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

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.

Keywords

• gebeliğe bağlı bel ağrısı
• risk faktörleri
• sıklık

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

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.

Keywords

• pregnancy-related low back pain
• risk factors
• frequency

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