Abstract
Background: Low back and pelvic pain (LBPP) as a physical symptom may cause psychological symptoms during pregnancy and the postpartum period. We examined the association of LBPP with mental health condition in women from pregnancy to puerperium in a prospective study. Methods: This study was conducted from March 2015 to December 2016 in a birth center in Kagawa Prefecture in Japan. We recruited 89 pregnant women who responded to questionnaires in all four stages (first, second and third trimesters and one week postpartum). We designed a self-administered questionnaire including a visual analog scale (VAS) of LBPP and Edinburgh postnatal depression scale (EPDS). Results: There were significant differences in EPDS scores and VAS scores among the 4 stages. The EPDS score at the first trimester showed significant positive correlations with VAS scores at the second and third trimesters, and the EPDS score at the second trimester showed a significant positive correlation with VAS score at the third trimester. The VAS scores at the second trimester showed significant positive correlations with EPDS scores at the third trimester and at one week postpartum. Conclusion: It was shown that the mental health condition at early pregnancy was related to an increase in LBPP at mid-pregnancy and that LBPP at mid-pregnancy was associated with the mental health condition thereafter.
Highlights
Low back and pelvic pain (LBPP) during pregnancy has a great influence on daily life thereafter
We examined the association of LBPP with mental health condition in women from pregnancy to puerperium in a prospective study
We hypothesized that LBPP from pregnancy to the postpartum period is related to psychological symptoms and that an increase in LBPP is correlated with levels of psychological symptoms
Summary
Low back and pelvic pain (LBPP) during pregnancy has a great influence on daily life thereafter. We reported that LBPP at the early stage of pregnant was associated with limitation of mobility and difficulty in performing daily activities during pregnancy [1]. With regard to mental disorders in pregnancy and puerperium, it has been reported that a depressive mood observed in early pregnancy decreased at late pregnancy but increased during the postpartum period [6]. 60% of pregnant women who committed suicide had postpartum depression, and efforts have been made to improve management of postpartum depression in Japan [8] Physical symptoms such as LBPP may be linked to psychological symptoms. In the present prospective study, we investigated longitudinal changes in LBPP in the first trimester, second trimester, third trimester and one week postpartum in order to determine correlations of LBPP in these stages with mental health. Conclusion: It was shown that the mental health condition at early pregnancy was related to an increase in LBPP at mid-pregnancy and that LBPP at mid-pregnancy was associated with the mental health condition thereafter
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