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Prevalence and severity of low back- and pelvic girdle pain in pregnant Nepalese women

Authors
  • Shijagurumayum Acharya, Ranjeeta
  • Tveter, Anne Therese
  • Grotle, Margreth
  • Eberhard-Gran, Malin
  • Stuge, Britt
Type
Published Article
Journal
BMC Pregnancy and Childbirth
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jul 15, 2019
Volume
19
Issue
1
Identifiers
DOI: 10.1186/s12884-019-2398-0
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundLow back pain (LBP) and pelvic girdle pain (PGP) are commonly reported during pregnancy and are known to affect pregnant women’s well-being. Still, these conditions are often considered to be a normal part of pregnancy. This study assesses the prevalence and severity of LBP and/or PGP among pregnant Nepalese women, as well as exploring factors associated with LBP and PGP.MethodsA cross-sectional study with successive recruitment of pregnant women was conducted at two district hospitals in Nepal from May 2016 to May 2017. The data was collected using self-reported questionnaires. Univariate and multivariate logistic regression were used to assess the associations between independent variables and LBP and/or PGP.ResultsA total of 1284 pregnant women were included in the study. The reported prevalence of pregnancy-related LBP and/or PGP was 34%. Pain intensity was high with a mean score (standard deviation) of 6 (2). The median (25th-75th percentiles) disability scores according to the total Pelvic Girdle Questionnaire and Oswestry Disability Index were 20 (10–32) and 30 (21–38), respectively. Even though only 52% of the women believed that the pain would disappear after delivery, concern about LBP and/or PGP was reported to be low (median 2 (0–4) (Numeric Rating Scale 0–10)). In the final model for women with LBP and/or PGP the adjusted odds ratios were for body mass index (20–24, 25–30, > 30) 0.7 (95% confidence interval (CI), 0.44–1.21), 1.1 (95% CI, 0.66–1.83), and 1.5 (95% CI, 0.78–2.94) respectively, for pelvic organ prolapse symptoms 6.6 (95% CI, 4.93–8.95) and for women with educated husbands (primary or secondary, higher secondary or above) 1.1 (95% CI, 0.53–2.16) and 1.7 (95% CI, 0.84–3.47), respectively.ConclusionsPregnant Nepalese women commonly report LBP and/or PGP. The women experienced low disability despite severe pain intensity and poor beliefs in recovery after delivery.

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