Pelvic girdle pain 3–6 months after delivery in an unselected cohort of Norwegian women

Gausel, Anne Marie; Kjærmann, Inger; Malmqvist, Stefan; Dalen, Ingvild; Larsen, Jan Petter; Økland, Inger

doi:10.1007/s00586-015-3959-1

Cited by 36 publications

(54 citation statements)

References 29 publications

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“…We found that 17% of women reporting severe or moderate PGP the final 10 weeks of pregnancy had persistent PGP 6 weeks after delivery. In a previous study, we investigated persistent PGP in another study population, and found 16% of women reporting PP during pregnancy to have persistent PGP 3-6 months after delivery [16]. Although there are some differences between the two studies regarding study design, these findings indicate that PGP that last for more than 6 weeks may tend to become persistent.…”

Section: Discussionmentioning

confidence: 97%

“…Although most women recover from PGP within 6 months after delivery [7][8][9], some women experience years of intermittent or persistent PGP affecting their daily life activities, ability to work and quality of life [10][11][12][13][14][15]. We have previously shown that 16% of women reporting musculoskeletal pelvic pain (PP) during pregnancy were found to have persistent PGP 3-6 months after delivery, and that the risk factors for persistent pain were age 30 years and above, both PP and LBP during pregnancy, and moderate or high disability measured by Oswestry Disability Index (ODI) during pregnancy [16].…”

Section: Introductionmentioning

confidence: 99%

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Subjective recovery from pregnancy-related pelvic girdle pain the first 6 weeks after delivery: a prospective longitudinal cohort study

et al. 2020

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Purpose The purpose of this study was to investigate the subjective recovery from pregnancy-related pelvic girdle pain (PGP) during the first 6 weeks after delivery and to detect possible risk factors for a poor recovery. Methods The participants were included in this study at the routine ultrasound examination at 18 weeks of pregnancy. The women received a weekly SMS with the question "How many days during the last week has your PGP been bothersome?" The SMS-track from the final 10 weeks of pregnancy and first 6 weeks after delivery were assessed and sorted, based on individual graphs. A total of 130 women who reported PGP during pregnancy and met for clinical examination 6 weeks after delivery were included in the study. Results In all, 83% of the women experienced substantial recovery from severe or moderate PGP within 6 weeks after delivery. Of these, 44% reported a substantial recovery already within 2 weeks after delivery. More multiparous women, women reporting PGP the year before pregnancy, and women with high pain intensity during pregnancy had a poor recovery. Conclusions The prognosis following PGP in pregnancy is good and the majority of women recovered substantially from severe and moderate pregnancy-related PGP within 6 weeks after delivery. For many women, a subjective substantial recovery occurred within 2 weeks after delivery. Predictors for a poor recovery were multiparity, PGP the year before pregnancy and a high pain intensity during pregnancy.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Subjective recovery from pregnancy-related pelvic girdle pain the first 6 weeks after delivery: a prospective longitudinal cohort study

et al. 2020

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“…These complaints are a frequent cause of sick leave during pregnancy [ 6 , 7 ]. Also, we found in a previous study that 16% of women with PP during pregnancy reported persistent pain that affected their daily life activities 3–6 months after delivery [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial

Gausel

Kjærmann

Malmqvist

et al. 2017

BMC Pregnancy Childbirth

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BackgroundThe aim of this study was to investigate the outcome of chiropractic management for a subgroup of pregnant women with dominating one-sided pelvic girdle pain (PGP).MethodsThe study population was recruited from a prospective longitudinal cohort study of pregnant women. Women reporting pelvic pain (PP), and who were diagnosed with dominating one-sided PGP after a clinical examination, were invited to participate in the intervention study. Recruitment took place either at 18 weeks, or after an SMS-tracking up to week 29. The women were randomized into a treatment group or a control group. The treatment group received chiropractic treatment individualized to each woman with regards to treatment modality and number of treatments. The control group was asked to return to conventional primary health care. The primary outcome measure was new occurrence of full time and/or graded sick leave due to PP and/or low back pain. Secondary outcome measures were self-reported PP, physical disability and general health status. Proportion of women reporting new occurrence of sick leave were compared using Chi squared tests. Differences in secondary outcome measures were estimated using linear regression analyses.ResultsFifty-Six women were recruited, and 28 of them were randomized into the treatment group, and 28 into the control group. There was no statistically significant difference in sick leave, PP, disability or general health status between the two groups during pregnancy or after delivery.ConclusionThe study did not demonstrate superiority of chiropractic management over conventional care for dominating one-sided PGP during pregnancy. However, the analyses revealed wide confidence intervals containing both positive and negative clinically relevant effects. Trial registrationThe study was registered in ClinicalTrials.gov (NCT01098136; 22/03/2010).

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“…Back pain is common phenomenon in female which is experienced during postpartum and is expected to prolong for 4-6 months affecting activities of daily living. The majority of women recover from pregnancy related mechanical lumbo-pelvic pain within 6 months of delivery However, studies show that 25 % of females still have persistent non-specifi c lower back pain 2-3 years after delivery and which interferes with their daily activities (Tersi et al, 2015, Corso et al, 2016and Gausel et al, 2016.…”

Section: Introductionmentioning

confidence: 99%

Effect of pelvic fl oor exercise on non-specifi c lower back pain in post-partum women

Malhotra¹,

Chahal²

2018

Biosci. Biotech. Res. Comm

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The present aim of the study was to investigate improvement in pain intensity and measure disability of women with constant postpartum lower back pain after and tailored exercise protocol. Herein, 30 women aged between 30-35 years having lumbo-pelvic pain after delivery of three years were included and were received tailored exercises. The subjects were classifi ed acoording to Demographic and Anthropometric characteristics. Manual Screening for pain was done through VAS (visual analog scale) and Oswestry disability questionnaire. Group A and Group B were classifi ed as according to the exercise protocols. Group A were subjected to pelvic fl oor exercise along with abdominal muscle strengthening while Group B were subjected to Spinal hyperextensions along with abdominal muscle strengthening. The results depicted that the pelvic fl oor exercise in combination abdominal exercise with routine treatment for back pain provide signifi cant benefi ts in terms of pain relief and disability over routine treatment as compared to spinal hyperextensions along with abdominal muscle strengthening. A correlation was also established between the changes in disability and pain intensity in between two groups.

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Pelvic girdle pain 3–6 months after delivery in an unselected cohort of Norwegian women

Abstract: 16 % of women that reported PP during pregnancy were found to have persistent PGP 3-6 months after the delivery. Women with risk factors for persistent PGP should be identified while pregnant, and offered a follow-up examination 3 months after delivery.

Cited by 36 publications

References 29 publications

Subjective recovery from pregnancy-related pelvic girdle pain the first 6 weeks after delivery: a prospective longitudinal cohort study

Subjective recovery from pregnancy-related pelvic girdle pain the first 6 weeks after delivery: a prospective longitudinal cohort study

Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial

Effect of pelvic fl oor exercise on non-specifi c lower back pain in post-partum women

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