Interventions for preventing and treating pelvic and back pain in pregnancy

Pennick, Victoria; Young, Gavin

doi:10.1002/14651858.cd001139.pub2

Cited by 104 publications

(131 citation statements)

References 19 publications

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“…To date, there is a lack of precise procedures and consistent and efficient programs of physiotherapy for a pregnant women [33,34]. The Cochrane database presented a meta-analysis of research describing the methods of prevention and treatment of pain in the pelvis and spine [34].…”

Section: Discussionmentioning

confidence: 99%

“…The Cochrane database presented a meta-analysis of research describing the methods of prevention and treatment of pain in the pelvis and spine [34]. On the basis of the analyzed studies, authors found that moderate-quality evidence suggested that acupuncture or exercise, tailored to the stage of pregnancy, significantly reduced evening pelvic pain or lumbopelvic pain more than usual care alone, acupuncture was significantly more effective than exercise for reducing evening pelvic pain [34]. It was also found that physiotherapy, osteopathic manipulation, acupuncture, a multi-modal intervention, or the addition of a rigid pelvic belt to exercise seemed to relieve pelvic or back pain more than usual care alone [34].…”

Section: Discussionmentioning

confidence: 99%

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Posture and low back pain during pregnancy — 3D study

Glinkowski

Tomasik²,

Walesiak³

et al. 2016

Ginekol Pol

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Objectives: Back pain is a common complaint of pregnant women. The posture, curvatures of the spine and the center of gravity changes are considered as the mechanisms leading to pain. The study aimed to assess spinal curvatures and static postural characteristics with three-dimensional surface topography and search for relationships with the occurrence of back pain complaints among pregnant women. Material and methods:The study was conducted from December 2012 to February 2014. Patients referred from University Clinic of Gynecology and Obstetrics were examined outpatient at the Posture Study Unit of Department of Orthopaedics and Traumatology. Sixty-five women at 4-39 weeks of pregnancy were assessed and surveyed with Oswestry Disability Index; posture was evaluated using surface topography. Results:The study confirmed that difficulties in sitting and standing are significant in the third trimester of the pregnancy. The overall tendency for significant lumbar curvature changes in pregnant women was not confirmed. Major changes in sagittal trunk inclination in relation to the plumb line were not observed in the study group. Conclusions:The issue regarding how the pregnancy causes changes in spinal curvature and posture remains open for further studies. Presented method of 3D surface topography can reveal postural changes, but that requires several exams of each subject and strict follow-up of the series of cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Posture and low back pain during pregnancy — 3D study

Glinkowski

Tomasik²,

Walesiak³

et al. 2016

Ginekol Pol

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Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 99%

“…35,36 Low back and pelvic girdle pain Low back pain (LBP) and pelvic girdle pain (PGP) are common during pregnancy, with LBP occurring in up to two thirds of pregnancies and PGP occurring in nearly 20%. [37][38][39] Data from numerous studies show that LBP prevalence is most elevated in months 6 and 7. [38][39][40] Because women often underreport LBP/PGP to their prenatal provider, 41 the topic may not garner sufficient clinical attention.…”

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 99%

“…[37][38][39] Data from numerous studies show that LBP prevalence is most elevated in months 6 and 7. [38][39][40] Because women often underreport LBP/PGP to their prenatal provider, 41 the topic may not garner sufficient clinical attention. Two studies indicate that the prevalence of severe LBP and/or PGP symptoms ranges from 15% to 20% 40,42 ; however, studies investigating antecedents for pregnancy-related low back and/or pelvic girdle pain have rarely considered occupational exposures.…”

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confidence: 99%

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Clinical guidelines for occupational lifting in pregnancy: evidence summary and provisional recommendations

MacDonald

Waters

Napolitano

et al. 2013

American Journal of Obstetrics and Gynecology

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Empirically based lifting criteria established by the National Institute for Occupational Safety and Health (NIOSH) to reduce the risk of overexertion injuries in the general US working population were evaluated for application to pregnant workers. This report proposes criteria to guide decisions by medical providers about permissible weights for lifting tasks performed at work over the course of an uncomplicated pregnancy. Our evaluation included an extensive review of the literature linking occupational lifting to maternal and fetal health. Although it has been 29 years since the American Medical Association's Council on Scientific Affairs published its report on the Effects of Pregnancy on Work Performance, these guidelines continue to influence clinical decisions and workplace policies. Provisional clinical guidelines derived from the NIOSH lifting criteria that account for recent evidence for maternal and fetal health are presented and aim to improve the standard of care for pregnant workers. Keywordslifting; occupational hazard; pregnancy; recommendations Clinicians play an important role in decisions concerning work activity restrictions during pregnancy. This role is underscored in the United States where federal regulations for occupational lifting are lacking and limited opportunities for paid antenatal leave are available. 1,2 Findings from a recent survey show that recommendations to pregnant workers in physically demanding jobs vary widely, possibly because of limited clinician training in occupational health 3 and the absence of current authoritative guidelines. 4 The views expressed herein are those of the authors and do not necessarily represent the views of the National Institute for Occupational Safety and Health or the official policy or position of the Department of the Army, the Department of the Navy, the Department of Defense, or the United States Government.The authors report no conflict of interest.Reprints not available from the authors. HHS Public AccessAuthor manuscript Am J Obstet Gynecol. Author manuscript; available in PMC 2015 August 28. Author Manuscript Author Manuscript Author Manuscript Author ManuscriptTo address the need for updated empirically based recommendations that can be uniformly applied, this paper presents provisional clinical guidelines for occupational lifting in pregnancy based on an extensive review of the literature linking occupational lifting to maternal and fetal health and application of the National Institute for Occupational Safety and Health (NIOSH) lifting equation. Literature review criteriaAn extensive review of the literature linking occupational lifting to maternal and fetal health was conducted to inform the application of the NIOSH lifting equation to pregnant workers. Using the PubMed MESH Thesaurus terms, pregnancy, lifting, occupational diseases, preeclampsia, hypertension, pregnancy complications, pelvis, sacroiliac joint, pubic symphysis, range of motion articular, joint instability, relaxin, estradiol, biomechanics, stress mechanic...

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