1 Division of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg , Gothenburg, Sweden .
2 DPT Program, School of Medicine and Public Health, University of Wisconsin-Madison , Madison Wisconsin.
J Womens Health (Larchmt). 2018 Apr;27(4):510-517. doi: 10.1089/jwh.2017.6342. Epub 2017 Aug 23.
Pelvic girdle pain (PGP) and low-back pain (LBP) are the most common musculoskeletal disorders experienced during pregnancy, yet they are not familiar to healthcare providers in some countries. The objective was to compare prevalence, severity, and impact of PGP and LBP among pregnant women in the United States, the United Kingdom, Norway, and Sweden. Women's desires for, access to, and experience of treatment were also examined.
This is a cross-sectional self-reported questionnaire study of pregnant women, recruited at maternity care units in gestational weeks 30-38. Main outcome measures were presence and impact of PGP and/or LBP.
A total of 869 pregnant women from the United States (n = 214), the United Kingdom (n = 220), Norway (n = 220), and Sweden (n = 215) were included. PGP and/or LBP were reported by 70%-86%, with lowest prevalence in Scandinavia. Severity and impact differed significantly across countries (p < 0.001), with U.K. women reporting the highest pain intensity (Numeric Rating Scale [NRS] 7/10) and highest mean total score on the Pelvic Girdle Questionnaire (PGQ) (46/100). U.S. women were significantly less afflicted, with mean PGQ total score 35/100 (p ≤ 0.001). The countries differed regarding concern about PGP and/or LBP (p < 0.001), with U.K. women being most affected (NRS 5/10). Norwegian women were most likely to receive treatment (53%) and U.S. women least likely (24%) (p < 0.001). Among women receiving treatment, 68%-87% reported a positive effect.
PGP and/or LBP during pregnancy are common in the United States, the United Kingdom, Norway, and Sweden. Severity, concern, and treatment experiences differed across countries. The majority of women who received treatment reported a positive effect.
骨盆带疼痛（PGP）和下腰痛（LBP）是孕妇最常见的肌肉骨骼疾病，但在一些国家的医疗保健提供者中并不熟悉。目的是比较美国、英国、挪威和瑞典孕妇 PGP 和 LBP 的患病率、严重程度和影响。还研究了孕妇对治疗的需求、获得和体验。
这是一项横断面自我报告的问卷调查研究，招募了妊娠 30-38 周的产妇护理单位的孕妇。主要结局指标是 PGP 和/或 LBP 的存在和影响。
共纳入来自美国（n=214）、英国（n=220）、挪威（n=220）和瑞典（n=215）的 869 名孕妇。70%-86%的孕妇报告有 PGP 和/或 LBP，斯堪的纳维亚半岛的患病率最低。严重程度和影响在各国之间存在显著差异（p<0.001），英国女性报告的疼痛强度最高（数字评分量表[NRS]7/10），骨盆带问卷（PGQ）的总评分最高（46/100）。美国女性的病情明显较轻，PGQ 总评分平均为 35/100（p≤0.001）。各国对 PGP 和/或 LBP 的关注程度不同（p<0.001），英国女性受影响最大（NRS 5/10）。挪威女性最有可能接受治疗（53%），美国女性最不可能接受治疗（24%）（p<0.001）。在接受治疗的女性中，68%-87%报告治疗效果良好。
在美国、英国、挪威和瑞典，妊娠期间的 PGP 和/或 LBP 很常见。严重程度、关注程度和治疗经验在各国之间存在差异。大多数接受治疗的女性报告治疗效果良好。
