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Pregnancy related pelvic pain is more frequent in women with increased body mass index.
MedLine Citation:
PMID:  21446932     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. To investigate the association between pre-pregnancy overweight/obesity and pregnancy-related pelvic pain. Design. Nested case-control study. Setting and population. The Danish National Birth Cohort, a cohort of pregnant women and their children recruited 1996-2002. Methods. The women were interviewed twice during pregnancy and twice after childbirth. The first pregnancy interview provided information on self-reported pre-pregnancy body mass index (BMI) and possible confounders, while data on pregnancy-related pelvic pain came from an interview six months post partum. Cases (n=2 271) were selected on the basis of self-reported pelvic pain, and controls were randomly selected among women who did not report pelvic pain (n=2 649). We used logistic regression analysis to calculate pregnancy-related pelvic pain odds ratios (OR (95% confidence intervals)) according to pre-pregnant BMI. Main outcome measure. Self-reported pregnancy-related pelvic pain. Results. In the total cohort, 18.5% of all pregnant women reported pregnancy-related pelvic pain. In the nested case-control study, the adjusted ORs for overall pelvic pain were 0.9 (0.7-1.2) in underweight women, 1.2 (1.1-1.4) in overweight women, 1.5 (1.2-2.0) in obese women Class 1 (30≤BMI<35), and 1.9 (1.3-2.8) in obese women Class 2 + 3 (BMI≥35), all relative to normal weight women. The correspondent ORs for severe pelvic pain were 0.8 (0.6-1.2), 1.4 (1.2-1.7), 1.7 (1.3-2.2), and 2.3 (1.6-3.4). The associations were stronger among women who had not given birth before. Conclusion. The risk of pregnancy-related pelvic pain increased with pre-pregnancy BMI in a exposure-response relation and potentially adds another maternal complication to obesity.
Authors:
Karin Biering; Ellen Aagaard Nøhr; Jørn Olsen; Anne-Marie Nybo Andersen; Niels Henrik Hjøllund; Mette Juhl
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-29
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors AOGS© 2011 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Department of Occupational Medicine, Herning Regional Hospital, Herning, Department of Epidemiology, Institute of Public Health, University of Aarhus, Aarhus, Department of Epidemiology, Institute of Public Health, University of Aarhus, Aarhus, Denmark and Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA, Division of Social Medicine, Department of Public Health, University of Copenhagen, and Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
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