Pregnancy‐related pelvic girdle pain in the Netherlands

Pol, G. van de; Brummen, H. Jorien van; Bruinse, Hein W.; Heintz, A. Peter M.; Vaart, C. H. van der

doi:10.1080/00016340601151683

Cited by 60 publications

(74 citation statements)

References 38 publications

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“…41,43 Other research shows elevated depression among those with pregnancy-related LBP/PGP. 44,45 Activity limitations resulting from LBP/PGP during pregnancy and the postpartum period have been shown to interfere with weight loss and resumption of leisure-time physical activity levels needed for health maintenance. 46 Additionally, patients with both LBP and PGP have been found to be at greatest risk of persistent pain postpartum 47 and to experience greater disability.…”

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 99%

“…41,43 Other research shows elevated depression among those with pregnancy-related LBP/PGP. 44,45 MacDonald et alPage 3 Am J Obstet Gynecol. Author manuscript; available in PMC 2015 August 28.…”

mentioning

confidence: 99%

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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“…The covari- ates that confounded the estimate the most were: parity, overweight, smoking, and not working during day time, while the remaining factors had only a minor influence. In the literature, factors such as working in draft and cold, pushing and pulling, bending and twisting, stress/ depression, and family history of pelvic pain during pregnancy were also identified as risk factors of pelvic pain during pregnancy, but we had no information on these potential confounders and could not include them in the model (2,12,(18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

Occupational lifting and pelvic pain during pregnancy: a study within the Danish National Birth Cohort

Larsen¹,

Strandberg‐Larsen²,

Juhl³

et al. 2013

Scand J Work Environ Health

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“…In our study, the positive association between pain and PPD is added to data described in the literature 3,[12][13][14][15][16] . However, one has to stress that pain-related findings are frequently interpreted in terms of duration 3 , presence or absence [12][13][14][15] , without quantifying intensity or considering whether this factor influences depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…However, one has to stress that pain-related findings are frequently interpreted in terms of duration 3 , presence or absence [12][13][14][15] , without quantifying intensity or considering whether this factor influences depressive symptoms. Our results have shown that, in addition to the relation between these variables, pain intensity referred in the postpartum period may be a predictive signal of depression.…”

Section: Discussionmentioning

confidence: 99%

Pain and associated factors in depressed and non depressed puerperal women

Angelo¹,

Sabino²,

Schwingel³

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES:Physical pain during puerperium is in general caused by musculoskeletal changes inherent to gestation; however, its clinical progression may be changed by mood disorders. This study aimed at evaluating the association between pain and postpartum depression. METHODS: Participated in the study 80 women at 2 to 30 weeks postpartum. Depressive symptoms were screened with the Edinburgh Postnatal Depression Scale. Pain intensity was evaluated with the analog visual scale, while the Nordic Musculoskeletal Questionnaire was used for pain location. RESULTS: Univariate analysis has shown that postpartum depression was associated to more severe pain (p<0.001), to constant mood changes (p=0.001), to early sexual initiation (p<0.05) and to a larger number of people living together (p<0.05). Chest was the most common painful site referred by depressed puerperal women (p=0.01). Logistic regression analysis has shown that moderate to severe pain was a strong predictor of postpartum depression (OR=4.6; confidence interval 95%: 1.5-13.9). CONCLUSION: Moderate to severe pain increases the probability of puerperal women developing postpartum depressive symptoms. Keywords: Musculoskeletal pain, Pain measurement, Postpartum depression. Pain and associated factors in depressed and non depressed puerperal women* Dor e fatores associados em puérperas deprimidas e não deprimidas RESULTADOS:A análise univariada mostrou que a depressão pós-parto esteve associada à dor de maior intensidade (p<0,001), a alterações constantes de humor (p=0,001), à iniciação sexual precoce (p<0,05) e ao consumo de álcool (p<0,05). Percepção dolorosa de maior intensidade foi associada a um relacionamento conjugal ruim (p<0,05) e a um maior número pessoas em coabitação (p<0,05). A região torácica foi o local de dor mais apontado pelas puérperas deprimidas (p=0,01). A análise de regressão logística revelou que dor referida de moderada a intensa foi um forte fator preditor de depressão pós-parto (OR=4,6; intervalo de confiança de 95%:1,5-13,9). CONCLUSÃO: Dor de intensidade moderada a intensa aumenta a probabilidade de mulheres desenvolverem sintomas depressivos no pós-parto. Descritores: Depressão pós-parto, Dor musculoesquelética, Mensuração da dor.

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Pregnancy‐related pelvic girdle pain in the Netherlands

Cited by 60 publications

References 38 publications

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

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

Occupational lifting and pelvic pain during pregnancy: a study within the Danish National Birth Cohort

Pain and associated factors in depressed and non depressed puerperal women

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