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European Spine Journal
Published in: European Spine Journal 7/2006

01-07-2006 | Original Article

BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy

Author: Ingrid M. Mogren

Published in: European Spine Journal | Issue 7/2006

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Abstract

Low back pain and pelvic pain (LBPP) is common during pregnancy and up to 40% of women still have symptoms half a year after delivery. The aim of the study was to investigate determinants and the prevalence of persistent LBPP after pregnancy in a Swedish cohort. In a previous study 891 women had responded to a questionnaire on risk factors and prevalence of LBPP during pregnancy. Altogether 72% (n=639) of the women had reported LBPP during pregnancy. These respondents were sent a second questionnaire at approximately 6 months after delivery. The response rate was 72.6% (n=464). Independent t-test and Pearson’s chi-squared test were used to test the difference between the two groups. In response to the questionnaire, 43.1% of the women reported persistent LBPP 6 months after delivery. Women with persistent LBPP after pregnancy had had significantly earlier onset of pain during pregnancy, higher maternal age, higher body mass index (BMI), and assessed a higher level of pain due to LBPP during pregnancy and after pregnancy, and included a higher proportion of women with joint hyper-mobility. In summary, recurrent or continuous LBPP is prevalent after pregnancy. BMI as well as hyper-mobility are prominent determinants of persistent LBPP after pregnancy. Level and onset of pain during pregnancy were strong predictors of persistent LBPP.
Literature
1.
Albert H, Godskesen M, Westergaard J (2001) Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand 80:505–510CrossRefPubMed
2.
Berg G, Hammar M, Moller-Nielsen J, Linden U, Thorblad J (1988) Low back pain during pregnancy. Obstet Gynecol 71:71–75PubMed
3.
Biering-Sorensen F (1982) Low back trouble in a general population of 30-, 40-, 50-, and 60-year-old men and women. Study design, representativeness and basic results. Dan Med Bull 29:289–299PubMed
4.
Biering-Sorensen F (1983) A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology. Scand J Rehabil Med 15:71–79PubMed
5.
Bjorklund K, Naessen T, Nordstrom ML, Bergstrom S (1999) Pregnancy-related back and pelvic pain and changes in bone density. Acta Obstet Gynecol Scand 78:681–685CrossRefPubMed
6.
Breen TW, Ransil BJ, Groves PA, Oriol NE (1994) Factors associated with back pain after childbirth. Anesthesiology 81:29–34PubMedCrossRef
7.
Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman Y (1987) Low-back pain in pregnancy. Spine 12:368–371PubMedCrossRef
8.
Hansen A, Jensen DV, Wormslev M, Minck H, Johansen S, Larsen EC, Wilken-Jensen C, Davidsen M, Hansen TM (2000) [Pregnancy associated pelvic pain. II: Symptoms and clinical findings]. Ugeskr Laeger 162:4813–4817PubMed
9.
Kristiansson P, Svardsudd K, von Schoultz B (1996) Back pain during pregnancy: a prospective study. Spine 21:702–709CrossRefPubMed
10.
Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM (1999) Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstet Gynecol Scand 78:105–110CrossRefPubMed
11.
Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ (1996) Understanding peripartum pelvic pain. Implications of a patient survey (discussion 1369–1370). Spine 21:1363–1369CrossRefPubMed
12.
Mogren I (2006) Perceived health, sick leave, psychosocial situation, and sexual life in women with low back pain and pelvic pain during pregnancy. Acta Obstet Gynecol Scand (in press)
13.
Mogren I (2005) Previous physical activity decreases the risk of low back pain and pelvic pain during pregnancy. Scand J Public Health 33:300–306PubMed
14.
Mogren IM, Pohjanen AI (2005) Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine 30:983–991CrossRefPubMed
15.
Nilsson-Wikmar L, Harms-Ringdahl K, Pilo C, Pahlback M (1999) Back pain in women post-partum is not a unitary concept. Physiother Res Int 4:201–213PubMedCrossRef
16.
Nilsson-Wikmar L, Pilo C, Pahlback M, Harms-Ringdahl K (2003) Perceived pain and self-estimated activity limitations in women with back pain post-partum. Physiother Res Int 8:23–35PubMedCrossRef
17.
Noren L, Ostgaard S, Johansson G, Ostgaard HC (2002) Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J 11:267–271CrossRefPubMed
18.
19.
Ostgaard HC, Andersson GB, Karlsson K (1991) Prevalence of back pain in pregnancy. Spine 16:549–552PubMedCrossRef
20.
Ostgaard HC, Roos-Hansson E, Zetherstrom G (1996) Regression of back and posterior pelvic pain after pregnancy. Spine 21:2777–2780CrossRefPubMed
21.
Ostgaard HC, Zetherstrom G, Roos-Hansson E (1997) Back pain in relation to pregnancy: a 6-year follow-up. Spine 22:2945–2950CrossRefPubMed
22.
Russell R, Dundas R, Reynolds F (1996) Long term backache after childbirth: prospective search for causative factors. BMJ 312:1384–1388PubMed
23.
Saugstad LF (1991) Is persistent pelvic pain and pelvic joint instability associated with early menarche and with oral contraceptives? Eur J Obstet Gynecol Reprod Biol 41:203–206CrossRefPubMed
24.
Svensson HO, Andersson GB, Hagstad A, Jansson PO (1990) The relationship of low-back pain to pregnancy and gynecologic factors. Spine 15:371–375PubMedCrossRef
25.
To WW, Wong MW (2003) Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gynecol Scand 82:1086–1091CrossRefPubMed
26.
Turgut F, Turgut M, Cetinsahin M (1998) A prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol 80:45–48CrossRefPubMed
27.
Wu WH, Meijer OG, Uegaki K, Mens JM, Van Dieen JH, Wuisman PI, Ostgaard HC (2004) Pregnancy-related pelvic girdle pain (PPP). I: Terminology, clinical presentation, and prevalence. Eur Spine J 575–589CrossRef
Metadata
Title
BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy
Author
Ingrid M. Mogren
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 7/2006
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-005-0004-9

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