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Published in: BMC Pregnancy and Childbirth 1/2020

Open Access 01-12-2020 | Care | Research article

Burden of pelvic girdle pain during pregnancy among women attending ante-natal clinic, Ethiopia:a cross-sectional study

Authors: Moges Gashaw, Solomon Gedlu, Balamurugan Janakiraman

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

Pelvic girdle pain (PGP) is a commonly reported maternal morbidity that negatively impacts the well-being of women during pregnancy and extends long term into the post-partum period. The burden of maternal morbidity; including pregnancy-related PGP; has been overlooked in Ethiopia to date. This study aimed to determine the prevalence and identify factors associated with pelvic girdle pain during pregnancy in North West Ethiopia.

Methods

A hospital-based cross-sectional study was conducted among pregnant women visiting the antenatal care clinic in Obstetrics ‘outpatient department at the University of Gondar comprehensive specialized hospital in Gondar. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Univariate and multivariable logistic regression model analyses were used to identify factors associated with PGP.

Results

A total of 424 participants with gestational ages ranging from 6 to 39 weeks participated in this study. The age of the study participants ranged from 18 to 44 years with a mean age of (27 ± 4.6 years). The overall cumulative prevalence of pelvic girdle pain among pregnant women was 103 (24.3%),95% CI (20.3, 28.8). The major associated factors with pelvic girdle pain were previous history of pelvic girdle pain (AOR 16.08; 95% CI, 8.47–30.51), previous history of back pain (AOR 1.66; 95% CI, 1.5–4.24) and having children (AOR 1.42; 95% CI, 1.29–3.76).

Conclusion

One-quarter of pregnant Ethiopian women reported pelvic girdle pain. PGP must be considered as major pregnancy-related morbidity, and progress in the intervention of PGP is vital to enhance the quality of life in this population.
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Literature
1.
go back to reference Elden H, Lundgren I, Robertson E. Life’s pregnant pause of pain: pregnant women’s experiences of pelvic girdle pain related to daily life: a Swedish interview study. Sex Rep Healthcare. 2013;4(1):29–34. Elden H, Lundgren I, Robertson E. Life’s pregnant pause of pain: pregnant women’s experiences of pelvic girdle pain related to daily life: a Swedish interview study. Sex Rep Healthcare. 2013;4(1):29–34.
2.
go back to reference Campbell OM, Graham WJ. Group LMSSs. Strategies for reducing maternal mortality: getting on with what works. Lancet. 2006;368(9543):1284–99.PubMed Campbell OM, Graham WJ. Group LMSSs. Strategies for reducing maternal mortality: getting on with what works. Lancet. 2006;368(9543):1284–99.PubMed
3.
go back to reference Firoz T, Chou D, von Dadelszen P, Agrawal P, Vanderkruik R, Tunçalp O, et al. Measuring maternal health: focus on maternal morbidity. Bull World Health Organ. 2013;91:794–6.PubMedPubMedCentral Firoz T, Chou D, von Dadelszen P, Agrawal P, Vanderkruik R, Tunçalp O, et al. Measuring maternal health: focus on maternal morbidity. Bull World Health Organ. 2013;91:794–6.PubMedPubMedCentral
4.
go back to reference Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Practice. 2010;10(1):60–71.PubMed Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Practice. 2010;10(1):60–71.PubMed
5.
go back to reference Foti T, Davids JR, Bagley A. A biomechanical analysis of gait during pregnancy. JBJS. 2000;82(5):625. Foti T, Davids JR, Bagley A. A biomechanical analysis of gait during pregnancy. JBJS. 2000;82(5):625.
6.
go back to reference Abebe E, Singh K, Adefires M, Abraha M, Gebremichael H, Krishnan R. History of low Back pain during previous pregnancy had an effect on development of low Back pain in current pregnancy attending antenatal care clinic of the University of Gondar Hospital, Northwest Ethiopia. J Med Sc Tech. 2014;3(3):37–44. Abebe E, Singh K, Adefires M, Abraha M, Gebremichael H, Krishnan R. History of low Back pain during previous pregnancy had an effect on development of low Back pain in current pregnancy attending antenatal care clinic of the University of Gondar Hospital, Northwest Ethiopia. J Med Sc Tech. 2014;3(3):37–44.
7.
go back to reference Mohammed MA, Ahmed JH, Bushra AW, Aljadhey HS. Medications use among pregnant women in Ethiopia: a cross sectional study. J of Appl Pharm Sci. 2013;3(4):116. Mohammed MA, Ahmed JH, Bushra AW, Aljadhey HS. Medications use among pregnant women in Ethiopia: a cross sectional study. J of Appl Pharm Sci. 2013;3(4):116.
8.
go back to reference Bekele A, Adefris M, Demeke S. Urinary incontinence among pregnant women, following antenatal care at University of Gondar Hospital, north West Ethiopia. BMC Pregnancy Childbirth. 2016;16(1):333.PubMedPubMedCentral Bekele A, Adefris M, Demeke S. Urinary incontinence among pregnant women, following antenatal care at University of Gondar Hospital, north West Ethiopia. BMC Pregnancy Childbirth. 2016;16(1):333.PubMedPubMedCentral
9.
go back to reference Sahle G. Ethiopic maternal care data mining: discovering the factors that affect postnatal care visit in Ethiopia. Health Inf Sci Syst. 2016;4(1):4.PubMedPubMedCentral Sahle G. Ethiopic maternal care data mining: discovering the factors that affect postnatal care visit in Ethiopia. Health Inf Sci Syst. 2016;4(1):4.PubMedPubMedCentral
10.
go back to reference Gutke A, Östgaard HC, Öberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31(5):E149–E55.PubMed Gutke A, Östgaard HC, Öberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31(5):E149–E55.PubMed
11.
go back to reference Olsson C, Lena N-W. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004;83(4):351–7.PubMed Olsson C, Lena N-W. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004;83(4):351–7.PubMed
12.
go back to reference Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Man Ther. 2010;15(3):280–5.PubMed Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Man Ther. 2010;15(3):280–5.PubMed
13.
go back to reference Sneha Ashok D. Pelvic girdle pain and low back pain during pregnancy and postpartum in indian women: a prospective cohort study of prevalence and risk factors in relation to pain intensity and disability; 2013. Sneha Ashok D. Pelvic girdle pain and low back pain during pregnancy and postpartum in indian women: a prospective cohort study of prevalence and risk factors in relation to pain intensity and disability; 2013.
14.
go back to reference Kovacs FM, Garcia E, Royuela A, González L, Abraira V, Network SBPR. Prevalence and factors associated with low back pain and pelvic girdle pain during pregnancy: a multicenter study conducted in the Spanish National Health Service. Spine. 2012;37(17):1516–33.PubMed Kovacs FM, Garcia E, Royuela A, González L, Abraira V, Network SBPR. Prevalence and factors associated with low back pain and pelvic girdle pain during pregnancy: a multicenter study conducted in the Spanish National Health Service. Spine. 2012;37(17):1516–33.PubMed
15.
go back to reference Verstraete E, Vanderstraeten G, Parewijck W. Pelvic Girdle Pain during or after Pregnancy: a review of recent evidence and a clinical care path proposal. Facts Views Vision in ObGyn. 2013;5(1):33. Verstraete E, Vanderstraeten G, Parewijck W. Pelvic Girdle Pain during or after Pregnancy: a review of recent evidence and a clinical care path proposal. Facts Views Vision in ObGyn. 2013;5(1):33.
16.
go back to reference Van De Pol G, Van Brummen HJ, Bruinse HW, Heintz APM, Van Der Vaart CH. Pregnancy-related pelvic girdle pain in the Netherlands. Acta Obstet Gynecol Scand. 2007;86(4):416–22. Van De Pol G, Van Brummen HJ, Bruinse HW, Heintz APM, Van Der Vaart CH. Pregnancy-related pelvic girdle pain in the Netherlands. Acta Obstet Gynecol Scand. 2007;86(4):416–22.
17.
go back to reference Wu W-H, Meijer OG, Uegaki K, Mens J, Van Dieen J, Wuisman P, et al. Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575–89.PubMedPubMedCentral Wu W-H, Meijer OG, Uegaki K, Mens J, Van Dieen J, Wuisman P, et al. Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575–89.PubMedPubMedCentral
18.
go back to reference Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. Pelvic girdle pain-associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord. 2010;11(1):91.PubMedPubMedCentral Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. Pelvic girdle pain-associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord. 2010;11(1):91.PubMedPubMedCentral
19.
go back to reference Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30(8):983–91.PubMed Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30(8):983–91.PubMed
20.
go back to reference Mousavi SJ, Parnianpour M, Vleeming A. Pregnancy related pelvic girdle pain and low back pain in an Iranian population. Spine. 2007;32(3):E100–E4.PubMed Mousavi SJ, Parnianpour M, Vleeming A. Pregnancy related pelvic girdle pain and low back pain in an Iranian population. Spine. 2007;32(3):E100–E4.PubMed
21.
go back to reference Bakker EC, van Nimwegen-Matzinger CW, Ekkel-van der Voorden W, Nijkamp MD, Völlink T. Psychological determinants of pregnancy-related lumbopelvic pain: a prospective cohort study. Acta Obstet Gynecol Scand. 2013;92(7):797–803.PubMed Bakker EC, van Nimwegen-Matzinger CW, Ekkel-van der Voorden W, Nijkamp MD, Völlink T. Psychological determinants of pregnancy-related lumbopelvic pain: a prospective cohort study. Acta Obstet Gynecol Scand. 2013;92(7):797–803.PubMed
22.
go back to reference Bjelland E, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Obstet Anesth Dig. 2011;31(3):157. Bjelland E, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Obstet Anesth Dig. 2011;31(3):157.
23.
go back to reference Berhan Y, Berhan A. Causes of maternal mortality in Ethiopia: a significant decline in abortion related death. Ethiop J Health Sci. 2014;24:15–28.PubMedPubMedCentral Berhan Y, Berhan A. Causes of maternal mortality in Ethiopia: a significant decline in abortion related death. Ethiop J Health Sci. 2014;24:15–28.PubMedPubMedCentral
24.
go back to reference Woldemicael G, Tenkorang EY. Women’s autonomy and maternal health-seeking behavior in Ethiopia. Matern Child Health J. 2010;14(6):988–98.PubMed Woldemicael G, Tenkorang EY. Women’s autonomy and maternal health-seeking behavior in Ethiopia. Matern Child Health J. 2010;14(6):988–98.PubMed
25.
go back to reference Kasiulevičius V, Šapoka V, Filipavičiūtė R. Sample size calculation in epidemiological studies. Gerontologija. 2006;7(4):225–31. Kasiulevičius V, Šapoka V, Filipavičiūtė R. Sample size calculation in epidemiological studies. Gerontologija. 2006;7(4):225–31.
26.
go back to reference Stuge B, Garratt A, Krogstad Jenssen H, Grotle M. The pelvic girdle questionnaire: a condition-specific instrument for assessing activity limitations and symptoms in people with pelvic girdle pain. Phys Ther. 2011;91(7):1096–108.PubMed Stuge B, Garratt A, Krogstad Jenssen H, Grotle M. The pelvic girdle questionnaire: a condition-specific instrument for assessing activity limitations and symptoms in people with pelvic girdle pain. Phys Ther. 2011;91(7):1096–108.PubMed
27.
go back to reference Mahishale A, Borkar SS. Determining the prevalence of patterns of pregnancy-induced pelvic girdle pain and low back pain in urban and rural populations: a cross-sectional study. J Sci Soc. 2016;43(2):70. Mahishale A, Borkar SS. Determining the prevalence of patterns of pregnancy-induced pelvic girdle pain and low back pain in urban and rural populations: a cross-sectional study. J Sci Soc. 2016;43(2):70.
28.
go back to reference Robinson HS, Mengshoel AM, Veierød MB, Vøllestad N. Pelvic girdle pain: potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum. Man Ther. 2010;15(6):522–8.PubMed Robinson HS, Mengshoel AM, Veierød MB, Vøllestad N. Pelvic girdle pain: potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum. Man Ther. 2010;15(6):522–8.PubMed
29.
go back to reference Gupta M. Prevalence of pregnancy related pelvic girdle pain in Indian primigravida: a tertiary care hospital based study. Indian J Obstet Gynecol Res. 2014;1:16. Gupta M. Prevalence of pregnancy related pelvic girdle pain in Indian primigravida: a tertiary care hospital based study. Indian J Obstet Gynecol Res. 2014;1:16.
30.
go back to reference Mahishale A, Borkar S. Prevalence of patterns of pregnancy induced pelvic girdle pain and low Back pain in a tertiary care Centre-a cross sectional study. IJTRR. 2015;4(4):122–4. Mahishale A, Borkar S. Prevalence of patterns of pregnancy induced pelvic girdle pain and low Back pain in a tertiary care Centre-a cross sectional study. IJTRR. 2015;4(4):122–4.
31.
go back to reference Pierce H, Homer CS, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract. 2012;2012:387428.PubMedPubMedCentral Pierce H, Homer CS, Dahlen HG, King J. Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract. 2012;2012:387428.PubMedPubMedCentral
32.
go back to reference Bjelland EK, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol. 2010;203(2):146–e1-. e6.PubMed Bjelland EK, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol. 2010;203(2):146–e1-. e6.PubMed
33.
go back to reference Gutke A, Boissonnault J, Brook G, Stuge B. The severity and impact of pelvic girdle pain and low-back pain in pregnancy: a multinational study. J Women's Health. 2018;27(4):510–7. Gutke A, Boissonnault J, Brook G, Stuge B. The severity and impact of pelvic girdle pain and low-back pain in pregnancy: a multinational study. J Women's Health. 2018;27(4):510–7.
34.
go back to reference Mens JM, Huis YH, Pool-Goudzwaard A. Severity of signs and symptoms in lumbopelvic pain during pregnancy. Man Ther. 2012;17(2):175–9.PubMed Mens JM, Huis YH, Pool-Goudzwaard A. Severity of signs and symptoms in lumbopelvic pain during pregnancy. Man Ther. 2012;17(2):175–9.PubMed
35.
go back to reference Acharya RS, Tveter AT, Grotle M, Eberhard-Gran M, Stuge B. Prevalence and severity of low back-and pelvic girdle pain in pregnant Nepalese women. BMC Pregnancy Childbirth. 2019;19(1):247. Acharya RS, Tveter AT, Grotle M, Eberhard-Gran M, Stuge B. Prevalence and severity of low back-and pelvic girdle pain in pregnant Nepalese women. BMC Pregnancy Childbirth. 2019;19(1):247.
36.
go back to reference Aslan E, Fynes M. Symphysial pelvic dysfunction. Curr Opin Obstet Gynecol. 2007;19(2):133–9.PubMed Aslan E, Fynes M. Symphysial pelvic dysfunction. Curr Opin Obstet Gynecol. 2007;19(2):133–9.PubMed
37.
go back to reference Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794–819.PubMedPubMedCentral Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794–819.PubMedPubMedCentral
38.
go back to reference Elden H, Gutke A, Kjellby-Wendt G, Fagevik-Olsen M, Ostgaard H-C. Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study. BMC Musculoskelet Disord. 2016;17(1):276.PubMedPubMedCentral Elden H, Gutke A, Kjellby-Wendt G, Fagevik-Olsen M, Ostgaard H-C. Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study. BMC Musculoskelet Disord. 2016;17(1):276.PubMedPubMedCentral
39.
go back to reference Bergström C, Persson M, Nergård K-A, Mogren I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC Musculoskelet Disord. 2017;18(1):399.PubMedPubMedCentral Bergström C, Persson M, Nergård K-A, Mogren I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC Musculoskelet Disord. 2017;18(1):399.PubMedPubMedCentral
40.
go back to reference Aldabe D, Ribeiro DC, Milosavljevic S, Bussey MD. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review. Eur Spine J. 2012;21(9):1769–76.PubMedPubMedCentral Aldabe D, Ribeiro DC, Milosavljevic S, Bussey MD. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review. Eur Spine J. 2012;21(9):1769–76.PubMedPubMedCentral
41.
go back to reference Teshale AB, Tesema GA. Magnitude and associated factors of unintended pregnancy in Ethiopia: a multilevel analysis using 2016 EDHS data. BMC Pregnancy Childbirth. 2020;20:1–8. Teshale AB, Tesema GA. Magnitude and associated factors of unintended pregnancy in Ethiopia: a multilevel analysis using 2016 EDHS data. BMC Pregnancy Childbirth. 2020;20:1–8.
42.
go back to reference Ceprnja D, Chipchase L, Gupta A. Prevalence of pregnancy-related pelvic girdle pain and associated factors in Australia: a cross-sectional study protocol. BMJ Open. 2017;7(11):e018334.PubMedPubMedCentral Ceprnja D, Chipchase L, Gupta A. Prevalence of pregnancy-related pelvic girdle pain and associated factors in Australia: a cross-sectional study protocol. BMJ Open. 2017;7(11):e018334.PubMedPubMedCentral
Metadata
Title
Burden of pelvic girdle pain during pregnancy among women attending ante-natal clinic, Ethiopia:a cross-sectional study
Authors
Moges Gashaw
Solomon Gedlu
Balamurugan Janakiraman
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-03184-4

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