Röst Cecile C M, Jacqueline J, Kaiser A, Verhagen Arianne P, Koes Bart W
Department of General Practice, Erasmus University of Rotterdam, Rotterdam, The Netherlands.
Acta Obstet Gynecol Scand. 2006;85(7):771-7. doi: 10.1080/00016340600626982.
A follow-up study of women with pelvic pain during pregnancy.
To evaluate prognostic factors for pelvic pain.
Out of a cohort of 870 pelvic pain patients, 598 women, who delivered less than 42 months prior to the follow-up measurement, were selected for follow-up.
Data of 430 women were available for analysis with a mean follow-up duration of 18 months postpartum. Forty-three women still experienced moderate or severe pain and were seriously hindered in more than one activity. At intake symptomatic women experienced a higher overall severity of complaints, more walking deficiencies, and mentioned prepregnancy back pain more often and reported labor lasting longer than 18 h 2.5 times more often than asymptomatic women. Explained variance of these factors is small.
Mean 18 months postpartum a small group had moderate or severe pain. Prepregnancy back pain, severity of complaints, and number of walking deficiencies at primary referral as well as duration of labor showed a significant relation with symptoms.
对孕期有骨盆疼痛的女性进行随访研究。
评估骨盆疼痛的预后因素。
在870名骨盆疼痛患者队列中，选择598名在随访测量前不到42个月分娩的女性进行随访。
430名女性的数据可用于分析，产后平均随访时间为18个月。43名女性仍有中度或重度疼痛，并且在不止一项活动中受到严重阻碍。在初次就诊时，有症状的女性总体症状严重程度更高，行走障碍更多，更常提及孕前背痛，且报告产程持续超过18小时的频率是无症状女性的2.5倍。这些因素的解释方差较小。
产后平均18个月时，一小部分人有中度或重度疼痛。孕前背痛、初次转诊时的症状严重程度、行走障碍数量以及产程与症状有显著关系。
