Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women: A Cross-Sectional Study.
Journal
Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646
Informations de publication
Date de publication:
15 Jul 2021
15 Jul 2021
Historique:
pubmed:
26
1
2021
medline:
21
7
2021
entrez:
25
1
2021
Statut:
ppublish
Résumé
Cross-sectional study conducted between December 2017 and October 2019. To determine the prevalence and risk factors associated with pregnancy-related pelvic girdle pain (PPGP) in Australia. PPGP is a common condition worldwide yet the prevalence and associated risk factors are not known in Australia. A random sample of pregnant women (N = 780) of (mean [SD]) 31 (5) years of age between 14 and 38 weeks gestation attending ante-natal care in a tertiary referral hospital in Sydney, Australia was conducted. The main outcome measure was point-prevalence of PPGP as classified by recommended guidelines including a physical examination. A number of potential risk factors, including socio-demographic characteristics, country of birth, ethnicity, history of low back pain (LBP) and PPGP, family history of PPGP, occupational factors, and physical activity were investigated with logistic regression. The point-prevalence of PPGP in a random sample of 780 Australian women was 44% with the odds of having PPGP increasing with each additional week of gestation (odds ratio [OR]) (OR 1.02). Increasing parity (P = 0.03, OR 1.15), country of birth (P = 0.03), and greater duration of time spent standing (P = 0.009, OR 1.06) were associated with PPGP. The strongest predictors of PPGP were previous LBP and/or PPGP both pregnancy (P < 0.001, OR 4.35) and not pregnancy related (P < 0.001, OR 2.24), and a family history of PPGP (P < 0.001, OR 3.76). The prevalence of PPGP in Australian women was high with almost half the sample classified with PPGP, matching data reported worldwide. The identified risk factors associated with PPGP can be included in routine ante-natal care to screen women and identify those at risk of this common and disabling condition.Level of Evidence: 1.
Sections du résumé
STUDY DESIGN
METHODS
Cross-sectional study conducted between December 2017 and October 2019.
OBJECTIVE
OBJECTIVE
To determine the prevalence and risk factors associated with pregnancy-related pelvic girdle pain (PPGP) in Australia.
SUMMARY OF BACKGROUND DATA
BACKGROUND
PPGP is a common condition worldwide yet the prevalence and associated risk factors are not known in Australia.
METHODS
METHODS
A random sample of pregnant women (N = 780) of (mean [SD]) 31 (5) years of age between 14 and 38 weeks gestation attending ante-natal care in a tertiary referral hospital in Sydney, Australia was conducted. The main outcome measure was point-prevalence of PPGP as classified by recommended guidelines including a physical examination. A number of potential risk factors, including socio-demographic characteristics, country of birth, ethnicity, history of low back pain (LBP) and PPGP, family history of PPGP, occupational factors, and physical activity were investigated with logistic regression.
RESULTS
RESULTS
The point-prevalence of PPGP in a random sample of 780 Australian women was 44% with the odds of having PPGP increasing with each additional week of gestation (odds ratio [OR]) (OR 1.02). Increasing parity (P = 0.03, OR 1.15), country of birth (P = 0.03), and greater duration of time spent standing (P = 0.009, OR 1.06) were associated with PPGP. The strongest predictors of PPGP were previous LBP and/or PPGP both pregnancy (P < 0.001, OR 4.35) and not pregnancy related (P < 0.001, OR 2.24), and a family history of PPGP (P < 0.001, OR 3.76).
CONCLUSION
CONCLUSIONS
The prevalence of PPGP in Australian women was high with almost half the sample classified with PPGP, matching data reported worldwide. The identified risk factors associated with PPGP can be included in routine ante-natal care to screen women and identify those at risk of this common and disabling condition.Level of Evidence: 1.
Identifiants
pubmed: 33492087
doi: 10.1097/BRS.0000000000003954
pii: 00007632-202107150-00012
pmc: PMC8221721
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
944-949Informations de copyright
Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.
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