Document Detail


Prevalence and Factors Associated with Low Back Pain and Pelvic Girdle Pain During Pregnancy. A multicenter study conducted in the Spanish National Health Service.
MedLine Citation:
PMID:  22333958     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Study Design. Cross-sectional multicenter study.Objective. To determine the prevalence of low back pain (LBP), leg pain (LP) and pelvic girdle pain (PGP) in pregnant Spanish women, and to identify the factors associated with a higher risk.Summary of Background Data. Previous studies on the prevalence and risk factors for LBP and PGP have shown inconsistent resultsMethods. 61 clinicians across five regions in Spain, recruited 1,158 women with a median (IQR) pregnancy of 35 (31;38) weeks. Validated methods were used to gather data on the prevalence of LBP, LP and PGP, anthropometric and socio-demographic characteristics, history of LBP, obstetrical history, physical activity before and during pregnancy, mattress and sleep characteristics, disability, anxiety, and depression. Separate multiple logistic regression models were developed to identify the variables associated with LBP, LP and PGP.Results. The 4 week prevalence of LBP, LP and PGP was 71.3%, 46.2% and 64.7%, respectively. Main factors associated with a higher likelihood of reporting pain were, for LBP: history of LBP related and unrelated to previous pregnancy and post-partum, pain augmenting with time spent in bed, and anxiety. Previous lumbar surgery was associated with a lower risk. For LP: Reporting LBP, academic level, younger age, depression, a lower number of hours of sleep per day, and a higher BMI. For PGP: higher score for depression, a higher body mass index, and a more advanced stage of pregnancy.Conclusion. Factors associated with a higher risk vary between LBP and PGP. History of LBP, related or not to previous pregnancy or partum, LBP surgery and anxiety were the factors more strongly associated with pregnancy-related LBP. When these variables are taken into account, obstetrical data from current or previous pregnancies and other variables do not show a significant association with LBP. Stage of pregnancy and depression were associated with PGP.
Authors:
Francisco M Kovacs; Emma Garcia; Ana Royuela; Lourdes González; Víctor Abraira
Related Documents :
8620078 - Postpartum haemorrhage.
12031388 - Urinary retention during the second trimester of pregnancy: a rare cause.
592288 - Differences in the effects of vasopressin and oxytocin on rabbit myometrial activity an...
878858 - The myometrial response to intra-uterine administration of pgf2alpha and pge2 in dysmen...
3651798 - Encephalopathy and myelinolysis after rapid correction of hyponatraemia.
28058 - Safety of therapy for allergic symptoms during pregnancy.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-13
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Departamento Científico. Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de, Mallorca, Spain 2Spanish Back Pain Research Network. Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca, Spain. 3Servicio de Ginecología y Obstetricia. Corporació Sanitària Parc Taulí. Parc Taulí s/n, 08208 Sabadell. Spain 4CIBER Epidemiología y Salud Pública (CIBERESP), Spain. 5Unidad de Bioestadística Clínica. Hospital Ramón y Cajal, IRYCIS. Ctra. Colmenar, Km. 9.1, 28034 Madrid, Spain 6Servicio de Ginecología y Obstetricia. Hospital Universitari Son Espases, Ctra. de, Valldemossa, 79, 07010 Palma de Mallorca, Spain. 7Other members of the Spanish Back Pain Research who authored this study, are: Jesús Seco Calvo (Departamento de Enfermería y Fisioterapia, Instituto de Biomedicina (IBIOMED), Universidad de León, Ponferrada, Spain), Lucía Zamora Delmás (PASSIR,CAP Numancia, Barcelona, Spain); Catalina Serra Calafat (C. S. Llucmajor, Llucmajor, Spain); Esther Montoliu6; Saturnina Cillero Carrera6; Carmen Piorno Hernández (PASSIR,CAP Manso, Barcelona, Spain); M José Pons Martínez6; María José Pita (Servicio de Medicina Preventiva, Hospital Ramón y Cajal, IRYCIS, Madrid, Spain); Alfonso Muriel;4,5 María Nieves Plana;4,5 Javier Zamora;4,5 Concha Manzanares Mir(C. S. Rafal Nou, Palma, Spain); Francisca Llinás Alzina (C .S. Andratx, Andratx, Spain); Consuelo Fernández Yagüe (C.S. Campos, Campos, Spain); Sergio Giménez Basallote (C. S. El Limonar, Málaga, Spain); Anna Payaró Llisterri (PASSIR, CAP Numància, Barcelona, Spain); María Antonia Villalón Vidal (PASSIR, CAP Adrià, Barcelona, Spain); Luis Álvarez Galovich (Fundación Jiménez Díaz, Madrid, Spain); M Teresa de Juan Socías (C.S. Camp Redó, Palma de Mallorca, Spain); Marián García Baratas (C.S. Son Pisá, Palma de Mallorca, Spain); María Maimó (C. S. Escorxador, Palma de Mallorca, Spain); Julia Cid Vaquero (PASSIR,CAP Manso, Barcelona, Spain); Eva Picola Isern (PASSIR,CAP Manso, Barcelona, Spain); Esther Crespo Mirasol (PASSIR, CAP Adrià, Barcelona, Spain); Begoña Carral (PASSIR, C. S. Castell, Castelldefels, Spain); Sara Tornel Fabré (PASSIR, CAP Adrià, Barcelona, Spain); Alicia Martínez Navarro (PASSIR,CAP Manso, Barcelona, Spain); Mathew Taylor (C.S. Santa Catalina, Palma de Mallorca, Spain); M Anselma Blanco García (C. S. Son Serra/ La vileta, Palma de Mallorca, Spain); Michelle Della Volte (ASSIR, C. S. Castell, Castelldefels, Spain); Encarnación Casas6; Francisco V. Martínez García (Atención Primaria, C.S. Ponferrada III, Ponferrada, Spain); Lina Álvarez Olivares6; Esther Recarte Ortega (Fundación Jiménez Díaz, Madrid, Spain); Cristina Braña Pelayo (Fundación Jiménez Díaz, Madrid, Spain); Gloria Colina Valero (PASSIR,CAP Numancia, Barcelona, Spain); Carolina Vesga González6; Paz Nadal Casasnovas6; Inmaculada Sauquillo6; Sylvia Miralles (C. S. Son Rullán, Palma de Mallorca, Spain); M Dolores Basté Portabella (PASSIR, C. S. Castell, Castelldefels, Spain); Catalina Torrens Grau (C.S. Valldargent, Palma de Mallorca, Spain); Leovigildo Ginel (C.S. Ciudad Jardín, Málaga, Spain); Inés Hernández6; Isabel Coca Camín (PASSIR,CAP Numancia, Barcelona, Spain); M Ana Garcés (C. S. Pedro Garau, Palma de Mallorca, Spain); Carmen Seguí Santana (PASSIR,CAP Numancia, Barcelona, Spain); Matilde Cifre Gómez6; Carmen Bilbao Artal6; M Magdalena Nadal Riera6; Catalina Tomás Fornari6; Mercedes Torrecilla Mozo6; Elisabet Grau Civit (PASSIR,CAP Manso, Barcelona, Spain); Ana M de la Zerda6; Ana Belén Castel Seguí6; Mirian Trujillo Rodríguez (PASSIR, CAP Adrià, Barcelona, Spain); Cynthia Martínez6; M Elena Montes de Oca Arjona6; Ilaria Bianchi (PASSIR,CAP Manso, Barcelona, Spain); Jenny Moix (Departamento de Psicología Básica, Evolutiva y de la Educación. Universidad Autónoma de Barcelona. Bellaterra. Spain), Francisca Rebassa Cantallops6; Joana Amengual6; Mercedes Genovés6; M Elena Castellanos Fernández (PASSIR,CAP Manso, C/ de Manso 19, 08015 Barcelona, Spain), Mario Gestoso.1,2.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effects of lumbar arthrodesis on adjacent segments: differences between surgical techniques.
Next Document:  Lumbar Vertebral Endplate Lesions: Prevalence, Classification and Association with Age.