Is pelvic pain in pregnancy a welfare complaint?

BJÖRKLUND, KENNETH; BERGSTRÖM, STAFFAN

doi:10.1080/j.1600-0412.2000.079001024.x

Cited by 65 publications

(41 citation statements)

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“…Regardless of socioeconomic factors, PGP is prevalent worldwide [8]. Majority of studies on PGP have been carried out in Western [9][10][11][12] and non-Western countries [13][14][15][16], indicating that PGP is a universal problem.…”

Section: Introductionmentioning

confidence: 99%

Pelvic girdle pain after childbirth: The impact of mode of delivery

Mukkannavar

Desai

Mohanty³

et al. 2013

BMR

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We found high prevalence of PGP in women who had caesarean delivery than those who had a vaginal delivery. Our finding suggests that, during postpartum period, LBP before pregnancy, parity, ASLR test score ≥ 4, bilateral P4 test, and sitting position during breast-feeding were significantly associated with increased risk of PGP in both vaginal and caesarean modes of deliveries, but further studies are needed for definitive conclusions.

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Section: Introductionmentioning

confidence: 99%

Pelvic girdle pain after childbirth: The impact of mode of delivery

Mukkannavar

Desai

Mohanty³

et al. 2013

BMR

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“…Pelvic girdle pain is a common complaint among pregnant women worldwide,1 and it causes severe pain in one third of affected women 2 3. Strenuous work, previous low back pain, and previous pelvic girdle pain are known risk factors 3 4…”

Section: Introductionmentioning

confidence: 99%

Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial

Elden

Ladfors

Olsén

et al. 2005

BMJ

180

221

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Objectives To compare the efficacy of standard treatment, standard treatment plus acupuncture, and standard treatment plus stabilising exercises for pelvic girdle pain during pregnancy. Design Randomised single blind controlled trial. Settings East Hospital, Gothenburg, and 27 maternity care centres in Sweden. Participants 386 pregnant women with pelvic girdle pain. Interventions Treatment for six weeks with standard treatment (n = 130), standard treatment plus acupuncture (n = 125), or standard treatment plus stabilising exercises (n = 131). Main outcome measures Primary outcome measure was pain (visual analogue scale); secondary outcome measure was assessment of severity of pelvic girdle pain by an independent examiner before and after treatment. Results After treatment the stabilising exercise group had less pain than the standard group in the morning (median difference = 9, 95% confidence interval 1.7 to 12.8; P = 0.0312) and in the evening (13, 2.7 to 17.5; P = 0.0245). The acupuncture group, in turn, had less pain in the evening than the stabilising exercise group ( − 14, − 18.1 to − 3.3; P = 0.0130). Furthermore, the acupuncture group had less pain than the standard treatment group in the morning (12, 5.9 to 17.3; P < 0.001) and in the evening (27, 13.3 to 29.5; P < 0.001). Attenuation of pelvic girdle pain as assessed by the independent examiner was greatest in the acupuncture group. Conclusion Acupuncture and stabilising exercises constitute efficient complements to standard treatment for the management of pelvic girdle pain during pregnancy. Acupuncture was superior to stabilising exercises in this study.

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“…Pelvic girdle pain (PGP) is a universal problem affecting approximately 50% of all pregnant women [1,2] regardless of socioeconomic factors [3][4][5][6][7] . It is a musculoskeletal pain located within the pelvic area between the posterior iliac crest and gluteal folds, with or without leg pain [8] .…”

Section: Introductionmentioning

confidence: 99%

The pelvic ring of pain: Pregnant women’s experiences of severe pelvic girdle pain: An interview study

Elden

Lundgren²,

Robertson³

2014

Clinical Nursing Studies

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Background: Pelvic girdle pain (PGP) is a universal problem affecting approximately 50% of all pregnant women. For 25 to 30% of pregnant women the problem becomes severe. Methods:In-depth interviews were carried out with 27 pregnant women with severe PGP in 2009-2010. Qualitative content analysis was used.Results: The women's experiences are summarized in four categories: A strange body; the body on guard; relation and support from health care and, acceptance of PGP.Conclusions: PGP completely preoccupied women with severe PGP. It influenced their self-evident trust in their bodies as well as their capabilities to guide and control them. The fear of triggering pain and unpleasant sensations made them avoid movement. They experienced anxiety and worry of not being able to manage their pregnancy and childbirth, and bind to their unborn child. They felt worse that their complaints are trivialized, and not taken seriously in health care. To be able to cope with PGP, they had to accept it and realize that they have to be aware and accept their bodies' limitations. This means working with their bodies and not against them. PGP made the women look upon life more seriously and changed their self-perception. Increased awareness and knowledge are needed among healthcare to enable them to meet these women's needs and provide them with adequate support. Information about PGP could be sent home with the woman at the first visit to the midwife. This would probably prevent or reduce the worry that can arise in women suffering severe PGP.

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Is pelvic pain in pregnancy a welfare complaint?

Abstract: No geographical differences were found in perceived pelvic pain among pregnant women, irrespective of the socio-economy of the countries.

Cited by 65 publications

References 0 publications

Pelvic girdle pain after childbirth: The impact of mode of delivery

Pelvic girdle pain after childbirth: The impact of mode of delivery

Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial

The pelvic ring of pain: Pregnant women’s experiences of severe pelvic girdle pain: An interview study

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