Breastfeeding and pelvic girdle pain: a follow‐up study of 10 603 women 18 months after delivery

Bjelland, Elisabeth Krefting; Owe, Katrine Mari; Stuge, Britt; Vangen, Siri; Eberhard‐Gran, Malin

doi:10.1111/1471-0528.13118

Cited by 11 publications

(14 citation statements)

References 34 publications

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“…A weakness of our study was that the sample size (in the women with PGP, n = 37) is not of sufficient number to rule out a type II error for the small difference in the primary and secondary outcome variables measured. Moreover, BMI, breastfeeding and emotional distress shown to influence the prognosis of PGP, were not included [ 16 , 24 , 25 , 35 ]. It may also be the case that predictors of PGP outcome are not fixed at specific time points (i.e.…”

Section: Discussionmentioning

confidence: 99%

Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study

Elden

Gutke

Kjellby-Wendt

et al. 2016

BMC Musculoskelet Disord

129

156

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BackgroundPelvic girdle pain (PGP) is a multifactorial condition, which can be mentally and physically compromising both during and after pregnancy. However, long-term pregnancy-related PGP has been poorly investigated. This longitudinal follow-up study uniquely aimed to describe prevalence and predictors of PGP and its consequences on women’s health and function up to 11 years after pregnancy.Methods/DesignA postal questionnaire was sent to 530 women who participated in 1 of 3 randomized controlled studies for PGP in pregnancy. Women who reported experiencing lumbopelvic pain were offered a clinical examination. Main outcome measure was the presence of long term PGP as assessed by an independent examiner. Secondary outcomes were: working hours/week, function (the Disability Rating Index, and Oswestry Disability Index), self-efficacy (the General Self-Efficacy Scale), HRQL (Euro-Qol 5D and EQ-Visual scale), anxiety and depression, (Hospital anxiety and depression scale,) and pain-catastrophizing (Pain Catastrophizing Scale), in women with PGP compared to women with no PGP.ResultsA total of 371/530 (70 %) women responded and 37/ 371 (10 %) were classified with long-term PGP. Pregnancy-related predictors for long-term PGP were number of positive pain provocation tests (OR = 1.79), history of low back pain (LBP) (OR = 2.28), positive symphysis pressure test (OR = 2.01), positive Faber (Patrick’s) test (OR = 2.22), and positive modified Trendelenburg test (OR = 2.20). Women with PGP had significantly decreased ability to perform daily activities (p < .001), lower self-efficacy (p = 0.046), decreased HRQL (p < .001), higher levels of anxiety and depression (p < .001), were more prone to pain catastrophizing, and worked significantly fewer hours/week (p = 0.032) compared to women with no PGP.ConclusionsThis unique long-term follow up of PGP highlights the importance of assessment of pain in the lumbopelvic area early in pregnancy and postpartum in order to identify women with risk of long term pain. One of 10 women with PGP in pregnancy has severe consequences up to 11 years later. They could be identified by number of positive pain provocation tests and experience of previous LBP. Access to evidence based treatments are important for individual and socioeconomic reasons.

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Section: Discussionmentioning

confidence: 99%

Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study

Elden

Gutke

Kjellby-Wendt

et al. 2016

BMC Musculoskelet Disord

129

156

View full text Add to dashboard Cite

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“…Items showing no association with PGP at 2, 6, and 11 years after pregnancy were the total number of pregnancies, number of children, birth weight, and gender of the last born baby16 ) . Breastfeeding patterns at 5 months after delivery were not associated with persistence of PGP19 ) . Sitting position during breastfeeding was not associated with persistent postpartum PGP (OR: 1.5, 95% CI: 0.9–2.8)26 ) .…”

Section: Resultsmentioning

confidence: 87%

“…1. Flow chart of the study selection process.. All 22 studies were longitudinal, prospective cohort studies, cross-sectional studies, or case studies8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29 ) . The sample sizes ranged from 3620 ) to 10,6033 ) .…”

Section: Resultsmentioning

confidence: 99%

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Altered musculoskeletal mechanics as risk factors for postpartum pelvic girdle pain: a literature review

Sakamoto

Gamada

2019

J Phys Ther Sci

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[Purpose] The aim of this literature review was to detect the factors associated with pelvic girdle pain persisting for over 3 months in the postpartum period. [Methods] We performed a broad literature search for eligible studies published before May 1, 2018 using electronic databases and processed the data using a review process. [Results] In the initial online search, we identified 12,174 potential studies. Finally, 22 studies met the specified criteria and were included for examination of risk factors for persistent pelvic girdle pain after delivery. Pain intensity and disability during pregnancy were risk factors for pelvic girdle pain persisting for over 6 months after delivery. The active straight leg raising test predicted the risk of persistent pelvic girdle pain after delivery. Dysfunction of the pelvic floor muscles was also a risk factor for persistent pelvic girdle pain. [Conclusion] Pain intensity and disability during pregnancy, positive provocation tests, active straight leg raising test, and musculoskeletal mechanics were positively associated with pelvic girdle pain persisting for over 3 months after delivery.

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“…Breastfeeding have several health bene ts for mother and baby. A follow-up study found that breastfeeding had bene cial effect on the recovery process of pelvic girdle pain after childbirth [32].…”

Section: Discussionmentioning

confidence: 99%

The “zuòyuèzi” Practices During Puerperium and Its Association with Health Status Among Postpartum Women in Southern China: A Cross Sectional Study

Qin

Jiao

Huang

et al. 2020

Preprint

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Background: Maternal health problems during postpartum period are highly prevalent worldwide, which may be related to unhealthy dietary and behavioral practices of postpartum women. Accordingly, this study aimed to explore postpartum dietary and behavioral practices, and their relationship with maternal health in Guangzhou, China.Methods: We conducted a cross-sectional study among postpartum women in urban and suburban area in Guangzhou China. Data about postpartum dietary and behavioral practices and health conditions were collected by a standardized questionnaire. Logistic regression analysis was used to identify the factors related to women’s health. Results: A total of 2040 women were recruited, 2013 of which complete the questionnaire, including 1007 from urban area and 1006 from suburban area. The consumption of animal food was triple the recommended intake, while the intakes of fruits, milk and seafood were deficient; and most women were lack of physical activities. 75.5% of women reported at least one postpartum disease, and the most common problems were prolonged uterine bleeding (70.0%) and backache (43.0%), followed by constipation (23.6%), insufficient milk secretion (19.2%), breast swelling (18.5%) and hemorrhoids (13.8%). Median of postpartum body weight retention was 3.5 kg. Logistic regression analysis revealed that 12-18 h/d of bed rest time, breastfeeding, doing postpartum exercise, basking, getting out of bed within 2 days after delivery, intake of animal food (250-350 g/d), vegetables (>500 g/d), grain and potato (250-450 g/d) were protective factors for at least one out of these health problems or weight retention (P<0.05). Bed rest time for more than 18 h/d or less than 12 h/d, ginger vinegar intake, doing housework, cesarean section, and excessive intake of grain and potato (>450 g/d) had adverse association (P<0.05). Conclusion: Postpartum low physical activity and adherence to the diet with high intake of animal food and inadequate intake of fruits, vegetables and milk were very common in Guangzhou. Further studies are needed to assess whether postpartum diet and behavioral intervention improve maternal health during postpartum period.

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Breastfeeding and pelvic girdle pain: a follow‐up study of 10 603 women 18 months after delivery

Cited by 11 publications

References 34 publications

Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study

Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study

Altered musculoskeletal mechanics as risk factors for postpartum pelvic girdle pain: a literature review

The “zuòyuèzi” Practices During Puerperium and Its Association with Health Status Among Postpartum Women in Southern China: A Cross Sectional Study

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