolaggi JB. Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice. British Medical Journal 1994;308(6928):577-580. DOI: 10.1136/bmj.308.6928.577.
  • 2. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017;389(10070):736-747. DOI: 10.1016/S0140-6736(16)30970-9.
  • 3. Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine (Phila Pa 1976) 1991;16(5):549-552. DOI: 10.1097/00007632-199105000-00011.
  • 4. Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstetrics and Gynecology 2004;104(1):65-70. DOI: 10.1097/01.AOG.0000129403.54061.0e.
  • 5. Sencan S, Ozcan-Eksi EE, Cuce I, Guzel S, Erdem B. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Annals of Physical and Rehabilitation Medicine 2018;61(1):33-37. DOI: 10.1016/j.rehab.2017.09.005.
  • 6. Sydsjö G, Sydsjö A. Newly delivered women's evaluation of personal health status and attitudes towards sickness absence and social benefits. Acta Obstetricia et Gynecologica Scandinavica 2002;81(2):104-111. DOI: 10.1080/j.1600-0412.2002.810203.x.
  • 7. Gutke A, Boissonnault J, Brook G, Stuge B. The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. Journal of Women's Health 2018;27(4):510-517. DOI: 10.1089/jwh.2017.6342.
  • 8. Fast A, Weiss L, Ducommun EJ, Medina E, Butler JG. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine (Phila Pa 1976) 1990;15(1):28-30. DOI: 10.1097/00007632-199001000-00008.
  • 9. Borg-Stein J, Dugan SA, Gruber J. Musculoskeletal aspects of pregnancy. American Journal of Physical Medicine & Rehabilitation 2005;84(3):180-192. DOI: 10.1097/01.phm.0000156970.96219.48
  • 10. Svensson HO, Andersson GB, Johansson S, Wilhelmsson C, Vedin A. A retrospective study of low-back pain in 38- to 64-year-old women. Frequency of occurrence and impact on medical services. Spine (Phila Pa 1976) 1988;13(5):548-552. DOI: 10.1097/00007632-198805000-00019.
  • 11. Svensson HO, Andersson GB, Hagstad A, Jansson PO. The relationship of low-back pain to pregnancy and gynecologic factors. Spine (Phila Pa 1976) 1990;15(5):371-375. DOI: 10.1097/00007632-199005000-00006.
  • 12. Kristiansson P, Svärdsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine (Phila Pa 1976) 1996;21(6):702-709. DOI: 10.1097/00007632-199603150-00008.
  • 13. Sneag DB, Bendo JA. Pregnancy-related low back pain. Orthopedics 2007;30(10):839-845. DOI: 10.3928/01477447-20071001-14.
  • 14. Peterson CK, Mühlemann D, Humphreys BK. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropractic and Manual Therapies 2014;22(1):15. DOI:10.1186/2045-709X-22-15.
  • 15. Ostgaard HC, Andersson GB. Previous back pain and risk of developing back pain in a future pregnancy. Spine (Phila Pa 1976) 1991;16(4):432-436. DOI: 10.1097/00007632-199104000-00008.
  • 16. Mogren I. Perceived health, sick leave, psychosocial situation, and sexual life in women with low-back pain and pelvic pain during pregnancy. Acta Obstetricia et Gynecologica Scandinavica 2006;85(6):647-656. DOI: 10.1080/00016340600607297.
  • 17. Mohseni-Bandpei MA, Fakhri M, Ahmad-Shirvani M, Bagheri-Nessami M, Khalilian AR, Shayesteh-Azar M, et al. Low back pain in 1,100 Iranian pregnant women: prevalence and risk factors. The Spine Journal 2009;(10):795-801. DOI: 10.1016/j.spinee.2009.05.012.
  • 18. Pierce H, Homer CS, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nursing Research and Practice 2012;2012:387428. DOI:10.1155/2012/387428.
  • 19. Shijagurumayum Acharya R, Tveter AT, Grotle M, Eberhard-Gran M, Stuge B. Prevalence and severity of low back- and pelvic girdle pain in pregnant Nepalese women. Biomed Central Pregnancy and Childbirth 2019;19(1):247. DOI: 10.1186/s12884-019-2398-0.
  • 20. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine (Phila Pa 1976) 2005;30(8):983-91. DOI: 10.1097/01.brs.0000158957.42198.8e.
  • 21. Mazicioglu M, Tucer B, Ozturk A, Serin IS, Koc H, Yurdakos K, Bayrak B. Low back pain prevalence in Turkish pregnant women. Journal of Back and Musculoskeletal Rehabilitation 2006;19(2-3):89-96.
  • 22. Sibbritt D, Ladanyi S, Adams J. Healthcare practitioner utilisation for back pain, neck pain and/or pelvic pain during pregnancy: an analysis of 1835 pregnant women in Australia. International Journal of Clinical Practice 2016;70(10):825-831. DOI: 10.1111/ijcp.12870.
  • 23. Kovacs FM, Garcia E, Royuela A, González L, Abraira V; Spanish Back Pain Research Network. 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 (Phila Pa 1976) 2012;37(17):1516-1533. DOI: 10.1097/BRS.0b013e31824dcb74.
  • 24. Ramachandra P, Maiya AG, Kumar P, Kamath A. Prevalence of musculoskeletal dysfunctions among Indian pregnant women. Journal of Pregnancy 2015;2015:437105. DOI: 10.1155/2015/437105.
  • 25. Batista AADS, Henschke N, Oliveira VC. Prevalence of low back pain in different educational levels: a systematic review. Fisioterapia em Movimento 2017;30:351-361.
  • 26. Garshasbi A, Faghih Zadeh S. The effect of exercise on the intensity of low back pain in pregnant women.International Journal of Gynaecology and Obstetrics 2005;88(3):271-275. DOI: 10.1016/j.ijgo.2004.12.001.
  • 27. Sklempe Kokic I, Ivanisevic M, Uremovic M, Kokic T, Pisot R, Simunic B. Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial.Journal of Rehabilitation Medicine 2017;49(3):251-257. DOI: 10.2340/16501977-2196.
  • 28. Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM. Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstetricia et Gynecologica Scandinavica 1999;78(2):105-110.
  • 29. Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. Pelvic girdle pain--associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord 2010;13;11:91. DOI: 10.1186/1471-2474-11-91.

Önemli Fakat Gözden Kaçan Bir Halk Sağlığı Sorunu: Gebelik İle İlgili Bel Ağrısı

Year 2021, , 865 - 872, 27.12.2021
https://doi.org/10.31832/smj.898585

Abstract

Amaç: Gebelik ile ilgili bel ağrısı (GİBA) ilişkili farklı prevalans değerleri ve tetikleyici faktörler bildirilmiştir. Bu nedenle, bu çalışmanın temel amacı Kahramanmaraş il merkezindeki GİBA sıklığını belirlemekti. İkincil amaç, GİBA ile ilişkili faktörleri tespit etmekti.
Gereç ve Yöntemler: Kesitsel tipte tanımlayıcı araştırma, Kahramanmaraş il merkezinde gebeler üzerinde yapılmıştır. Veriler, araştırmacılar tarafından literatür verileri dikkate alınarak hazırlanan anket formu kullanılarak Ağustos 2019 ile Ekim 2019 tarihleri arasında elde edilmiştir.
Bulgular: Toplam 727 katılımcı kaydedildi ve GİBA sıklığı %59,69 (n=434) idi. GİBA mevcut gebelerin medyan VAS skoru 5 (1-10) idi ve en yüksek skor üçüncü trimesterde tespit edildi. Daha yüksek gebelik haftası (p<0,001), kentsel alanda yaşama (p<0,001), daha yüksek eğitim düzeyi (p=0,001) ve gebelik öncesi bel ağrısı varlığı (p<0,001) GİBA ile ilişkili bulundu. Gebelik sırasında egzersiz yapmak ile GİBA arasında anlamlı bir ilişki saptanmadı (p=0,069).
Sonuç: Kahramanmaraş il merkezinde gebe kadınların önemli bir kısmı GİBA varlığını bildirdi. Gelecekteki araştırmalar, önemli bir halk sağlığı sorunu olan GİBA’yı önlemek için stratejiler geliştirmeye odaklanmalıdır.

Project Number

No

References

  • 1. Coste J, Delecoeuillerie G, Cohen de Lara A, Le Parc JM, Paolaggi JB. Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice. British Medical Journal 1994;308(6928):577-580. DOI: 10.1136/bmj.308.6928.577.
  • 2. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017;389(10070):736-747. DOI: 10.1016/S0140-6736(16)30970-9.
  • 3. Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine (Phila Pa 1976) 1991;16(5):549-552. DOI: 10.1097/00007632-199105000-00011.
  • 4. Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstetrics and Gynecology 2004;104(1):65-70. DOI: 10.1097/01.AOG.0000129403.54061.0e.
  • 5. Sencan S, Ozcan-Eksi EE, Cuce I, Guzel S, Erdem B. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Annals of Physical and Rehabilitation Medicine 2018;61(1):33-37. DOI: 10.1016/j.rehab.2017.09.005.
  • 6. Sydsjö G, Sydsjö A. Newly delivered women's evaluation of personal health status and attitudes towards sickness absence and social benefits. Acta Obstetricia et Gynecologica Scandinavica 2002;81(2):104-111. DOI: 10.1080/j.1600-0412.2002.810203.x.
  • 7. Gutke A, Boissonnault J, Brook G, Stuge B. The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. Journal of Women's Health 2018;27(4):510-517. DOI: 10.1089/jwh.2017.6342.
  • 8. Fast A, Weiss L, Ducommun EJ, Medina E, Butler JG. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine (Phila Pa 1976) 1990;15(1):28-30. DOI: 10.1097/00007632-199001000-00008.
  • 9. Borg-Stein J, Dugan SA, Gruber J. Musculoskeletal aspects of pregnancy. American Journal of Physical Medicine & Rehabilitation 2005;84(3):180-192. DOI: 10.1097/01.phm.0000156970.96219.48
  • 10. Svensson HO, Andersson GB, Johansson S, Wilhelmsson C, Vedin A. A retrospective study of low-back pain in 38- to 64-year-old women. Frequency of occurrence and impact on medical services. Spine (Phila Pa 1976) 1988;13(5):548-552. DOI: 10.1097/00007632-198805000-00019.
  • 11. Svensson HO, Andersson GB, Hagstad A, Jansson PO. The relationship of low-back pain to pregnancy and gynecologic factors. Spine (Phila Pa 1976) 1990;15(5):371-375. DOI: 10.1097/00007632-199005000-00006.
  • 12. Kristiansson P, Svärdsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine (Phila Pa 1976) 1996;21(6):702-709. DOI: 10.1097/00007632-199603150-00008.
  • 13. Sneag DB, Bendo JA. Pregnancy-related low back pain. Orthopedics 2007;30(10):839-845. DOI: 10.3928/01477447-20071001-14.
  • 14. Peterson CK, Mühlemann D, Humphreys BK. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropractic and Manual Therapies 2014;22(1):15. DOI:10.1186/2045-709X-22-15.
  • 15. Ostgaard HC, Andersson GB. Previous back pain and risk of developing back pain in a future pregnancy. Spine (Phila Pa 1976) 1991;16(4):432-436. DOI: 10.1097/00007632-199104000-00008.
  • 16. Mogren I. Perceived health, sick leave, psychosocial situation, and sexual life in women with low-back pain and pelvic pain during pregnancy. Acta Obstetricia et Gynecologica Scandinavica 2006;85(6):647-656. DOI: 10.1080/00016340600607297.
  • 17. Mohseni-Bandpei MA, Fakhri M, Ahmad-Shirvani M, Bagheri-Nessami M, Khalilian AR, Shayesteh-Azar M, et al. Low back pain in 1,100 Iranian pregnant women: prevalence and risk factors. The Spine Journal 2009;(10):795-801. DOI: 10.1016/j.spinee.2009.05.012.
  • 18. Pierce H, Homer CS, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nursing Research and Practice 2012;2012:387428. DOI:10.1155/2012/387428.
  • 19. Shijagurumayum Acharya R, Tveter AT, Grotle M, Eberhard-Gran M, Stuge B. Prevalence and severity of low back- and pelvic girdle pain in pregnant Nepalese women. Biomed Central Pregnancy and Childbirth 2019;19(1):247. DOI: 10.1186/s12884-019-2398-0.
  • 20. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine (Phila Pa 1976) 2005;30(8):983-91. DOI: 10.1097/01.brs.0000158957.42198.8e.
  • 21. Mazicioglu M, Tucer B, Ozturk A, Serin IS, Koc H, Yurdakos K, Bayrak B. Low back pain prevalence in Turkish pregnant women. Journal of Back and Musculoskeletal Rehabilitation 2006;19(2-3):89-96.
  • 22. Sibbritt D, Ladanyi S, Adams J. Healthcare practitioner utilisation for back pain, neck pain and/or pelvic pain during pregnancy: an analysis of 1835 pregnant women in Australia. International Journal of Clinical Practice 2016;70(10):825-831. DOI: 10.1111/ijcp.12870.
  • 23. Kovacs FM, Garcia E, Royuela A, González L, Abraira V; Spanish Back Pain Research Network. 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 (Phila Pa 1976) 2012;37(17):1516-1533. DOI: 10.1097/BRS.0b013e31824dcb74.
  • 24. Ramachandra P, Maiya AG, Kumar P, Kamath A. Prevalence of musculoskeletal dysfunctions among Indian pregnant women. Journal of Pregnancy 2015;2015:437105. DOI: 10.1155/2015/437105.
  • 25. Batista AADS, Henschke N, Oliveira VC. Prevalence of low back pain in different educational levels: a systematic review. Fisioterapia em Movimento 2017;30:351-361.
  • 26. Garshasbi A, Faghih Zadeh S. The effect of exercise on the intensity of low back pain in pregnant women.International Journal of Gynaecology and Obstetrics 2005;88(3):271-275. DOI: 10.1016/j.ijgo.2004.12.001.
  • 27. Sklempe Kokic I, Ivanisevic M, Uremovic M, Kokic T, Pisot R, Simunic B. Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial.Journal of Rehabilitation Medicine 2017;49(3):251-257. DOI: 10.2340/16501977-2196.
  • 28. Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM. Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstetricia et Gynecologica Scandinavica 1999;78(2):105-110.
  • 29. Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. Pelvic girdle pain--associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord 2010;13;11:91. DOI: 10.1186/1471-2474-11-91.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Ayşegül Erdoğan 0000-0002-0548-5911

Burhan Fatih Koçyiğit 0000-0002-6065-8002

Ramazan Azim Okyay 0000-0001-8767-2771

Project Number No
Publication Date December 27, 2021
Submission Date March 17, 2021
Published in Issue Year 2021

Cite

AMA Erdoğan A, Koçyiğit BF, Okyay RA. An Important but Overlooked Public Health Problem: Pregnancy-Related Low Back Pain. Sakarya Tıp Dergisi. December 2021;11(4):865-872. doi:10.31832/smj.898585

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