The association between pelvic girdle pain and sick leave during pregnancy; a retrospective study of a Norwegian population

Malmqvist, Stefan; Kjærmann, Inger; Andersen, Knut; Økland, Inger; Larsen, Jan Petter; Brønnick, Kolbjørn

doi:10.1186/s12884-015-0667-0

Cited by 45 publications

(54 citation statements)

References 32 publications

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“…Some studies show that pain and disability do not increase with advancing pregnancy, whereas other studies have found that they do . In some studies increased pain throughout the course of pregnancy was reported with no influence on disability, while others reports suggest minimal pain and moderate disability related to sacroiliac dysfunction while pregnancy progresses; finally, there is a report of minimal pain but differing degrees of disability, ranging from mild to moderate …”

Section: Introductionmentioning

confidence: 98%

“…10 In some studies increased pain throughout the course of pregnancy was reported with no influence on disability, 11 while others reports suggest minimal pain and moderate disability related to sacroiliac dysfunction while pregnancy progresses 12 ; finally, there is a report of minimal pain but differing degrees of disability, ranging from mild to moderate. 13 Owing to these conflicting reports, the present prospective study was performed to determine the incidence of sacroiliac dysfunction during the first trimester of pregnancy and to assess the relationship between pain and disability caused by sacroiliac dysfunction from the beginning to the end of the pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Incidence, pain, and mobility assessment of pregnant women with sacroiliac dysfunction

Filipec

Jadanec

Kostović-Srzentić

et al. 2018

Intl J Gynecology & Obste

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Incidence, pain, and mobility assessment of pregnant women with sacroiliac dysfunction

Filipec

Jadanec

Kostović-Srzentić

et al. 2018

Intl J Gynecology & Obste

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“…PGP can also affect the ability to function in the work place. As a result there is an increased level of sickness absence in working women with PGP (Malmqvist et al, 2015;Mogren, 2006). Gutke et al (2006) found that pregnant women with PGP took significantly more sick leave than pregnant women with only LBP.…”

Section: Introductionmentioning

confidence: 99%

Women's experiences of pregnancy related pelvic girdle pain: A systematic review

2018

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Health professionals working with pregnant and postnatal women need to be aware of the anger, frustration and negative emotions resulting from PGP. These women may become socially isolated and there is a risk they could abuse analgesics in attempt to manage the pain especially if they do not have the social support. For women with young children, it is important to be aware of safety issues they face with carrying babies and controlling toddlers. It is therefore important that health professionals recognise PGP as a serious health issue, approach this condition sensitively and refer to appropriate treatment as soon as PGP is suspected.

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“…Боль в нижней части спины встречается у 45-75% здоровых беременных, частота и интенсивность боли увеличиваются со сроком гестации [14]. Отдельно выделяют боль в области тазового пояса, локализующуюся между задним гребнем подвздошной кости и ягодичной складкой, включая область крестцово-подвздошных суставов, и/или в симфизе [15]. В англоязычной литературе для описания этой боли используется термин «pelvic girdle pain» («боль в области тазового пояса», БТП).…”

Section: те р а п и я н п в п в т е ч е н и е б е р е м е н н о с т иunclassified

“…Причины БТП до конца неясны, среди них обсуждаются гормональные (повышение уровня релаксина, приводящее к расслаблению связочного аппарата таза), биомеханические (изменение осанки, смещение центра тяжести), метаболические (гипокальциемия, гиперглюкоземия), генетические (женщины, матери или сестры которых испытывали БТП, чаще страдают от подобных симптомов) [18,19]. Кроме того, факторами риска являются травма таза в анамнезе, боль в пояснично-крестцовом отделе позвоночника в предыдущие беременности, нагрузка на рабочем месте [15]. Хотя многие врачи считают БТП проявлением нормально протекающей беременности, она оказывает негативное влияние на качество жизни женщин, имеет психосоциальные (послеродовая депрессия встречается в 3 раза чаще у женщин, которые испытывали БТП во время беременности) и экономические (80% женщин с БТП становятся временно нетрудоспособными в течение 12-15 нед) последствия [15,20].…”

Section: те р а п и я н п в п в т е ч е н и е б е р е м е н н о с т иunclassified

The course of ankylosing spondylitis during pregnancy: intermediate data of a prospective follow-up

Кричевская¹,

Гандалоева²,

Demina³

et al. 2019

Sovremennaâ revmatologiâ

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The onset of ankylosing spondylitis (AS) more frequently occurs at the end of the third decade of life, which corresponds to the time of marriage and the birth of the first child and determines the relevance of a study of the interaction of AS and pregnancy.Objective: to describe the clinical presentations of AS and its therapy during pregnancy and to study AS activity dynamics and the patients' functional status during gestation.Patients and methods. The investigation enrolled 19 pregnant women who met the 1984 modified New York AS criteria. The mean age of the women was 32.2±1.1 years; their mean age at the onset of AS was 22.6±3.1 years; the duration of the disease was 147±20.7 months. The patients visited their physician at 10–11, 20–21, and 31–32 weeks of pregnancy. The investigators determined AS activity by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Ankylosing Spondylitis Disease Activity Score (ASDAS) and functional status by the Bath Ankylosing Spondylitis Functional Index (BASFI) and the Bath Ankylosing Spondylitis Metrology Index (BASMI). The Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) was used to assess enthesitis.Results and discussion. At the time of conception, 78.9% of the patients had inflammatory back pain with an intensity of 2.2±0.4 on a numerical rating scale; during pregnancy, 95% of the pregnant women experienced pain, its intensity increased by the second trimester (4.6±0.7) and remained at this level in the third trimester (p<0.05 between the month of conception and the second and third trimesters). By the third trimester, the nature of the pain changed: 55.5 and 61.1% of the patients reported reduced pain at rest and after exercise, respectively. The frequency and severity of enthesitis increased with gestational age: the MASES scores were higher in the third trimester (2.3±0.5) than that in the first-trimester (0.4±0.22; p<0.05). The frequency of extra-axial and extra-skeletal manifestations did not increase during gestation. Coxitis was detected in 27.8% of the pregnant women.The BASDAI increased from the time of conception (1.7±0.3) to the second trimester (3.3±0.5; p<0.05) and remained at this level in the third trimester. Multiple regression analysis revealed that the predictors of BASDAI levels in the third trimester were BASDAI scores (R2 =0.7) and back pain (R2 =0.9) at the time of conception, the use of biological agents 3 months before gestation (R2 =0.7) with their cumulative impact. Throughout pregnancy, the BASDAI was determined by a set of factors: the severity of pain in the back (β=0.6) and entheses (β=0.3) and weakness (β=0.6). By the end of the first trimester, the increased BASDAI scores were provided mainly by the higher level of general weakness (by 68.5%) and back pain (by 24.1%). In the second trimester, the higher BASDAI was due to the increased severity of enthesitis (by 30.7%) and back pain (by 27%).There were no changes in ASDAS-C-reactive protein (ASDAS-CRP), but there was its upward tendency in the second trimester as compared with the beginning of pregnancy. The BASMI did not change significantly (1.3±0.9; 1.8±0.2; 2.1±0.3, respectively, for trimesters). The BASFI increased by the third trimester (3.9±0.7) versus the first trimester (1.4±0.3; p<0.05).In the third trimester, this rise was due to difficulties in performing the actions related to both AS activity and pregnancy (forward bends; questions 1, 2, and 4).According to the trimesters, 31.6, 73.7, and 66.7% of the pregnant women took nonsteroidal anti-inflammatory drugs. The need for glucocorticoids was noted in 22% of patients in the second trimester and in 53% in the third trimester.Conclusion. The clinical activity of AS is increased by the second trimester of pregnancy and remains moderate and high until the end of gestation. The activity of AS at the time of conception can determine the activity of the disease throughout pregnancy. In the third trimester, mechanical back pain becomes concurrent in half of the patients. Functional impairments increase with gestational age, and this is due to both the activity of AS and pregnancy itself in the third trimester.

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The association between pelvic girdle pain and sick leave during pregnancy; a retrospective study of a Norwegian population

Cited by 45 publications

References 32 publications

Incidence, pain, and mobility assessment of pregnant women with sacroiliac dysfunction

Incidence, pain, and mobility assessment of pregnant women with sacroiliac dysfunction

Women's experiences of pregnancy related pelvic girdle pain: A systematic review

The course of ankylosing spondylitis during pregnancy: intermediate data of a prospective follow-up

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