Malmqvist Stefan, Kjaermann Inger, Andersen Knut, Økland Inger, Brønnick Kolbjørn, Larsen Jan Petter
The Department of Health Studies, University of Stavanger, and The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway.
J Manipulative Physiol Ther. 2012 May;35(4):272-8. doi: 10.1016/j.jmpt.2012.04.004.
The purpose of this study was to investigate the cumulative prevalence of low back pain (LBP), pelvic pain (PP), and lumbopelvic pain during pregnancy, including features possibly associated with development of pregnancy-related PP, in an unselected population of women.
A retrospective cohort study was conducted in which all women giving birth at Stavanger University hospital in a 4-month period were asked to participate and to fill in a questionnaire on demographic features, pain, disability, and Oswestry Disability Index. Inclusion criteria were singleton pregnancy of at least 36 weeks and competence in the Norwegian language.
Nearly 50% of the women experienced moderate and severe PP during pregnancy. Approximately 50% of them had PP syndrome, whereas the other half experienced lumbopelvic pain. Ten percent of the women experienced moderate and severe LBP alone. These pain syndromes increased sick leave and impaired general level of function during pregnancy. Approximately 50% of women with PP had pain in the area of the symphysis. The analysis of risk factors did not present a unidirectional and clear picture.
Pelvic pain in pregnant women is a health care challenge in which moderate and severe pain develops rather early and has important implications for society. The observed associations between possible causative factors and moderate and severe LBP and PP in this study may, together with results from other studies, bring some valuable insights into their multifactorial influences and provide background information for future studies.
本研究旨在调查未经过挑选的女性人群在孕期下背痛（LBP）、骨盆痛（PP）和腰骶部疼痛的累积患病率，包括可能与妊娠相关骨盆痛发生有关的特征。
进行了一项回顾性队列研究，邀请在斯塔万格大学医院分娩的所有女性在4个月内参与并填写一份关于人口统计学特征、疼痛、残疾和奥斯维斯特残疾指数的问卷。纳入标准为单胎妊娠至少36周且具备挪威语能力。
近50%的女性在孕期经历了中度和重度骨盆痛。其中约50%患有骨盆痛综合征，另一半则经历了腰骶部疼痛。10%的女性仅经历了中度和重度下背痛。这些疼痛综合征增加了病假天数，并损害了孕期的总体功能水平。约50%患有骨盆痛的女性在耻骨联合区域疼痛。危险因素分析并未呈现出单向且清晰的情况。
孕妇骨盆痛是一项医疗保健挑战，其中中度和重度疼痛出现得相当早，且对社会有重要影响。本研究中观察到的可能致病因素与中度和重度下背痛及骨盆痛之间的关联，可能与其他研究结果一起，为它们的多因素影响带来一些有价值的见解，并为未来研究提供背景信息。
