Low Back Pain During Labor and Related Factors

Abstract

A substantial proportion of women in labor suffer from low back pain, yet this issue has only been specifically evaluated in a few Western studies. The purpose of this research was to (1) describe the following characteristics of low back pain during labor: prevalence, anatomic region(s) affected, type, pattern, intensity trend, effective interventions, and exacerbating factors; (2) identify the factors relating to intrapartum low back pain in Taiwan women. A correlational design with repeated measures was used to conduct this investigation. Ninety-three low-risk women in labor were recruited from a medical center in central Taiwan. Low back pain was repeatedly measured during the latent phase (cervix dilated 2-4 cm), early active phase (cervix dilated 5-7 cm), and late active phase (cervix dilated 8-10 cm) of labor. Data were analyzed using descriptive statistics, repeated measurement ANOVA, and logistic regression. The results showed as many as 75.3% of the participants suffered episodes of low back pain during labor. The mean pain scores were 36.66-76.20 in the various stages of labor. Pain intensified as labor progressed. The location of the pain also changed with the progression of labor. The type of low back pain in 54.29% of women in labor was "muscle soreness and pain"; The pattern of pain in 45.71% women was continuous. Massage was chosen as the most effective intervention to alleviate low back pain by 65.3% of women. The women in labor who suffered from low back pain during pregnancy (OR = 3.23; p < .01) and had greater body weight when hospitalized (OR = 1.13; p = .02) were most likely to be in the low back pain group. In conclusion, our study demonstrates low back pain intensified with the progression of labor, suggesting early prevention is necessary, especially in the case of women who had low back pain during pregnancy and heavier body weight when hospitalized.

Effectiveness of injecting lower dose subcutaneous sterile water versus saline to relief labor back pain: Randomized controlled trial

“…Almost more than one-third to 45% of women experience lower-back pain during childbirth 1,2 . This pain, different from pains related to uterine contraction, originates from the lumbosacral area that is supplied by afferent neurons ending in the dorsal horns of spinal subdivisions located at T10-L1 and is a referred pain from the lower back 3 .…”

The Effect of Aerobic Exercises on Maternal Outcomes: A Randomized Controlled Clinical Trial

“…Besides, numerous studies revealed the beneficial effects of exercise on the mother, fetus and passing a safe pregnancy period as well as the physiological manifestations of exercise during pregnancy (4). Moreover, several researches indicate that doing exercise could be introduced as a prophylactic method to reduce back pain in pregnant mothers (5,6). Following a regular exercise program can help females achieve positive mental effects, increase their self-confidence and prevent weight gain during pregnancy (7)(8)(9).…”

Elaboração e validação do diagnóstico de enfermagem dor de parto

“…A dor do parto ocorre, na maioria das vezes, no abdome virilha e costas (DeCs, 2008a;MeSH, 2008;DAVIM;DANTAS, 2008, TSENG;JUU-SU, 2008;MacEVILLY;BUGGY, 1996). Estudos citaram a contração uterina como atributo da dor de parto (MACEDO, 2007;ROWLANDS;PERMEZEL, 1998)…”

“…(ROWLANDS; PERMEZEL, 1998; p.347). f) A dor na situação de parto é o fenômeno do trabalho de parto DANTAS, 2008;MONTENEGRO, 2006) e ocorre na fase latente, fase ativa inicial e fase ativa tardia do trabalho de parto (TSENG;JUU-SU, 2008). O período premonitório inicia-se com a adaptação do pólo proximal ao estreito superior da bacia podendo ocasionar as dores lombares MONTENEGRO, 2006).…”

“…Definição -Por exemplo: agitação, gemer, chorar, vigilância, suspirar, irritabilidade (NANDA-I, 2010); sobre a irritabilidade, é o estado de hipersensibilidade à estimulação, onde estímulos normalmente aceitáveis provocam reações emocionais de cólera ou temor; inquietação é a tendência a trocar de movimentos de modo constante e sem finalidade (CORRÊA, 1997). Na dor de parto pode gerar desgaste, exaustão, sofrimento, nervosismo, tensão, descontrole, agitação, agressividade, raiva, preocupação, medo e ao mesmo tempo prazer (MACEDO, 2007), aflição e experiência obstétrica negativa no trabalho de parto (TSENG & JUU-SU, 2008) Definição operacional: identificada pelo método de observação e interação (escuta e análise do discurso (BICKLEY, 2005).…”