Vol. 7 (01) pp. 682-687 DOI: 10.21474/IJAR01/8377

DEMOGRAPHIC FEATURES AND ETIOLOGY OF WOMEN HAVING PELVIC GIRDLE PAIN AND LOW BACK PAIN IN PREGNANCY.

, and
  • Senior resident ,Department of Obstetrics & Gynecology, Katihar Medical College and hospital , Katihar , Bihar.
  • Assistant Proffessor, Department of Orthopedics ,Darbhanga medical college and hospital, Darbhanga ,bihar.
  • Consultant Neurosurgeon ,and spine surgeon, Darbhanga medical college and hospital, Darbhanga ,bihar.
10 Downloads 53 Views
Crossref

Download Full Paper (PDF)

Abstract

Introduction:Symphysis pubis dysfunction (spd) has been recog nized as an obstetric condition since the time of hip- pocrates. In spite of this long history, many medical staff remain unaware of the condition. Women continue to suffer from symphysis pubis pain with considerable reduction in quality of life during pregnancy. In recent years there has been an upsurge in the reported incidence of spd partly due to gross pre- vious under recognition. Methodology:This is a retrospective observational study.in this study we studied a total of 56 pregnant women , who were referred to department of orthopedics of darbhanga medical college and hospital, for back pain, over a period of 6 months, from january 2018 to july 2018.the obsterical team referred the patients , after ruling out obstetric complications (preterm labor, abruption, red degeneration of uterine fibroid, round ligament pain, and chorioamnionitis), and urinary tract infections Observations:Most of the patients were aged 25-30, and maximum patients were second or third time pregnant. This table shows that the maximum no 28/56 (50%) of patients had pelvic girdle pain, followed by plbp 15/56(26.78%). 39/56(70%)of paients were relieved by these simple measures, and physical therapy. Pharmacotherapy. A total of 12/56 (21.42%) patients needed pharmacotherapy. Conclusion:Pgp and plbp are common problems, but they are often underestimated and undertreated. A large number of terms for these conditions have been used in the literature, and there is a need for a uniform terminology in order to promote research and management of these conditions

Keywords

Article Analytics

References

  1. Owens K, Pearson A, Mason G. Symphysis pubis dysfunction ? a cause of significant obstetric morbidity.Eur J Obstet Gynecol Reprod Biol?2002;105:143?46.
  2. Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ. Understanding peripartum pelvic pain. Implications of a patient survey. Spine. 1996;21:1363?1369.
  3. Wang S, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;104:65?70.
  4. Mantle MJ, Greenwood RM, Currey HL. Backache in pregnancy. Rheumatol Rehabil. 1977;16:95?101.
  5. MacLennan AH, Nicolson R, Green RC, Bath M. Serum relaxin and pelvic pain of pregnancy. Lancet. 1986;2:243?245.
  6. Bjourlund K, Bergstrom S. Is pelvic pain in pregnancy a welfare complaint? Acta Obstet Gynecol Scand. 2000;79:24?30.
  7. Garshasbi A, Zadeh SF. The effect of exercise on the intensity of low back pain in pregnant women. Int J Gynaecol Obstet. 2005;88:271?275.
  8. Orvieto R, Achiron A, Ben-Rafael Z, Gelernter I, AchironR.Lowbackpainofpregnancy.Acta Obstet Gynecol Scand. 1994;73:209?214.
  9. Bastiaanssen JM, de Bie RA, Bastiaenen CH, Essed GG, van den Brandt PA. A historical perspective on pregnancy-related low back and/or pelvic girdle pain. Eur J Obstet Gynecol Reprod Biol. 2005;120:3?14.
  10. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794?819.
  11. Fry, D. (1999) Perinatal symphysis pubis dysfunction: A women?s health review of the literature. Journal of the Association of Chartered Physiotherapists, 85, 11-17.
  12. Leadbetter, R.E., Mawer, D. and Lindow, S. (2004) Jour- nal of Maternal-Fetal & Neonatal medicine, 16, 349-355.? doi:10.1080/jmf.16.6.349.354
  13. Gutke A, Ostgaard HC, Oberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31:E149?E155.
  14. Lile J, Perkins J, Hammer RL, Loubert PV. Diagnostic and management strategies for pregnant women with back pain. JAAPA. 2003;16:31?44
  15. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794?819.
  16. Rost CC, Jacqueline J, Kaiser A, Verhagen AP, Koes BW. Pelvic pain during pregnancy: a descriptive study of signs and symptoms of 870 patients in primary care. Spine. 2004;29:2567?2572.
  17. Kristiansson P, Svardsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine. 1996; 21:702?708.
  18. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines on the diagnosis and treatment of pelvic girdle pain [European Commission Research Directorate General Web site]. 2005. Available at: http://www. backpaineurope.org/web/files/WG4_Guidelines.pdf (accessed April 22, 2009).
  19. Thomas IL, Nicklin J, Pollock H, Faulkner K. Evaluation of a maternity cushion (Ozzlo pillow) for backache and insomnia in late pregnancy. Aust N Z J Obstet Gynaecol. 1989;29:133?138.
  20. Carr CA. Use of a maternity support binder for relief of pregnancy-related back pain. J Obstet Gynecol Neonatal Nurs. 2003;32:495?502
  21. Ostgaard HC, Zetherstrom G, Roos-Hansson E, Svanberg B. Reduction of back and posterior pelvic pain in pregnancy. Spine. 1994;19:894?900.
  22. Coldron Y, Crothers E, Haslam J, et al. ACPWH guidance on the safe use of transcutaneous electrical nerve stimulation (TENS) for musculosketal pain during pregnancy. 2007. Association of Chartered Physiotherapists in Women?s Health(ACPWH)website.Availableat:http://www.oaa-anaes. ac.uk/assets/_managed/editor/File/PDF/info_for_mothers/ TENS%20Statement%20JUNE%2007%20ACPWH%20 Final.pdf (accessed September 22, 2009).
  23. Guerreiro da Silva JB, Nakamura MU, Cordeiro JA, Kulay L Jr. Acupuncture for low back pain in pregnancy?a prospective, quasi-randomised, controlled study. Acupunct Med. 2004;22:60?67.
  24. Grant DJ, Bishop-Miller J, Winchester DM, Anderson M, Faulkner S. A randomized comparative trial of acupunctureversustranscutaneouselectricalnervestimulationfor chronic back pain in the elderly. Pain. 1999;82:9?13.
  25. Stephens S. Use of non-steroidal anti-inflammatory drugs (NSAIDs) in pregnancy National electronic Library for Medicines Web site. 2008. Available at: http://www.nelm. nhs.uk/en/NeLM-Area/Evidence/Drugs-in-Pregnancy/Use-ofnon-steroidal-anti-inflammatory-drugs-NSAIDs-inpregnancy/ (accessed April 24, 2009).
  26. British National Formulary. British National Formulary.53rded.Biggleswade,U.K.:RPSPublishing;2007: 785?790.

How to Cite This Article

Rashi Rashi, R K Prasad and Mayank Kumar. (2019); DEMOGRAPHIC FEATURES AND ETIOLOGY OF WOMEN HAVING PELVIC GIRDLE PAIN AND LOW BACK PAIN IN PREGNANCY., Int. J. of Adv. Res., 7 (01), 682-687, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/8377

Corresponding Author

Rashi Rashi
MBBS, MS, DNB, MRCOG
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.