Ergonomic Advice Dissemination Method in the Immediate Postnatal Period: A One-Month Follow-Up Comparison of Verbal and Pamphlet-Based Advice on Pain Scores

Abstract

Background: Pregnancy is a period where the musculoskeletal system undergoes various changes. These changes can cause stresses on the joints, leading to pain in them. Along with this, hormones like relaxin and oestrogen can cause laxity of ligaments and capsules, which can be another cause of strain on the joints. The pain patterns developed due to this can be carried to the post delivery period also. Ergonomics are explained in this period in order for the woman to function with less pain. The methods of reinforcing ergonomics are explored in this study. Methods: 60 women were conveniently selected for this study. They were randomly assigned to verbal mode and pamphlet mode of ergonomic information dissemination at the start of the study. Pain was assessed at four points during the study: before, immediately after, a day after and a month after giving ergonomic advice. Results: The Mann-Whitney U Test and repeated measures ANOVA were used to assess the pain levels. The between group pain and comfort levels showed no significant changes over the course of the study. The repeated measures ANOVA, which assessed within group responses, showed a significant change over the course of the study (p-value less than 0.0001). Conclusion: Ergonomic information can be disseminated by verbal or pamphlet mode, the method can be decided as per the therapist’s and the woman’s need. Key words: ergonomic advice; ergonomic information; pamphlet; postnatal period.