Pregnancy-related Low Back Pain Research Articles

The correlation between pregnancy-related low back pain and physical fitness evaluated by an index system of maternal physical fitness test.

To investigate incidence of pregnancy-related low back pain (LBP), evaluate physical fitness objectively during pregnancy and analyze the correlation between LBP and physical fitness of pregnant women, 180 pregnant women including 101 in mid-gestation (14-28 gestational weeks) and 79 in late-gestation (28-37 gestational weeks) were recruited and self-reported their LBP. The aerobic ability such as cardiorespiratory fitness and anaerobic ability including strength, endurance, speed, flexibility, and balance were evaluated by a novel materal physical fitness test system. The correlation between LBP and each component in physical fitness test system was analyzed in SPSS. As the results, 135 out of 180 participants (75% of total) had pregnancy-related LBP. Physical fitness of participants in late-gestation was significantly weaker including weaker back strength (p<0.05), less resistance band pullbacks in 30s (p<0.01), less stretching in sit-and-reach test (p<0.001), shorter duration in left legged blind balance test (p<0.05) and weaker bird dog balance(p<0.05) than those in mid-gestation. Correlation analysis indicated that LBP was negatively associated with standing heel raises in 20s (p<0.01) and standing glute kickbacks in 30s (left p<0.01, right p<0.05). Thus, it is concluded that LBP is in high prevalence throughout the entire pregnant course. The pregnant women are prone to have weakened strength of core muscle groups and poorer flexibility and balance along the pregnancy. In addition, their LBP was negatively correlated to strength of back muscle groups of lower limbs.

Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis

BackgroundPregnancy-related low back pain (PLBP) is a common musculoskeletal disorder, affecting people's physical and psychological health. Acupuncture is widely used in clinical practice as a treatment for PLBP. This study aimed to evaluate the efficacy and safety of acupuncture or acupuncture combined with other treatments for PLBP patients. MethodsThe Cochrane Library, PubMed, EMBASE, Web of Science, the Chinese Biological Medicine Database, China National Knowledge Infrastructure, WanFang Database, and VIP information database were searched from inception to January 31, 2022. Randomized controlled trials (RCTs) were eligible, without blinding and language restriction. Cochrane's risk of bias tool was used to assess the methodological quality. Meta-analysis was performed using RevMan 5.3. ResultsTwelve randomized controlled trials involving 1302 patients were included. The results showed that compared to the control group, the VAS score was significantly decreased after acupuncture treatment. In addition, no significant difference was found in the preterm delivery rate (RR = 0.38, 95%CI: 0.24 to 0.61, P = 0.97) after acupuncture treatment. Compared with other therapies, acupuncture or acupuncture plus other therapies revealed a significant increase in the effective rate (OR: 6.92, 95%CI: 2.44 to 19.67, I2 = 0%). No serious adverse events owing to acupuncture were reported. ConclusionAcupuncture or acupuncture combined with other interventions was a safe and effective therapy for treating PLBP. However, the methodological quality of the RCTs was low. More rigorous and well-designed trials should be conducted.

Effects of Conventional Exercises on Lower Back Pain and/or Pelvic Girdle Pain in Pregnancy: A Systematic Review and Meta-Analysis.

Pregnant women frequently complain of low back discomfort associated with their pregnancies. On their quality of life, it could have a detrimental effect. Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) are associated with substantial direct and indirect expenditures. Evidence addressing strategies to treat and prevent these illnesses needs to be clarified. This review aimed to examine the connection between exercise, LBP, and PGP. To find relevant studies (in the English language) that matched the inclusion and exclusion criteria, a systematic search of peer-reviewed literature was carried out using the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, Scopus, the Web of Science, Pub Med, and ClinicalTrials.Gov. The publishing window was limited to the previous 10 years (2012-2022). Utilizing Review Manager version 5.4 (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen), the results were examined. JADAD ratings were used to evaluate the quality of the included studies. To analyze the endpoints, the mean, standard mean difference (SMD), and 95% confidence intervals (CI) were determined. We chose 16 randomized controlled trials (RCTs) that included 1885 pregnant individuals with pelvic girdle and/or lower back discomfort. The combined data showed that the exercise group had lower VAS scores than the control group. The final result, however, did not significantly differ. Most of the studies had high JADAD scores, ranging from 3 to 5 points. Lower back pain and/or pelvic girdle discomfort during pregnancy are not influenced by exercise; however, women who are provided with a regular exercise program appear to manage the condition effectively with improved functional status.

Pregnancy-related low back/pelvic girdle pain: Prevalence, severity, and risk factors in Zhengzhou, China.

Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) significantly affect the quality of life of pregnant women. Understanding their severity and risk factors may help prevent and alleviate such pain and their resulting dysfunction. This study investigated the prevalence, severity, and biopsychosocial risk factors of pregnancy-related LBP and PGP in Zhengzhou, China. The Numeric Pain Rating Scale (NPRS), Chinese version of the Roland-Morris Disability Questionnaire (RMDQ), and other questionnaires were self-administered by 1020 pregnant women undergoing treatment at a tertiary hospital between July and December 2019. Binary logistic regression was used to identify factors associated with pregnancy-related LBP and/or PGP. The prevalence of LBP and/or PGP during pregnancy was 63.0%, and most participants (80.4%) had both. The mean NPRS and RMDQ disability scores were 2.44 ± 2.10 and 6.66 ± 4.65, respectively. A higher gestational body mass index, LBP and/or PGP during menstruation, history of pregnancy-related LBP and/or PGP, and constant pressure were significantly associated with pregnancy-related LBP and/or PGP. Subjective support was a protective factor against LBP and/or PGP. The prevalence of LBP and/or PGP was high. The risk factors should be included in routine prenatal care to identify patients at risk of LBP and/or PGP.

Prevalence, severity and factors associated with low back pain and pelvic girdle pain during pregnancy

Background: Low back pain (LBP) and pelvic girdle pain (PGP) are commonly reported during pregnancy and are known to affect pregnant women’s well-being. Still, these conditions are often considered to be a normal part of pregnancy. This study assesses the prevalence and severity of LBP and PGP among pregnant at Hue University of Medicine and Pharmacy (HueUMP) Hospital, as well as exploring factors associated with LBP and PGP.&#x0D; Methods: A cross-sectional study with successive recruitment of pregnant women was conducted at two district hospitals in HueMP from May 2021 to May 2022. The data was collected using self-reported questionnaires. Univariate and multivariate logistic regression were used to assess the associations between independent variables and LBP and PGP.&#x0D; Results: A total of 204 pregnant women were included in the study. The reported prevalence of pregnancyrelated LBP and PGP were 57.8% and 26.5%, separately. Pain intensity was noticeable with a mean score of 4. The median disability scores according to the Oswestry Disability Index and total Pelvic Girdle Questionnaire were 10 (4 - 18) and 12 (9.3 - 17.3), respectively. In the final model for women with LBP the adjusted odds ratios were for body mass index (&gt; 30) 1.0 (95% CI, 0.2–5.9), for participant’s education (primary, secondary, high school and university) 8.5 (95% CI, 2.4 - 30.6), 6.4 (95% CI, 1.8 - 23.0), 1.7 (95% CI, 0.5 - 5.6) and 1.8 (95% CI, 0.5 - 6.4), respectively. In the final model for women with PGP the adjusted odds ratios were, for participant’s education (primary, secondary, high school and university) 0.5 (95% CI, 0.1 - 2.8), 1.7 (95% CI, 0.4 - 8.2), 5.8 (95% CI, 1.2 - 28.8) and 2.6 (95% CI, 0.5 - 13.3), respectively, for working status and sleep hour per day (p &lt; 0.05).&#x0D; Conclusions: Pregnant women at HueUMP Hospital commonly report LBP and PGP. The women experienced low disability despite moderate pain intensity.

The Relationship Between Pregnancy-Related Low Back Pain, Kinesiophobia, and Physical Activity in the Third Trimester

Objective: The aim of this study is to examine the relationship between pregnancy-related low back pain, kinesiophobia, and physical activity during the third trimester of pregnancy.&#x0D; Methods: Fifty-one pregnant women between the ages of 18-40, at the gestational age of 27 weeks and above were included in the study. The intensity of pregnancy-related low back pain was assessed with the Numerical Pain Scale, kinesiophobia with the Tampa Kinesiophobia Scale, and physical activity levels with the short form of the International Physical Activity Questionnaire.&#x0D; Results: Only 4 (7.8%) subjects had high levels of physical activity, 12 (23.5%) had moderate, and 35 (68.6%) had low levels of physical activity. A strong positive correlation was found between low back pain and kinesiophobia in the third trimester of pregnancy (r = 0.796; p &lt; 0.001). There was no statistically significant relationship between low back pain and physical activity or between kinesiophobia and physical activity (r=– 0.097; p= 0.498 and r= – 0.212; p= 0.135 respectively).&#x0D; Conclusion: Pregnancy-related low back pain can cause kinesiophobia during pregnancy, and kinesiophobia may cause limitations of movements. Considering the negative effects of pregnancy-related low back pain and kinesiophobia during pregnancy, the evaluation of pain, and kinesiophobia by health professionals is important during this period.

Self efficacy associated with regression from pregnancy-related pelvic girdle pain and low back pain following pregnancy

BackgroundSelf-efficacy, one’s ability to deal with pain, disability, and other symptoms through self-management techniques, positively affect the quality of life in patients with chronic diseases. Pregnancy-related back pain is a common musculoskeletal disorder pre- and postnatally. Hence, the study aimed to determine whether self-efficacy is associated with the development of back pain during pregnancy.MethodsBetween February 2020 and February 2021, a prospective case-control study was performed. Women with back pain were included. The self efficacy was assessed by the Chinese version of the General Self-efficacy Scale (GSES). Pregnancy-related back pain was measured using a self-reported scale. No regression from pregnancy-related back pain is defined as a recurrent or persistent pain score ≥ 3 over a week around 6 months postpartum. Women experiencing back pain during pregnancy are classified according to whether having a regression. This problem can be divided into pregnancy-related low back pain (LBP) and posterior girdle pain (PGP). The differences in variables were compared between groups.ResultsA total of 112 subjects have completed the study finally. These patients were followed up with an average of 7.2 months after childbirth ranging from six to 8 months. 31 subjects (27.7%) of the included women did not report regression 6 months postpartum. The mean self efficacy was 25.2 (SD:10.6). Patients with no regression tended to be older (LBP:25.9 ± 7.2 vs.31.8 ± 7.9, P = 0.023; PGP: 27.2 ± 7.9 vs. 35.9 ± 11.6, P < 0.001*), have a lower self efficacy (LBP:24.2 ± 6.6 vs.17.7 ± 7.1, P = 0.007; PGP: 27.6 ± 6.8 vs. 22.5 ± 7.0, P = 0.010), and need high daily physical demand in their vocations (LBP:17.4% vs. 60.0%, P = 0.019; PGP: 10.3% vs. 43.8%, P = 0.006) when compared to those with regression. Multivariate logistic analysis shows that risk factors for no regression from pregnancy-related back pain included LBP (OR = 2.36, 95%CI = 1.67–5.52, P < 0.001), pain ratings of the onset of back pain during pregnancy≥3(OR = 2.23, 95%CI = 1.56–6.24, P = 0.004), low self efficacy (OR = 2.19, 95%CI = 1.47–6.01, P < 0.001), and high daily physical demand in their vocations (OR = 2.01, 95%CI = 1.25–6.87, P = 0.001).ConclusionsLow self efficacy makes the women experience about two-fold risk to experience no regression from pregnancy-related back pain. Evaluation for self efficacy is simple enough to be used to improve perinatal health.

Low Back Pain and Physical Activity during Pregnancy: A Longitudinal Prospective Study

Background: Low back pain (LBP) is an increasingly reported condition, and physical activity (PA) may play an important role. The aim of the present study was to evaluate the proportion of pregnancy-related LBP and its association with type and intensity level of PA during pregnancy. Methods: A longitudinal prospective study was carried out with a cohort of 118 pregnant women. Participants were evaluated in all trimesters. LBP was assessed with a self-reported questionnaire and participants were categorized according to its occurrence. The type and intensity of PA were evaluated using the Pregnancy Physical Activity Questionnaire and categorized into tertiles. Binary logistic regression models were constructed to verify the relationship between LBP and type, the intensity of PA in all trimesters, and LPB pre-pregnancy. Results: LBP was reported by 40.7%, 52.2% and 66.7% of the subjects in the first, second, and third trimesters, respectively. No significant associations were found between LBP and type and intensity of PA. However ,women who had LBP before pregnancy, compared to those who did not, had higher odds of expressing LBP during pregnancy (OR= 3.85, 95% CI: 1.344-11.025). Conclusions: LBP is a common condition and increased during pregnancy. Results of this study suggest that type and intensity of PA are not associated with emerging of LBP during pregnancy.

Pilates-based therapeutic exercise for pregnancy-related low back and pelvic pain: A prospective, randomized, controlled trial.

In this study, we aimed to clarify the impact of a Pilates-based therapeutic exercise on disability, pain, mood, and sleep quality in patients with pregnancy-related lumbopelvic pain (LPP). In the single-blinded randomized controlled study conducted between January 2018 and June 2018, 34 pregnant women (mean age: 29.7±6.2 years; range, 18 to 40 years) in the second trimester (week 14-24) with LPP were randomly assigned to a control group and a Pilates group. All patients underwent usual prenatal care. In addition, the selected Pilates exercise was carried out twice a week for 60-min per session for 12 weeks in the Pilates group. The control group was not prescribed an exercise regimen; however, they were not discouraged from exercising. The primary outcome was disability; secondary outcomes were LPP, mood, and sleep quality. Disability [Roland-Morris Disability Questionnaire (RMDQ)], LPP [Visual Analog Scale (VAS)], mood [Hospital Anxiety and Depression Scale, Anxiety (HADS-A) and Depression (HADS-D) subscales], and sleep quality [Pittsburgh Sleep Quality Index (PSQI)] were measured before and after 12 weeks. Adverse effects and adherence were recorded to determine exercise safety and compliance. The intention-to-treat analysis was applied. The between-group effect sizes were moderate for the RMDQ and VAS scales (d=0.4 and d=0.7, respectively) and small for the HADS-A and HADS-D scales (both d=0.2). The intention-to-treat analysis demonstrated that there was a statistically significant difference in disability, pain, and mood in favor of the Pilates group (p0.05). Adding Pilates to usual prenatal care should be considered a promising treatment option for pregnancy-related LPP.

FREQUENCY OF KINESIOPHOBIA IN PREGNANCY RELATED LOW BACK PAIN

Background: For a small but significant group, pregnancy-related lumbopelvic pain may become persistent. While multiple factors may lead to post-partum disabilities’ such as kinesiphobia sleep disturbance, body perception or mindfulness. Objective: To explore the frequency of kinesiophobia in pregnancy related low back pain. Methodology: The Cross sectional study was conducted on n=97 pregnant women in 3rd trimester presenting to gynaecology outpatient department of Ghurki Trust and Teaching hospital from August 2016 to January 2017 were included in the study through non probability convenient sampling technique. All women were experiencing low back pain in their third trimester of pregnancy. Numeric Pain Rating Scale (NPRS) was used to determine pain whereas; the kinesiophobia was assessed by using Tampa scale of kinesiophobia (TSK). The mean ± standard deviation, frequency and percentages were used for description of result. SPSS Ver. 20 was used for data analysis. Results: The mean age of n=97 pregnant women having low back pain was 29.45±5.87 years Results showed that, n=18(18.6%) patients represented high level of kinesiophobia while n=52 (53.6%) and n=27 (27.8%) had moderate and low levels of kinesiophobia respectively. The result also showed strong positive correlation between pain and level of kinesiophobia (rs=0.708, p&lt;0.001). Conclusion: The study concluded that all women those having low back pain in 3rd trimester also has kinesiophobia. The level of LBP highly contributes in kinesiophobia. Keywords: Kinesiophobia, lumbo pelvic pain, pregnant women, postpartum depression.

Effect of Body Acupuncture on Pregnancy-Related Low Back Pain and Pelvic Pain: A Systematic Review

Purpose: The aim of the authors of this study was to determine the effect of body acupuncture on the symptoms of low back pain and pelvic pain suffered during pregnancy.&#x0D; Methods: In this systematic review, 8 international databases (Cinahl, PubMed, Web of Science, Google Scholar, Science Direct, Scopus, Ebsco Host, Cochrane Library) comprising the period between January 2000 and March 2020 were screened. Articles that are not in English and Turkish were excluded. Three authors screened the related articles based on the titles and abstracts independently of each other. &#x0D; A data extraction form was filled in for each appropriate study. The quality of the studies included in the study was assessed using the Jadad scale and PRISMA guidelines.&#x0D; Results: Finally, six studies conducted in 3 countries between January 2000 and March 2020 with 838 pregnant women with complaints of low back pain and pelvic pain were included in the review. The results showed that body acupuncture reduced pregnancy-related low back pain and pelvic pain complaints and that it had no side effects.&#x0D; Conclusion: We think that body acupuncture, a non-pharmacological method, will help clinicians to relieve the symptoms of pregnancy-related pelvic pain and low back pain.

Prevalence of Antenatal Depressive Symptoms and its Associated Factors among Pregnant Nepalese Women with and Without Low Back- and/or Pelvic Girdle Pain.

Pregnant women with health problems have shown higher odds of depressive symptoms. Evidence suggests a co-morbid relation between pregnancy-related low back pain and/or pelvic girdle pain and the risk of depression. The aims were to investigate the prevalence of symptoms of depression among pregnant Nepalese women in general and among pregnant Nepalese women with low back pain and/or pelvic girdle pain and to identify factors associated to symptoms of depression. A cross-sectional study using standardized condition-specific questionnaires with response from 1284 pregnant Nepalese women. Multivariate logistic regression analysis determined variables associated with symptoms of depression. Twenty-one percent of the women presented with moderate to high symptom level of depression, compared to 29% of the women with low back pain and/or pelvic girdle pain. Low education, living without husband, no rest during work, higher self-reported disability, higher pain intensity and symptoms of pelvic organ prolapse were associated with higher odds of symptoms of depression among the women with low back pain and/or pelvic girdle pain. For the total sample, fetching water and having symptoms of low back pain and/or pelvic girdle pain and living without husband were associated to symptoms of depression. Twenty-one percent of the pregnant women reported moderate to high symptom level of depression. The proportion of women with symptoms of depression was significantly higher among the women categorized as having low back pain and/or pelvic girdle pain. Our findings highlight the need to address both emotional and physical needs among pregnant Nepalese women.

Σύγχρονη φυσιοθεραπευτική αντιμετώπιση της διάστασης του ορθού κοιλιακού σε γυναίκες μετά την εγκυμοσύνη

Diastasis recti abdominis (DRA) is a connective tissue impairment commonly seen in pregnant and postpartum women, causing significant physical and cosmetic concerns. Possible connections of DRA to several musculoskeletal dysfunctions, such as pelvic floor dysfunctions, pregnancy-related low back pain and impaired abdominal muscle strength have been postulated; thus, making DRA management important for the functionality and the quality of life of women following pregnancy. According to international guidelines, conservative management of DRA is the gold standard approach nowadays. However, there is no consensus in literature, about the most effective type of rehabilitation exercises for DRA. The aim of this review is to report current evidence on DRA rehabilitation as well as make suggestions for future clinical research.

Effect of Kinesio taping on Pregnancy-related low back pain: A protocol for systematic review and meta-analysis.

BackgroundPregnancy-related low back pain (PLBP) affects the daily living activities of pregnant women, even leading to fetal agitation and threatened abortion. Kinesio taping (KT) can improve the circulation of blood and provide elastic supports, which is a reliable method to treat low back pain. At present, although many studies have been published on the effects of KT on PLBP, the results are inconsistent, and some studies even report that KT does not affect PLBP. there is still a lack of high-level clinical evidence for the treatment of PLBP with KT. Therefore, this study proposes a protocol for a systematic review and meta-analysis of published Randomized Controlled Trials (RCTs) to evaluate the efficacy and safety of KT for PLBP.MethodsThis protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. We will search the following database sources of the RCTs: PubMed, the Cochrane Library, EMBASE, Web of Science, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure Database (CNKI), Chinese Science, and the Wanfang Database. From the establishment of the database to April 2021. The retrieval word adopts the combination of theme words and free words. Take “Kinesiotape, Tape Athletic, Orthotic Tape, Athletic Tape, Pregnancy, Pregnancies, Gestation, low back pain” as a term for retrieval. Two independent investigators will conduct an electronic literature search, study selection, data extraction, and quality assessment to summarize and evaluate the efficacy of KT in the treatment of PLBP. Retrospective trials are not included, and the risk of bias will be assessed using the Cochrane bias risk tool. All data analysis will be conducted using Revman5.3 software.ResultsQuality outcomes in systematic review studies depend on inclusion and search criteria to obtain high-quality data, as well as how the data are processed and interpreted. Among the results, this study will objectively and comprehensively evaluate the efficacy and safety of the randomized controlled trial of KT in the treatment of PLBP, and make a detailed analysis of the effect of KT in the treatment of PLBP. The results will be analyzed by the Visual Analogue Scale of Pain and the Roland Morris Dysfunction Questionnaire. If applicable, a subgroup analysis will also be performed, which will be grouped according to the duration of pregnancy, grade of pain, etc. Finally, the results are submitted to a peer-reviewed journal for publication.ConclusionBased on the results, this study will analyze and summarize the effect of KT on improving PLBP. It includes whether KT can improve the pain and lumbar function of PLBP, or it has adverse effects and reactions on pregnant women, then analysis and interpretation of other related issues. It is expected that the results of this study will provide a reference to the method and time of taping for clinical staff, as well as high-quality evidence to resolve the effect of KT on low back pain and provide corresponding guidance for pregnant women with low back pain. It aims to improve the status of low back pain in pregnant women and improve their physical health.Protocol registration numberPROSPERO CRD42021250373; https://clinicaltrials.gov/.

EFFECTIVENESS OF STABILITY BALL EXERCISES COMBINES WITH ERGONOMIC SETTING IN PREGNANCY RELATED LOW BACK PAIN. A RANDOMIZED CONTROL TRIAL

Background: Pregnancy related low back pain (PR-LBP) is very common, which affects activities of daily life including work, sleep, physical activity and compromise the quality of life. The prevention PR-LBP through physical therapy is uncommon in Pakistani population. Objective: to determine the effectiveness of stability ball exercises (SBE) in combination with ergonomic training (ET) in pregnancy related low back pain (PR-LBP). Methodology: A single blinded, randomized clinical trial was conducted at physical therapy department of Haleema Siraj Hospital Rawalpindi Pakistan. A total of n=90, who were coming to the clinic for follow-up, fulfilled the inclusion criteria and were thus recruited through non-probability convenient sampling technique. The study participants were randomly divided in to two groups i.e. SBE (n=45) and combination of SBE with ES (n=45), through lottery method. Quebec disability scale (QDS) was used to determine the functional disability. Results: The mean age of study participants was 26.5±4.56723 years. Significant improvement was observed in both groups with larger effect size throughout the treatment duration (p&lt;0.05).Conclusion: SBE and combination of SBE with ES significantly reduced low back pain and functional disability Keywords: activities of daily living, disability, ergonomic, posture, pregnancy, pregnancy related low back pain, stability ball exercises.

Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

Are leisure-time and work-related activities associated with low back pain during pregnancy?

BackgroundAlthough working activities are associated with several pregnancy outcomes, there is scarce information regarding the association between working activities and low back pain (LBP) during pregnancy. This study aimed to investigate whether leisure-time and work-related physical activities during pregnancy are associated with LBP.MethodsData from the 2015 Pelotas Birth Cohort study were used. Demographic, socioeconomic, gestational, leisure-time (prior to and during pregnancy) and work-related (days of work, hours of work, standing and heavy lifting) physical activity data were collected at birth. LPB was assessed in the 12-month follow-up period.ResultsLeisure-time physical activity either prior to and during pregnancy was not associated with LBP. Working during pregnancy, days of work and standing position at work were not associated with self-reported LBP during pregnancy. However, working more than 8 h per day and always lifting heavy objects at work increased the odds ratio for LBP (OR 1.30 95%CI: 1.04; 1.63; and OR: 1.39 95%CI 1.08; 1.81, respectively). In addition, women who had lifted heavy objects often/always, reported an increase in pain intensity.ConclusionWorking during pregnancy and days worked per week were not related to experiencing LBP. However, women who worked more than 8 h per day, as well as women who lifted heavy objects at work on a regular basis, were more likely to experience pregnancy-related LBP.

Association between Pregnancy-Related Low Back Pain, Physical Activity, and Health-related Quality of Life: A Survey of Pregnant Women in Northern Nigeria

Association between Pregnancy-Related Low Back Pain, Physical Activity, and Health-related Quality of Life: A Survey of Pregnant Women in Northern Nigeria

An Important but Overlooked Public Health Problem: Pregnancy-Related Low Back Pain

Objective: Different prevalence rates and trigger factors associated with pregnancy-related low back pain (PRLBP) have been reported. Therefore, the main aim of this study was to identify the PRLBP frequency in the city of Kahramanmaraş. Secondary aim was to detect the factors associated with PRLBP. Materials and Methods: This descriptive cross-sectional study conducted on pregnant women in the city of Kahramanmaraş. Data were obtained between August 2019 and October 2019 using a questionnaire form that was prepared by the researchers considering the literature data. Results: A total of 727 participants were enrolled and the frequency of PRLBP was 59.69% (n=434). The median VAS score of pregnant women with PRLBP was 5 (1-10) and highest score was detected in the third trimester. Higher gestational week (p<0.001), living in an urban area (p<0.001), higher level of education (p=0.001) and presence of low back pain before pregnancy (p<0.001) were found to be associated with PRLBP in this study. No significant association was detected between doing exercise during pregnancy and PRLBP (p=0.069 ). Conclusion: A considerable proportion of pregnant women in Kahramanmaraş city center reported the presence of PRLBP. Future research should focus on developing strategies to prevent PRLBP, an important public health problem.

A Yoga programme approaches for pregnancy-related low back and pelvic pain

Background : One of the most common discomforts during pregnancy is relating to low back and pelvic pain. Predisposing factors include uterine growth that causes posture changes, weight gain, the influence of relaxin hormone on ligaments, previous history of back pain, parity and activity. The exercise that helps pregnant women get a power to facilitate the delivery process by a Yoga programme approaches. Purpose : To determine the effect of a Yoga programme approaches for pregnancy-related low back and pelvic pain Method : A quantitative research method. The study population was third trimester pregnancy, taken by purposive sampling technique, and got a sample of 22 participants and Questionnaire used as the research instrument test. The analysis technique used in this research is descriptive quantitative. Results: Finding that the average score of low back and pelvic pain before a Yoga programme (pre test) was 3.73 (moderate pain) with a standard deviation of 1.38. The average score after intervention at the post-test stage was 1.14 (mild pain) with a standard deviation of 0.94. (p value = 0.000 <0.05). Conclusion: There is an effect of a Yoga programme approaches for pregnancy-related low back and pelvic pain in third trimester pregnancy