Body@Work, Research Centre Physical Activity, Work and Health, TNO-VUmc, VU University Medical Centre, Amsterdam, The Netherlands Department of Public and Occupational Health, EMGO Institute, VU University Medical Centre, Amsterdam, The Netherlands TNO Quality of Life, Leiden, The Netherlands Research Centre for Insurance Medicine: A Collaboration Between AMC-UWV-VUmc, Amsterdam, The Netherlands Department of Clinical Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands Department of Health Sciences, Vrije Universiteit, Amsterdam, The Netherlands.
Pain. 2012 Dec;153(12):2370-2379. doi: 10.1016/j.pain.2012.08.003.
The objective of this study was to examine which factors during pregnancy and postpartum predict pelvic girdle pain (PGP) at 12 weeks postpartum among working women. A total of 548 Dutch pregnant employees were recruited in 15 companies, mainly health care, child care, and supermarkets. The definition of PGP was any pain felt in the pelvic girdle region at 12 weeks postpartum. Participants received questionnaires at 30 weeks of pregnancy and at 6 and 12 weeks postpartum with demographic, work-related, pregnancy-related, fatigue, psychosocial, PGP-related and delivery-related questions. Univariate and multiple logistic regression analyses were performed. Almost half of the women experienced pain in their pelvic girdle at 12 weeks postpartum. However, the level of pain and the degree of disability due to postpartum PGP was low. Pregnancy-related predictors for PGP at 12 weeks were history of low back pain, higher somatisation, more than 8 hours of sleep or rest per day, and uncomfortable postures at work. The pregnancy and postpartum-related predictors were: more disability at 6 weeks, having PGP at 6 weeks, higher mean pain at 6 weeks, higher somatisation during pregnancy and at 6 weeks postpartum, higher birth weight of the baby, uncomfortable postures at work and number of days of bed rest. Based on these results, it is concluded that extra attention should be given to women who experience PGP during pregnancy to prevent serious PGP during late pregnancy and postpartum. More research is needed to confirm the roles of hours of sleep, somatisation, and bed rest in relation to PGP.
这项研究的目的是探讨怀孕期间和产后哪些因素可预测职业女性产后 12 周时的骨盆带疼痛（PGP）。总共招募了 15 家公司的 548 名荷兰孕妇员工，主要是医疗保健、儿童保育和超市。PGP 的定义是产后 12 周时骨盆带区域出现的任何疼痛。参与者在怀孕 30 周时以及产后 6 周和 12 周时接受了问卷调查，内容包括人口统计学、工作相关、妊娠相关、疲劳、心理社会因素、PGP 相关和分娩相关问题。进行了单变量和多变量逻辑回归分析。近一半的女性在产后 12 周时出现骨盆带疼痛。然而，产后 PGP 的疼痛程度和残疾程度较低。与产后 12 周 PGP 相关的妊娠预测因素是：背痛史、更高的躯体化程度、每天睡眠或休息超过 8 小时，以及工作时的不舒服姿势。与妊娠和产后相关的预测因素是：6 周时的残疾程度更高、6 周时出现 PGP、6 周时的平均疼痛更高、妊娠和产后 6 周时的躯体化程度更高、婴儿出生体重更高、工作时的不舒服姿势和卧床休息的天数更多。基于这些结果，可以得出结论，对于在妊娠期间经历 PGP 的女性，应给予额外关注，以预防妊娠晚期和产后严重的 PGP。需要进一步研究以确认睡眠、躯体化和卧床休息与 PGP 之间的关系。
