The Experience of Pregnancy-Related Lumbopelvic Pain: A Qualitative Evidence Synthesis

Buin, Luciana; Joaquim, Regina Helena Vitale Torkomian; Strong, Jenny; Robinson, Katie

doi:10.1177/00084174231172037

Cited by 3 publications

(2 citation statements)

References 83 publications

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“…7,[36][37][38] Unfortunately, we did not gather data on the women's personal experience of how PLPP affected their daily activities, an aspect that has been investigated in previous studies. 8,39 As expected, self-reported sick leave increased for each trimester, with the highest occurrence of sick leave and PLPP in the third trimester of pregnancy in both Italy and Norway. Although the frequency of self-reported sick leave was similar in both countries, we found no association between PLPP and sick leave among Italian women in late pregnancy.…”

Section: Interpretation Of Findings and Comparison With Previous Rese...supporting

confidence: 63%

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Lumbopelvic pain and sick leave during pregnancy: A comparison of Italy and Norway

Haakstad,

Benvenuti,

Dalhaug

et al. 2023

Womens Health (Lond Engl)

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Background: Pregnancy-related lumbopelvic pain is a frequently reported musculoskeletal disorder, but few studies have compared data between countries. Objectives: Examine prevalence, severity, and sick leave and explore potential risk factors associated with pregnancy-related lumbopelvic pain in Italian women and compare the results to a similar study in Norway, utilizing the same questionnaire. Design: Cross-sectional Methods: Italian ( n = 481) and Norwegian women ( n = 435) were allocated from two public hospitals in Rome (Fatebenefratelli San Giovanni Calibita-Isola Tiberina) and Oslo (Oslo University Hospital), as well as four antenatal clinics in Modena (Italy). The questionnaire was completed between gestation weeks 32 and 36, addressing women’s experiences of pregnancy-related lumbopelvic pain and sick leave in current week, and retrospectively for prepregnancy, first and second trimesters. Results: In Italy and Norway, 39% and 57% of pregnant women reported pregnancy-related lumbopelvic pain, respectively, with 11% and 25% experiencing severe pregnancy-related lumbopelvic pain. Pregnancy-related lumbopelvic pain was associated with sick leave in Norway ( p < 0.01), but not in Italy ( p = 0.66) at late gestation. In both countries, women with pregnancy-related lumbopelvic pain versus those with no pregnancy-related lumbopelvic pain were more likely to be multiparous (Italy: 40% versus 31%, p = 0.06 and Norway: 53% versus 38%, p < 0.01), and have gestational weight gain above guidelines (Italy: 21% versus 13%, p = 0.02% and Norway: 27% versus 14%, p < 0.01) and previous experience of pregnancy-related lumbopelvic pain (Italy: 15% versus 2%, p < 0.01 and Norway: 31% versus 4%, p < 0.01). Maternal exercise (⩾2 times weekly) was associated with less pregnancy-related lumbopelvic pain (Italy: odds ratio = 0.33, 95% confidence interval = 0.11–1.0, p = 0.05 and Norway: odds ratio = 0.55, 95% confidence interval = 0.29–1.0, p = 0.06). Conclusion: We observed high rates of pregnancy-related lumbopelvic pain in Italy and Norway, with Norwegian women reporting the highest prevalence and severity level. While both countries had similar rates of sick leave in late gestation, an association between pregnancy-related lumbopelvic pain and sick leave was observed among Norwegian women only. Health care providers should be proactive in addressing pregnancy-related lumbopelvic pain through open communication and seeking input from pregnant individuals. However, it is essential to acknowledge that the current evidence on effective treatments remains limited and inconclusive, highlighting the need for further research in this field.

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Section: Interpretation Of Findings and Comparison With Previous Rese...supporting

confidence: 63%

“… 7 , 36 – 38 Unfortunately, we did not gather data on the women’s personal experience of how PLPP affected their daily activities, an aspect that has been investigated in previous studies. 8 , 39 …”

Section: Discussionmentioning

confidence: 99%

Lumbopelvic pain and sick leave during pregnancy: A comparison of Italy and Norway

Haakstad,

Benvenuti,

Dalhaug

et al. 2023

Womens Health (Lond Engl)

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Altered Abdominal Muscle Recruitment and Declined Physical Function in Postpartum Individuals With Pregnancy‐Related Pelvic Girdle Pain: A Matched Case‐Control Study

Chua,

Wu,

Kuo

et al. 2024

J Midwife Womens Health

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IntroductionThe influence of pregnancy‐related pelvic girdle pain (PPGP) on lumbopelvic muscles has not been comprehensively examined in postpartum individuals. Previous research also presented self‐reported activity limitations without objective measures.MethodsThirty postpartum individuals with PPGP (PPGP group) and 30 age‐, parity‐, and postpartum duration–matched asymptomatic individuals (healthy group) were recruited. Transabdominal ultrasonography was used to measure muscle thickness or activation changes of the external oblique (EO), internal oblique (IO), transverse abdominals, lumbar multifidus, and pelvic floor muscles (PFMs) during rest and while performing the active straight leg raise (ASLR). Muscle changes were compared separately in the painful and nonpainful sides between the PPGP and health control group. Physical function was assessed using the ASLR fatigue (ASLRF), timed up‐and‐go, and 6‐m walking (6MW) tests.ResultsThe PPGP group had greater thickening changes in the bilateral IO during ASLR compared with the healthy group (nonpainful side, 16.34 vs 3.52 mm; P = .010; painful side, 18.83 vs 6.60 mm; P = .02) but became thinner in the EO (nonpainful side, −2.19 vs 19.97 mm; P < .001; painful side, −5.97 vs 21.43 mm; P < .001). Thicker IO and EO on the nonpainful side (IO, 6.60 vs 5.78 mm; P = .004; EO, 5.37 vs 4.54 mm; P = .011) and a lower bladder base (indication of PFMs) (91.87 vs 78.61 mm; P = .002) during rest were also observed in the PPGP group. Furthermore, the performance of the ASLRF and 6MW tests was poorer in the PPGP than in the healthy group (ASLRF nonpainful side, 82.36 vs 59.09 sec; P = .01; painful side, 75.73 vs 59.26 sec; P = .04; 6MW, 3.48 vs 3.17 sec; P = .02).DiscussionPostpartum individuals with PPGP demonstrated altered abdominal muscle recruitment strategies during loading tasks, with objectively impaired physical functions. These findings are critical for developing effective muscle training interventions for PPGP.

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Prevalence and Correlation of Lumbo-pelvic Pain with Depression, Anxiety, Stress and Mobility levels in Pregnant Women

Naqvi,

Shah,

Inayat

et al. 2024

PBMJ

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Pregnancy-related lumbo-pelvic pain (LPP) is a prevalent condition with physical and psychological risk factors. Objective: To investigate the relationship between lumbo-pelvic pain during pregnancy, psychological and physical risk factors. Methods: An observational cross sectional study recruited 210 pregnant women from a reputable tertiary care hospital. Duration of study was 6 months. The study was conducted in line with ethical standards set by the ethical committee of CMH Lahore Medical College and Institute of Dentistry. In accordance with the Declaration of Helsinki. Written informed consent was taken from each participant. This study interviewed the pregnant ladies in 2nd and 3rd trimesters and collected data about demographic information and included the Pregnancy Mobility Index Scale (PMI), the Disability, Anxiety, Stress Scale (DASS-21) questionnaire and Numeric Pain Rating Scale (NPRS). Authors explained each term mentioned in all questionnaires to participants in Urdu or Punjabi language so that every participant was able to understand complex terms. Spearman correlation coefficient test had been used for calculating correlation. Results: LPP was reported in 146 pregnant women. There was a significant correlation between pain and psychological risk factors such as: between LPP and stress there was r=0.39, p<0.05, between LPP and anxiety there was r=0.36, p<0.05, between LPP and depression there was r=0.41, p<0.05. There was a weak correlation between LPP and physiological risk factors with p-value of 0.002 and r=0.212. The mean age of participants was 27.46 years. Conclusions: Lumbo-pelvic pain was found in 69.5% pregnant women. Lumbo-pelvic pain was significantly correlated with mobility levels and psychological factors such as depression, stress and anxiety in 2nd and 3rd trimesters.

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The Experience of Pregnancy-Related Lumbopelvic Pain: A Qualitative Evidence Synthesis

Cited by 3 publications

References 83 publications

Lumbopelvic pain and sick leave during pregnancy: A comparison of Italy and Norway

Lumbopelvic pain and sick leave during pregnancy: A comparison of Italy and Norway

Altered Abdominal Muscle Recruitment and Declined Physical Function in Postpartum Individuals With Pregnancy‐Related Pelvic Girdle Pain: A Matched Case‐Control Study

Prevalence and Correlation of Lumbo-pelvic Pain with Depression, Anxiety, Stress and Mobility levels in Pregnant Women

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