Sibbritt David, Ladanyi Suzy, Adams Jon
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Int J Clin Pract. 2016 Oct;70(10):825-831. doi: 10.1111/ijcp.12870. Epub 2016 Sep 12.
Back, neck and/or pelvic pain are common symptoms experienced by pregnant women. Although pregnant women are known to use complementary and alternative medicine (CAM) frequently, no research to date has provided in-depth examination of healthcare practitioner utilisation of pregnant women who experience back, neck and/or pelvic pain.
A sub-study of 1835 pregnant women from the nationally representative Australian Longitudinal Study on Women's Health (ALSWH). Demographics, health status and healthcare utilisation measures were analysed for symptoms of back, neck and/or pelvic pain during pregnancy, using regression models.
During their pregnancy, 39.5% women experienced back pain, 12.4% experienced neck pain and 16.3% women experienced pelvic pain. Pregnant women were more likely to consult a massage therapist for their back pain (32.3%) and neck pain (39.9%), and another alternative practitioner (27.3%) or obstetrician (22.1%) for pelvic pain, while some women did not seek treatment (<30%). Women who sought help for each symptom reported significantly worse levels of mental and physical health across most SF-36 domains (P<.05). Women without health insurance, or pregnancy-related healthcare insurance were less likely to seek treatment.
Pregnant women experiencing back, neck and/or pelvic pain frequently consult CAM practitioners, particularly if they have healthcare insurance. There is a need for all healthcare practitioners providing maternity care to enquire about possible back, neck and pelvic pain amongst women in their care and be cognisant of possible corresponding CAM use for such symptoms.
背部、颈部和/或骨盆疼痛是孕妇常见的症状。尽管已知孕妇经常使用补充和替代医学（CAM），但迄今为止，尚无研究对经历背部、颈部和/或骨盆疼痛的孕妇的医疗保健从业者利用情况进行深入研究。
对来自具有全国代表性的澳大利亚妇女健康纵向研究（ALSWH）的1835名孕妇进行的一项子研究。使用回归模型分析了人口统计学、健康状况和医疗保健利用措施，以了解孕期背部、颈部和/或骨盆疼痛的症状。
在孕期，39.5%的女性经历过背痛，12.4%经历过颈痛，16.3%的女性经历过骨盆疼痛。孕妇背痛（32.3%）和颈痛（39.9%）时更倾向于咨询按摩治疗师，骨盆疼痛时更倾向于咨询另一位替代医学从业者（27.3%）或产科医生（22.1%），而一些女性未寻求治疗（<30%）。针对每种症状寻求帮助的女性在大多数SF-36领域的心理和身体健康水平明显更差（P<.05）。没有医疗保险或与怀孕相关的医疗保险的女性寻求治疗的可能性较小。
经历背部、颈部和/或骨盆疼痛的孕妇经常咨询补充和替代医学从业者，尤其是如果她们有医疗保险。所有提供孕产妇护理的医疗保健从业者都需要询问其护理的女性中可能存在的背部、颈部和骨盆疼痛，并认识到针对此类症状可能相应使用补充和替代医学的情况。
