Abstract
IntroductionCarpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester.AimThis article focuses on its impact to the third trimester pregnant mothers with CTS.MethodsThird trimester pregnant mothers with no other known risk factors for CTS, were interviewed and examined for a clinical diagnosis of CTS. The severity of CTS was assessed by means of symptoms severity and functionality using the Boston Carpal Tunnel Questionnaire.ResultsOut of 333 third trimester pregnant mothers, 82 (24.6%) were clinically diagnosed with CTS. Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays. Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906). The commonest complaint was numbness/tingling during day time (n = 63, 76.8%). Majority of the CTS cases were mild (n = 66, 80.5%) and approximately one third (n = 28, 34.1%) had affected hand functions. All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).ConclusionThis study shows that even though CTS in third trimester pregnancy is prevalent, generally it would be mild. However, function can still be affected especially if patients complain of pain.
Highlights
Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester
In total, 333 third trimester pregnant mothers, with age ranged between 17-45 years old had agreed to participate in this study
The correlation of the Malay race with CTS in this study was found to be significant (p = 0.024) and the risk for Malay pregnant mothers to get CTS was twice higher than the nonmalays (OR = 2.26)
Summary
Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester. Previous studies had found that CTS was more prevalent in the female population. It was postulated because morphologically, females are more prone to CTS compare to male [1]. Many study found that the timing of the first pain of CTS occurs during pregnancy was the highest during the third trimester [4,5] rather than facing the pain throughout the pregnancy. There is not much literature to assess how much CTS affects their daily life as pregnant mothers during in that third trimester. This study focuses on how much CTS affects a mother’s life during the third trimester pregnancy
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