Abstract
Amaç:
Gebelerde bel ağrısının aynı yaştaki kadınlarla karşılaştırıldığında çok daha
sık olduğu gösterilmiştir. Bu çalışmada özgeçmişinde bel ağrısına yol
açabilecek özellik olmayan yeni doğum yapmış annelerde gebelikleri boyunca bel
ağrısı olup olmadığının incelenmesi amaçlanmıştır.
Gereç
ve Yöntem: Özgeçmişinde doktora gidecek veya ilaç kullanacak
düzeyde hiç sırt/bel/kalça ağrısı olmayan, normal yollardan gebe kalıp
zamanında sağlıklı tek bebek doğuran, gebeliği boyunca doğum hariç hastaneye
yatışı olmayan ev hanımı 83 yeni doğum yapmış anne seçildi. Katılımcılara
demografik ve klinik özellikleri içeren bir anket uygulandı.
Bulgular:
Annelerin %51.8’i bu gebelikleri boyunca
sırt/bel/kalça-posterior pelvik bölgelerinden en azından birisinde ağrı tarif
ederken, %48.2’sinin ağrısı olmamış. Ağrılı ve ağrısız grup arasında yaş,
gebelik ve doğum öncesi ağırlıklar/vücut kitle indeksi, gebelikte alınan
ağırlık, gebelik sayısı, evlilik ve ilk canlı doğum yaşı, doğum şekli arasında
anlamlı fark bulunmadı. Ağrılı grubun yenidoğan bebeğinin boyu, ağrısız gruba
göre yüksek iken, bebek ağırlığı veya cinsiyeti açısından fark yoktu. Eski
gebeliklerinde ağrı olup olmamasıyla, bu son gebeliğinde ağrı olması arasında
çok anlamlı ilişki tespit edildi.
Sonuç:
Özgeçmişinde bel ağrısı gelişimi için predispozan herhangi bir faktör olmasa
dahi gebelikte bel ağrısı çok karşılaşılan bir sağlık problemidir.
Keywords
References
- 1-Thabah M, Ravindran V. Musculoskeletal problems in pregnancy. Rheumatol Int 2015;35:581-587
- 2-Borg-Stein J, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and postpartum. Phys med Rehabil Clin N Am 2007;18:459-476
- 3-Kesikburun S, Güzelküçük Ü, Fidan U, et al. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Ther Adv Musculoskel Dis 2018;10:229-234
- 4-Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med 2008;1:137-141
- 5-Smith MW, Marcus PS, Wurtz LD. Orthopedic issues in pregnancy. Obstet Gynecol Surv 2008;63:103-111
- 6- Nacır B, Karagöz A, Erdem H.R. Gebelikte görülen bel ağrıları. Turk J Rheumatol 2009;24:39-45
- 7- Katonis P, Kampouroglou A, Aggelopoulos A, et al. Pregnancy-related low back pain. Hippokratia 2011;15:205-210
- 8- Akkurt H.E. Gebelerde görülen bel ağrısı. Türkiye Klinikleri J Health Sci 2017;2:40-46
- 9- Sencan S, Ozcan-Eksi E.E, Cuce I, et al. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Annals of Physical and Rehabil Med. 2018;61:33-37
- 10- Mazicioglu M, Tucer B, Ozturk A, et al. Low back pain prevalence in Turkish pregnant women. J Back Musculoskel Rehabil 2006;19:89-96
- 11- Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine 1991;16:549-552
- 12- Ostgaard HC, Andersson GB, Wennergren M. The impact of low back and pelvic pain in pregnancy on the pregnancy outcome. Acta Obstet Gynecol Scand 1991;70:21-24
- 13- Mens JM, Vleeming A, Stoeckart R, et al. Understanding peripartum pelvic pain. Implications of a patient survey. Spine 1996;21:1363-1370
- 14- Brynhildsen J, Hansson A, Persson A, et al. Follow-up of patients with low back pain during pregnancy. Obstet Gynecol 1998;91:182-186
- 15- Orvieto R, Achiron A, Ben-Rafael Z, et al. Low back pain of pregnancy. Acta Obstet Gynecol Scand 1994;73:209-214
- 16- Kristiansson P, Svardsudd K, Schoultz B. Back pain during pregnancy: a prospective study.Spine 1996; 21:702-709
- 17- Padua L, Padua R, Bondi R, et al . Patient-oriented assesment of back pain pregnancy. Eur Spine J. 2002;11:272-275
- 18- Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine 2005;30:983-991
- 19- Ostgaard HC, Andersson GB, Schultz AB, et al. Influence of some biomechanical factors on low-back pain in pregnancy. Spine 1993;18:61-65
- 20- Mens JM, Vleeming A, Snijders CJ, et al. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J 1999;8:468-474
- 21- Sihvonen T, Huttunen M, Makkonen M, et al. Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arc Phys Med Rehabil 1998;79:1210-1212
- 22- Endresen EH. Pelvic Pain and Low Back Pain in Pregnant Women – an Epidemiological Study. Scand J Rheumatol 1995;24:135-141
- 23- Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med;2008;1:137-41
- 24- Berg G, Hammar M, Möller-Nielsen J, et al. Low back pain during pregnancy. Obstet Gynecol 1988;71:71-75
- 25-Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine; 2008;20:33:E386-393
- 26- Gutke A, Betten C, Degerskar K, et al. Treatments for pregnancy-related lumbopelvic pain: A systematic review of physiotherapy modalities. Acta Obstet Gynecol Scand 2015;94:1156-1167
Abstract
Objective: The mean incidence of back pain in pregnant women
very often as compared to non-pregnant women of the same ages. In this study,
we aimed to investigate the frequency of low back pain during pregnancy in
newly delivered mothers who had no predisposing factors for low back pain.
Methods:
83 newly delivered women were included fort he study who are having a normal pregnancy, no history of back/low
back/hip pain requiring hospital admission or medication, no history of
hospital admission during pregnancy except for the last delivery, being a
housewife, and delivering a single baby at term.A questionnaire
including demographic and clinical characteristics were applied to
participants.
Results:
51.8% of all mothers
declared experiencing pain in at least one of the anatomical regions including
back, low back, hip, and posterior pelvic area during the last pregnancy. No
significant difference was determined
between pain an no pain group in term of age, pre-pregnancy and prenatal body
weights/body mass index, weight gain during pregnancy, number of
pregnancy, age of marriage/first live birth, delivery mode. Neonatal height was significantly greater in the mothers with pain
compared to the mothers with no pain, although no significant difference was
found with regard to neonatal weight and gender. A very significant
relationship was found between the presence of pain during a previous pregnancy
and during the last pregnancy
Conclusions:
Pregnancy-related low back
pain is a common health problem among pregnant women, even in women with no
history of predisposing factors for low back pain.
Keywords
References
- 1-Thabah M, Ravindran V. Musculoskeletal problems in pregnancy. Rheumatol Int 2015;35:581-587
- 2-Borg-Stein J, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and postpartum. Phys med Rehabil Clin N Am 2007;18:459-476
- 3-Kesikburun S, Güzelküçük Ü, Fidan U, et al. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Ther Adv Musculoskel Dis 2018;10:229-234
- 4-Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med 2008;1:137-141
- 5-Smith MW, Marcus PS, Wurtz LD. Orthopedic issues in pregnancy. Obstet Gynecol Surv 2008;63:103-111
- 6- Nacır B, Karagöz A, Erdem H.R. Gebelikte görülen bel ağrıları. Turk J Rheumatol 2009;24:39-45
- 7- Katonis P, Kampouroglou A, Aggelopoulos A, et al. Pregnancy-related low back pain. Hippokratia 2011;15:205-210
- 8- Akkurt H.E. Gebelerde görülen bel ağrısı. Türkiye Klinikleri J Health Sci 2017;2:40-46
- 9- Sencan S, Ozcan-Eksi E.E, Cuce I, et al. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Annals of Physical and Rehabil Med. 2018;61:33-37
- 10- Mazicioglu M, Tucer B, Ozturk A, et al. Low back pain prevalence in Turkish pregnant women. J Back Musculoskel Rehabil 2006;19:89-96
- 11- Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine 1991;16:549-552
- 12- Ostgaard HC, Andersson GB, Wennergren M. The impact of low back and pelvic pain in pregnancy on the pregnancy outcome. Acta Obstet Gynecol Scand 1991;70:21-24
- 13- Mens JM, Vleeming A, Stoeckart R, et al. Understanding peripartum pelvic pain. Implications of a patient survey. Spine 1996;21:1363-1370
- 14- Brynhildsen J, Hansson A, Persson A, et al. Follow-up of patients with low back pain during pregnancy. Obstet Gynecol 1998;91:182-186
- 15- Orvieto R, Achiron A, Ben-Rafael Z, et al. Low back pain of pregnancy. Acta Obstet Gynecol Scand 1994;73:209-214
- 16- Kristiansson P, Svardsudd K, Schoultz B. Back pain during pregnancy: a prospective study.Spine 1996; 21:702-709
- 17- Padua L, Padua R, Bondi R, et al . Patient-oriented assesment of back pain pregnancy. Eur Spine J. 2002;11:272-275
- 18- Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine 2005;30:983-991
- 19- Ostgaard HC, Andersson GB, Schultz AB, et al. Influence of some biomechanical factors on low-back pain in pregnancy. Spine 1993;18:61-65
- 20- Mens JM, Vleeming A, Snijders CJ, et al. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J 1999;8:468-474
- 21- Sihvonen T, Huttunen M, Makkonen M, et al. Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arc Phys Med Rehabil 1998;79:1210-1212
- 22- Endresen EH. Pelvic Pain and Low Back Pain in Pregnant Women – an Epidemiological Study. Scand J Rheumatol 1995;24:135-141
- 23- Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med;2008;1:137-41
- 24- Berg G, Hammar M, Möller-Nielsen J, et al. Low back pain during pregnancy. Obstet Gynecol 1988;71:71-75
- 25-Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine; 2008;20:33:E386-393
- 26- Gutke A, Betten C, Degerskar K, et al. Treatments for pregnancy-related lumbopelvic pain: A systematic review of physiotherapy modalities. Acta Obstet Gynecol Scand 2015;94:1156-1167
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 28, 2019 |
| Acceptance Date | June 4, 2019 |
| Published in Issue | Year 2019 Volume: 11 Issue: 2 |
