Abstract
The aim of this study was to clarify the proportion of women with low back and/or pelvic pain (LBPP) and LBPP-related factors at the early stage of pregnancy and to clarify the differences between LBPP-related factors in primiparous women and multiparous women in Japan. 157 pregnant women were recruited. Information about the presence of LBPP, degree of pain by using a visual analog scale (VAS), location of pain, past history of LBPP and background characteristics were collected. Physical status was assessed by the pregnancy mobility index (PMI). The Ethics Committee of Tokushima University Hospital approved the study. The proportion of women who complained of LBPP was 65.6%. PMI score in women with LBPP was significantly higher than that in women without LBPP (p<0.001). The proportions of women with a past history of LBPP before pregnancy and with a past history of LBPP in the previous pregnancy were significantly higher in women with LBPP (p<0.001 and p=0.002, respectively). In women with LBPP, the score of VAS in multiparous women was significantly higher than that in primiparous women (p=0.019). Early management for women with a past history of LBPP before pregnancy and with a past history of LBPP in the previous pregnancy is important. Management for lumbar pain according to parity is needed for health guidance at the early stage of pregnancy. Key words: Pregnancy, first trimester, low back pain, pelvic pain, parity.
Highlights
Low back and/or pelvic pain (LBPP) during and after pregnancy is a common complication of pregnancy and puerperium. Mogren and Pohjanen (2005) reported that the overall prevalence of LBPP was 71.7% and that the mean gestational age at the start of LBPP was 22.1 weeks
We found that the prevalence of LBPP in women at the early stage of pregnancy was 65.6%, that pregnant women with LBPP had a past history of LBPP before pregnancy and a past history of LBPP in the previous pregnancy, and that LBPP-related factors were different in primiparous women with LBPP and multiparous women with LBPP
Previous studies demonstrated that the prevalence of lumbar pain was approximately 50% at the first trimester (Gutke et al, 2008; Robinson et al, 2010) and that the prevalence of pelvic and low back pain was 59 to 66% in Japan (Shinkawa et al, 2009)
Summary
Low back and/or pelvic pain (LBPP) during and after pregnancy is a common complication of pregnancy and puerperium. Mogren and Pohjanen (2005) reported that the overall prevalence of LBPP was 71.7% and that the mean gestational age at the start of LBPP was 22.1 weeks. Low back and/or pelvic pain (LBPP) during and after pregnancy is a common complication of pregnancy and puerperium. Mogren and Pohjanen (2005) reported that the overall prevalence of LBPP was 71.7% and that the mean gestational age at the start of LBPP was 22.1 weeks. It has been reported that the proportions of pregnant women with LBPP were approximately 50% in the first trimester (Gutke et al, 2008), 40 to 70% in the second trimester (Olsson et al, 2012) and 70 to 80% in the third trimester (Kovacs et al, 2012). 70% of postpartum women complained of LBPP immediately after delivery and 40% of women complained of LBPP
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