Low back pain intensity among childbearing women and associated predictors. A cohort study.
Low back pain
Physical disability
Predictors
Pregnancy
Sick leave
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
26
06
2018
revised:
19
09
2018
accepted:
19
09
2018
pubmed:
3
10
2018
medline:
5
11
2019
entrez:
3
10
2018
Statut:
ppublish
Résumé
Low back pain is a common condition among childbearing women, causing physical disability and an increased risk of sick leave and obstetric complications. To assess the prevalence and intensity of low back pain during pregnancy, to describe the physical disability and sick leave in relation to the severity of low back pain and to identify predictors of moderate to severe low back pain in socio-demographic, health and obstetric characteristics among childbearing women. A cohort study was undertaken (n=566) during August 2015 to March 2016. Questionnaires were used to obtain information about low back pain intensity, physical disability due to low back pain and sick leave at 20 and 32weeks of gestation. Of the 654 eligible women, 87% completed the first questionnaire. Three out of four reported any low back pain at 20weeks of gestation, and nine out of ten women at 32weeks. Of these women, one in three reported moderate to severe pain at 20weeks, increasing to half of the women at 32weeks. Both sick leave and physical disability increased with increasing low back pain scores. Pre-pregnancy low back pain, multiparity and lower level of education were all identified as predictors of moderate to severe low back pain. Women with pre-pregnancy low back pain, multiparity and lower level of education, represent the group of women with the highest risk of moderate to severe low back pain during pregnancy and should be payed special attention.
Sections du résumé
BACKGROUND
BACKGROUND
Low back pain is a common condition among childbearing women, causing physical disability and an increased risk of sick leave and obstetric complications.
AIMS
OBJECTIVE
To assess the prevalence and intensity of low back pain during pregnancy, to describe the physical disability and sick leave in relation to the severity of low back pain and to identify predictors of moderate to severe low back pain in socio-demographic, health and obstetric characteristics among childbearing women.
METHODS
METHODS
A cohort study was undertaken (n=566) during August 2015 to March 2016. Questionnaires were used to obtain information about low back pain intensity, physical disability due to low back pain and sick leave at 20 and 32weeks of gestation. Of the 654 eligible women, 87% completed the first questionnaire.
FINDINGS
RESULTS
Three out of four reported any low back pain at 20weeks of gestation, and nine out of ten women at 32weeks. Of these women, one in three reported moderate to severe pain at 20weeks, increasing to half of the women at 32weeks. Both sick leave and physical disability increased with increasing low back pain scores. Pre-pregnancy low back pain, multiparity and lower level of education were all identified as predictors of moderate to severe low back pain.
CONCLUSIONS
CONCLUSIONS
Women with pre-pregnancy low back pain, multiparity and lower level of education, represent the group of women with the highest risk of moderate to severe low back pain during pregnancy and should be payed special attention.
Identifiants
pubmed: 30274876
pii: S1871-5192(18)30344-5
doi: 10.1016/j.wombi.2018.09.008
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e467-e476Informations de copyright
Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.