Lombalgia na gestação

Abstract

Low back pain is common in pregnant women, has specific characteristics, and is more frequent in the second trimester of pregnancy. This indicates the need for prevention strategies that enable better quality of life for pregnant women.

Enfermagem e a prática avançada da acupuntura para alívio da lombalgia gestacional

“…All these data were also observed in a study with a higher prevalence of LBP in pregnant women aged between 20 and 29 years of mixed race, housewives with monthly family income between one and two minimum wages and schooling until high school. (22) Studies on gestational low back pain found that women were in the first pregnancy and had a frequency of abortion of 13.3%, (6,21) which is in line with results of this study. There was also similarity with a study on LBP conducted in São Paulo with 45 pregnant women, which revealed a higher prevalence of low back pain in primiparous women (90%) compared to multiparous women (60%) (P=0.05).…”

“…These data are similar to those of a study on gestational LBP, in which no participant practiced physical activity during pregnancy. (5) In other studies, most pregnant women reported that low back pain began in the second trimester, (6,22) which differs from pregnant women in this study that felt it since the first trimester. In another study, 71.43% of pregnant women reported that pain started before the pregnancy.…”

“…The same was found in other studies, because for the alleviation of symptoms in the lumbar region, the most adopted attitude by pregnant women was resting, followed by massages and medications. (6,20,22) The VAS pain score reported by pregnant women before treatment was moderate, which corresponds to three to seven points.…”

“…(21) Gestational age is a risk factor for LBP, because the more advanced the gestation the higher the risk of presenting LBP. (6) Considering that most pregnant women did not perform physical activities, LBP can be one of the obstacles for performing them, because of the limited strength and movement. These data are similar to those of a study on gestational LBP, in which no participant practiced physical activity during pregnancy.…”

“…(5) In a study conducted with 97 pregnant women in the state of Pernambuco, was identified a prevalence of LBP of 68%, and of this total, 43.9% reported that it started in the second trimester. (6) The treatment of LBP in pregnancy is more complex, meticulous and delicate, because therapeutic options are limited by implications for the mother and the fetus. A form of LBP therapy during pregnancy is acupuncture, which can be effective in reducing symptoms, pain relief and consequently, improve the quality of life (QoL) of these women compared to usual care.…”