Neuropathy and pregnancy: An overview

Rosier, Carole; Camdessanché, J.-P.

doi:10.1016/j.neurol.2020.04.024

Cited by 5 publications

(10 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neuropathic pain complaints, such as carpal tunnel syndrome, meralgia paresthetica, and scar pain associated with previous cesarean delivery, are associated with pregnancy. 25 During labor, neuropathic pain may arise from direct pressure on the lumbosacral plexus, which is left exposed to the pelvic area, and the pain may usually be resolved after the childbirth process. 25 Previous studies have suggested an association between the intensity of labor pain and PND development; 26 , 27 a prospective observational study in 72 women showed that increased pain at each perinatal time point (pre-delivery, labor, post-delivery) was independently associated with increased EPDS scores at 6 weeks after delivery.…”

Section: Discussionmentioning

confidence: 99%

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Tan¹,

Tan²,

Sultana³

et al. 2021

NDT

View full text Add to dashboard Cite

Purpose There is limited knowledge on the relationship between postnatal depression and childbirth pain characteristics associated with childbirth. We investigated whether the characteristics of childbirth pain, as assessed by Short-form-McGill Pain Questionnaire-2 (SF-MPQ-2), were associated with postnatal anxiety and depressive disorders. Patients and Methods Nulliparous parturients who received labor epidural analgesia (LEA) and delivered in our institution were invited to have a Mini-International Neuropsychiatric Interview (MINI) assessment following their 5–9 weeks post-delivery follow-up phone survey of a larger study. Parturients’ demographics, pre-delivery questionnaires on pain and psychological vulnerabilities, LEA data, maternal and neonatal outcomes, postnatal follow-up survey on pain and psychological vulnerabilities, pain and breastfeeding were collected accordingly. The primary outcome was the binary variable (yes/no) of the presence of postnatal depression and/or anxiety disorders based on the post-delivery MINI assessment. Results Among the 107 parturients who participated in the post-delivery MINI assessment, a total of 40 (42.5%) patients were found to have postnatal anxiety and depressive disorders. A greater pre-delivery SF-MPQ-2 neuropathic pain mean subscale score (adjusted odds ratio (OR) 1.32, 95% CI 1.00–1.73, p=0.0482) and greater post-delivery Edinburgh Postnatal Depression Scale (EPDS) at 5–9 weeks post-delivery (adjusted OR 1.30, 95% CI 1.13–1.50, p=0.0002) were independently associated with the presence of postnatal anxiety and/or depressive disorders (receiver operating characteristic (ROC) = 0.7489). Conclusion Patients with greater pre-delivery neuropathic pain and higher EPDS scores at 5–9 weeks post-delivery are more likely to have postnatal depression and/or anxiety disorders, suggesting possible associations between pain and psychological vulnerability in the development of postnatal mental disorders.

show abstract

Section: Discussionmentioning

confidence: 99%

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Tan¹,

Tan²,

Sultana³

et al. 2021

NDT

View full text Add to dashboard Cite

show abstract

“…[2] Have you ever had weakness or numbness or tingling in the hands or feet lasting for more than 24 h? [3] Have you ever had clumsiness in the use of the fingers for fine work? B] Screening questionnaire for diagnosis of each type of focal compression neuropathies, which was as follows:…”

Section: Part II Questions Divided Into Two Sets Of Questions;mentioning

confidence: 99%

“…Meralgia paresthetica and carpal tunnel syndrome are two entrapment neuropathies that frequently occur during pregnancy [2] . Carpal tunnel syndrome [CTS] has a 4% prevalence in the general population, a 10% prevalence among those who work, and a prevalence between 31% and 62% in pregnant women [3] .…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Study of Prevalence of Entrapment Neuropathies Among Pregnant Women Attending the Hospital and Health Care Center in New Damietta

Elnady,

Hewedi,

Ali

et al. 2023

International Journal of Medical Arts

View full text Add to dashboard Cite

Article informationBackground: Reproductive hormone release during pregnancy induces a cascade of other physiological changes that can have an impact on the peripheral nerve. Meralgia paresthetica and carpal tunnel syndrome are two entrapment neuropathies that frequently occurred during pregnancy. Aim of the work:This study aims to estimate the prevalence of entrapment neuropathy and related risk factors among pregnant women in New Damietta.Patients and Methods: Our study is a cross-sectional community-based study that included 1200 pregnant women. We collected our data in 3 steps, first by questionnaire, then the positive cases by questionnaire had undergone clinical examination, and the positive cases from examinations were confirmed by the neurophysiological study.Results: Prevalence of entrapment neuropathy was 10.4% by questionnaire, and 7.2% by examination. The accurate prevalence was confirmed by the nerve conduction study, which was 5.5%. Spearman correlation analysis was done to detect the correlation between the trimester, order of pregnancy, and neuropathy, and we found a significant positive correlation between the trimester and the neuropathy [r = 0.23, p-value = 0.03]. Binary logistic regression analysis was done to determine the significant predictors of Entrapment neuropathy in pregnant females as regards the results of the neurophysiological investigation. We found that the only significant factor which can predict the occurrence of entrapment neuropathy is the third trimester, P value < 0.04 which means that pregnant females in the second trimester have a lower risk of developing neuropathy than females in the third trimester by a degree of 12.2% Conclusion:The prevalence of entrapment neuropathies in pregnant women in Damietta is 5.5% are distributed as median, lateral femoral cutaneous. Facial, peroneal, intercostal nerves [3%, 2.7%, 1%, 0.2%, 1.8% respectively] With a predictor is the third trimester.

show abstract

“…Orthopedic and neurological concerns that are common during and after pregnancy include pelvic girdle pain, low back pain, carpal tunnel syndrome, and thoracic outlet syndrome. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] In addition, ligamentous laxity and an increase in inter-recti distance (IRD) are common during and after pregnancy. 30,31 Increased IRD is associated with impaired strength and fatigability of the trunk muscles and may contribute to musculoskeletal impairments due to impaired load transfer between the trunk and lower extremity.…”

Section: Introductionmentioning

confidence: 99%

“…Additional considerations after childbirth include mode of delivery, infant feeding method, and body mechanics with childcare activities. Orthopedic and neurological concerns that are common during and after pregnancy include pelvic girdle pain, low back pain, carpal tunnel syndrome, and thoracic outlet syndrome 15–29. In addition, ligamentous laxity and an increase in inter-recti distance (IRD) are common during and after pregnancy 30,31.…”

Section: Introductionmentioning

confidence: 99%

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

Piropato¹,

Deering

2023

Journal of Women's Health Physical Therapy

View full text Add to dashboard Cite

Background: Physiological and biomechanical changes must be considered when evaluating and treating musculoskeletal impairments in a perinatal female athlete, whether or not these impairments are directly related to their pregnant or postpartum state. Case Description: This case report describes a 34-year-old woman active in high-intensity functional conditioning, recreational volleyball, and running, seeking care for shoulder and thoracic back pain from birth to 1 year postpartum. Her primary complaint of shoulder pain was exacerbated by overhead activities. She also presented with a secondary complaint of "weakness" through her core, preventing return to sport. Treatment focused on joint mobilizations, neuromuscular reeducation, and core strength using biotensegrity principles throughout the postpartum journey of return to sport. Outcomes: The patient was highly motivated and met her desired goals to (1) compete in recreational sand and indoor volleyball starting at 6 weeks postpartum, (2) participate in a relay trail race at desired pace, and (3) compete in a weightlifting competition at 8 months postpartum without an increase in shoulder pain. Discussion: This case demonstrates the importance of addressing the entire kinetic chain in the postpartum athlete while addressing what may be considered a "straightforward" orthopedic condition. Understanding birth and postpartum healing is essential for physical therapists working with active mothers. Knowledge of the physiological and biomechanical changes during and after pregnancy is essential to appropriate treatment of these patients.

show abstract

Neuropathy and pregnancy: An overview

Cited by 5 publications

References 30 publications

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Epidemiological Study of Prevalence of Entrapment Neuropathies Among Pregnant Women Attending the Hospital and Health Care Center in New Damietta

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

Contact Info

Product

Resources

About