Gausel Anne Marie, Kjærmann Inger, Malmqvist Stefan, Dalen Ingvild, Larsen Jan Petter, Økland Inger
The Norwegian Centre for Movement Disorders, Stavanger University Hospital, P.O. Box 8100, N-4068, Stavanger, Norway.
Sundbybergskliniken, Sundbyberg, Sweden.
Eur Spine J. 2016 Jun;25(6):1953-9. doi: 10.1007/s00586-015-3959-1. Epub 2015 Apr 22.
Persistent pelvic girdle pain (PGP) after delivery is considered uncommon. The aim of this study was to assess the frequency of persistent PGP after delivery in an unselected population, its influence on the women's daily life, and potential risk factors.
The study population was drawn from a previous retrospective study of pelvic pain (PP) during pregnancy. The women were followed until 3-6 months after delivery in a prospective cohort study. All women were contacted by telephone and those with persistent PP were invited to fill in questionnaires and undergo a clinical examination.
68 of 330 women reported persistent pain in the pelvic area 3-6 months after delivery. 47 underwent a clinical examination, after which 36 women were diagnosed with either PGP alone (n = 25), or PGP combined with low back pain (LBP) (n = 11). Affected women reported a poor subjective health status, but the pain did not have a major impact on their daily life activities. Women with 3 independent risk factors: age ≥30 years, a moderate or high Oswestry Disability Index in pregnancy, and combined PP and LBP during pregnancy, had a 27-fold increased risk for persistent PGP compared with women without these risk factors.
16 % of women that reported PP during pregnancy were found to have persistent PGP 3-6 months after the delivery. Women with risk factors for persistent PGP should be identified while pregnant, and offered a follow-up examination 3 months after delivery.
产后持续性骨盆带疼痛（PGP）被认为并不常见。本研究旨在评估在未经过筛选的人群中产后持续性PGP的发生率、其对女性日常生活的影响以及潜在风险因素。
研究人群来自先前一项关于孕期骨盆疼痛（PP）的回顾性研究。在一项前瞻性队列研究中，对这些女性进行随访直至产后3至6个月。通过电话联系所有女性，邀请有持续性PP的女性填写问卷并接受临床检查。
330名女性中有68名报告在产后3至6个月骨盆区域存在持续性疼痛。47名接受了临床检查，其中36名女性被诊断为单独的PGP（n = 25）或PGP合并下背痛（LBP）（n = 11）。受影响的女性报告主观健康状况较差，但疼痛对她们的日常生活活动没有重大影响。具有3个独立风险因素的女性：年龄≥30岁、孕期Oswestry功能障碍指数为中度或高度、孕期合并PP和LBP，与没有这些风险因素的女性相比，持续性PGP的风险增加了27倍。
在孕期报告有PP的女性中，16%在产后3至6个月被发现患有持续性PGP。对于有持续性PGP风险因素的女性，应在孕期进行识别，并在产后3个月提供随访检查。
