Pierce Heather, Homer Caroline S E, Dahlen Hannah G, King Jenny
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, P.O. Box 123, Broadway, NSW 2007, Australia.
Nurs Res Pract. 2012;2012:387428. doi: 10.1155/2012/387428. Epub 2012 May 23.
Objective. To investigate the prevalence and nature of lumbo-pelvic pain (LPP), that is experienced by women in the lumbar and/or sacro-iliac area and/or symphysis pubis during pregnancy. Design. Cross-sectional, descriptive study. Setting. An Australian public hospital antenatal clinic.
Women in their third trimester of pregnancy. Method. Women were recruited to the study as they presented for their antenatal appointment. A survey collected demographic data and was used to self report LPP. A pain diagram differentiated low back, pelvic girdle or combined pain. Closed and open ended questions explored the experiences of the women. Main Outcome Measures. The Visual Analogue Scale and the Oswestry Disability Index (Version 2.1a). Results. There was a high prevalence of self reported LPP during the pregnancy (71%). An association was found between the reporting of LPP, multiparity, and a previous history of LPP. The mean intensity score for usual pain was 6/10 and four out of five women reported disability associated with the condition. Most women (71%) had reported their symptoms to their maternity carer however only a small proportion of these women received intervention. Conclusion. LPP is a potentially significant health issue during pregnancy.
目的。调查孕期女性在腰椎和/或骶髂区域和/或耻骨联合处经历的腰骨盆疼痛(LPP)的患病率及性质。设计。横断面描述性研究。地点。澳大利亚一家公立医院的产前诊所。
妊娠晚期女性。方法。在女性前来进行产前检查时招募入组本研究。通过一项调查收集人口统计学数据,并用于自我报告LPP。一张疼痛图表区分了下背部、骨盆带或合并疼痛。通过封闭式和开放式问题探究女性的经历。主要观察指标。视觉模拟评分法和奥斯维斯特里残疾指数(第2.1a版)。结果。孕期自我报告的LPP患病率较高(71%)。发现LPP报告与多胎妊娠以及既往LPP病史之间存在关联。通常疼痛的平均强度评分为6/10,五分之四的女性报告该疾病导致残疾。大多数女性(71%)已将其症状告知产科护理人员,但这些女性中只有一小部分接受了干预。结论。LPP是孕期一个潜在的重要健康问题。