Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women

Ceprnja, Dragana; Chipchase, Lucinda S; Fahey, Paul; Liamputtong, Pranee; Gupta, Amitabh

doi:10.1097/brs.0000000000003954

Cited by 27 publications

(32 citation statements)

References 26 publications

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“…Women were included if they were over 18 years of age, between 14 and 38 weeks' gestation, classified with PPGP, with sufficient proficiency in English to be able to provide written and informed consent and complete the interview. All participants were classified as having PPGP according to recommended guidelines, which included a physical examination (Ceprnja et al, 2021). Participants were excluded if they self-reported any medical or obstetric complication(s) that may have affected pregnancy including pre-eclampsia, eclampsia, serious intellectual or psychiatric impairment, systemic disease(s) or recent spinal fracture, trauma or surgery.…”

Section: Samplementioning

confidence: 99%

Application of Caring Life‐Course Theory to explore care needs in women with pregnancy‐related pelvic girdle pain

Ceprnja

Lawless

Liamputtong

et al. 2022

Journal of Advanced Nursing

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Aims To describe the care needs of women with pregnancy‐related pelvic girdle pain based on the Caring Life‐Course Theory. Design A descriptive qualitative research design. Methods Data were collected between November 2019 and February 2021 from 20 purposively selected pregnant women with pelvic girdle pain aged between 22 and 39 years in antenatal care at a tertiary hospital in Australia. Individual semi‐structured interviews were recorded via a digital audio recorder and transcribed verbatim. Qualitative content analysis method was used to analyse the data. Findings Five broad themes were identified: pain is an added burden to pregnancy; knowledge is power to own what happens to me; engaging in self‐help; care from others is useful; and pain deserves more attention from healthcare professionals. Conclusion Caring Life‐Course Theory presented a useful and applicable scaffold for describing care needs of pregnant women with pelvic girdle pain. The study revealed experiencing pelvic girdle pain led to additional care needs during pregnancy, highlighting the importance of self‐management strategies and an appreciation of care from others to assist women in limiting the effects of the pain. Participants identified the need for more information and attention from healthcare professionals to be able to better manage their condition. Impact This study presents a comprehensive picture of the change in care needs triggered by experiencing pelvic girdle pain during pregnancy. The findings have the potential to facilitate better care provision by considering novel methods of delivery, such as information and communication technology, whilst acknowledging the value placed on credible and trusted sources. Knowledge acquired through this study may be used by nurses and midwives, along with other healthcare professionals, to enhance the provision of comprehensive care that is acceptable to women with pelvic girdle pain during pregnancy.

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Section: Samplementioning

confidence: 99%

Application of Caring Life‐Course Theory to explore care needs in women with pregnancy‐related pelvic girdle pain

Ceprnja

Lawless

Liamputtong

et al. 2022

Journal of Advanced Nursing

Self Cite

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“…PA has been proven able to play a role as a psychotherapeutic to attenuate depression and anxiety by changing neurotransmitter and hormone levels that are linked to depression and enhancing the encouragement of self-efficacy [ 23 , 24 , 25 , 26 ]. Lower back pain and pelvic pain happened frequently in two-thirds of pregnant women as pregnancy advances [ 27 ]. A meta-analysis illustrated that multiple types of exercise obtain functions ameliorating back pain and pelvic pain involving aerobic exercise, muscle strengthening exercise, flexibility exercise, and stretching exercise [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Current Research Trends, Hotspots, and Frontiers of Physical Activity during Pregnancy: A Bibliometric Analysis

Zhou

Guo

et al. 2022

IJERPH

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Purpose: Physical activity (PA) during pregnancy has been proven beneficial to pregnant women, with a significant effect on ameliorating many severe gestational complications. This work aimed to reveal current research trends, hotspots, and future frontiers in PA during pregnancy. Methods: Software CiteSpace was used to perform a bibliometric analysis with 1415 publications in the Web of Science Core Collection. Results: the number of published papers on PA during pregnancy has increased gradually by year. The United States has made the most significant contribution to the research on this topic, ranking first in the world in both the number and centrality of research. A total of 54 articles (3.8%) were published in 2022. A majority of publications were research articles (n = 1176, 78.9%). The authors and institutions of the research published have more inter-country collaborations. Different patterns of PA, prevention, and amelioration of pregnancy complications are major research hotspots. Improvement of sedentary behaviour, lifestyle intervention through leisure-time PA, and preterm care are major research frontiers and have received extensive attention in recent years. Conclusions: The current scientometric study presents an overview of PA during pregnancy research conducted throughout the preceding decades. The conclusions of this work might serve as a reference for researchers who are interested in this field.

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“…Risk factors for developing PGP consistently found in research are previous pelvic or lower back pain [94,95] and a history of trauma to the back or pelvis [16,31]. Multiparity [33,94], increased body mass index, physically demanding work, emotional distress, and smoking also increase women's risk [7,9,25,96].…”

Section: Risk Factorsmentioning

confidence: 92%

The prevalence, implications, and clinical course of pregnancy-related pelvic girdle pain

Malmqvist¹

2021

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Pelvic girdle pain (PGP) during pregnancy is common and, indeed, has always been considered normal. It is commonly associated with moderate to severe pain that impairs everyday activities such as getting up from a chair, bending, walking, working in the home and caring for children, as well as, of course, paid employment. Also, PGP is a frequent cause of sick leave during pregnancy. The aetiology of PGP is poorly understood and there is no official nomenclature, no effective evidence- based preventive measures or treatment, known risk factors or detailed knowledge of the clinical course of the various subgroups of this condition. Objectives The objectives for this project were to determine the prevalence of PGP during pregnancy in a random population of women, detect factors associated with the development of this condition, explore what influences taking sick leave due to PGP, and examine whether pregnant women with PGP, who have been sub-grouped on the basis of two clinical tests, differ with regards to demographic characteristics and/or the clinical course of PGP during the second half of their pregnancy. Methods The thesis consists of three papers, based on two separate data collections at Stavanger University Hospital. Paper I and II originate from a retrospective cohort study conducted in 2009, in which women giving birth at Stavanger University hospital in a 4-month period were asked to fill in a questionnaire on demographic features, pain, disability, PGP, pain-related activities of daily living, sick leave in general and for PGP, frequency of exercising before and during pregnancy, and Oswestry Disability Index. Inclusion criteria were singleton pregnancy of at least 36 weeks and competence in the Norwegian language. Drawings of the pelvic and low back area were used for the localization of pain. PGP intensity was then rated retrospectively on a numerical rating scale. Non-parametric tests, multinomial logistic regression and sequential linear regression analysis were used in the statistical analysis. Paper III originate from a prospective longitudinal cohort study carried out in 2010. Inclusion criteria were the as for the retrospective data collection and took place at the second-trimester routine ultrasound examination. All eligible women (n=503) filled in questionnaires and answered a weekly SMS question during pregnancy until delivery. Women with pain in the pelvic area underwent a clinical examination following a test procedure recommended in the European guidelines for the diagnosis and treatment of PGP. Results Paper I report that nearly 50% of the women experienced moderate and severe PGP during pregnancy. Approximately half of them had PGP syndrome, whereas the other half experienced lumbopelvic pain. Ten percent of the women experienced moderate and severe LBP alone. These pain syndromes increased sick leave and impaired general level of function during pregnancy. Approximately 50% of women with PGP had pain in the area of the symphysis pubis. The analysis of risk factors did not present a unidirectional and clear picture. In Paper II PGP is reported to be a frequent and major cause of sick leave during pregnancy among Norwegian women, which is also reflected in activities of daily living as measured with scores on all Oswestry disability index items. In the multivariate analysis of factors related to sick leave and PGP were work satisfaction, problems with lifting and sleeping, and pain intensity risk factors for sick leave. Also, women with longer education, higher work satisfaction and fewer problems with sitting, walking, and standing, were less likely to take sick leave in pregnancy, despite the same pain intensity as women being on sick leave. In Paper III, 42% (212/503) reported pain in the lumbopelvic region and 39% (196/503) fulfilled the criteria for a probable PGP diagnosis. 27% (137/503) reported both the posterior pelvic pain provocation (P4) and the active straight leg raise (ASLR) tests positive at baseline in week 18, revealing 7.55 (95% CI 5.54 to 10.29) times higher mean number of days with bothersome pelvic pain compared with women with both tests negative. They presented the highest scores for workload, depressed mood, pain level, body mass index, Oswestry Disability Index and the number of previous pregnancies. Exercising regularly before and during pregnancy was more common in women with negative tests. Conclusions Pelvic pain in pregnancy is a health care challenge in which moderate and severe pain develops rather early and has important implications for society. The observed associations between possible causative factors and moderate and severe LBP and PGP in the analysis of the retrospective data may, together with results from other studies, bring some valuable insights into their multifactorial influences and provide background information for future studies. Some pregnant women with PGP show a higher pain tolerance, most likely dependant on education, associated with work situation and/or work posture, which decreases sick leave. These issues are recommended to be further examined in a prospective longitudinal study since they may have important implications for sick leave frequency during pregnancy. If both P4 and ASLR tests were positive mid-pregnancy, a persistent bothersome pelvic pain of more than 5 days per week throughout the remainder of pregnancy could be predicted. Increased individual control over work situation and an active lifestyle, including regular exercise before and during pregnancy, may serve as a PGP prophylactic.

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Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women

Cited by 27 publications

References 26 publications

Application of Caring Life‐Course Theory to explore care needs in women with pregnancy‐related pelvic girdle pain

Application of Caring Life‐Course Theory to explore care needs in women with pregnancy‐related pelvic girdle pain

Current Research Trends, Hotspots, and Frontiers of Physical Activity during Pregnancy: A Bibliometric Analysis

The prevalence, implications, and clinical course of pregnancy-related pelvic girdle pain

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