Gashaw Moges, Yitayal Melisew Mekie, Zemed Ashenafi, Nigatu Solomon Gedlu, Kasaw Alemu, Belay Daniel Gashaneh, Aragaw Fantu Mamo, Endalew Mastewal, Tsega Nuhamin Tesfa, Asratie Melaku Hunie, Janakiraman Balamurugan
Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Ann Med Surg (Lond). 2022 May 16;78:103754. doi: 10.1016/j.amsu.2022.103754. eCollection 2022 Jun.
For many pregnant women, pelvic girdle pain caused by pregnancy has an impact on their daily living. Women with lumbo-pelvic pain have moderate to severe discomfort that makes daily activities like getting out of a chair, bending, and walking difficult. The aim of this study was to determine the extent of daily activity restrictions and to discover predictors of pregnancy-related pelvic girdle pain.
Prospective cross-sectional study.
This prospective cross-sectional study was undertaken from January October 2018 to October 29/2019 among 337 gravid mothers with pregnancy-related limbo-pelvic pain. A structured questionnaire adapted from the activity limitation-related pelvic girdle pain questionnaire was used for data collection. Epi-info version 7.1 for data entry and STATA version 14 for statistical analysis were used. Ordinal regression with an odds ratio of 95% confidence interval and p-value < 0.05 were cast-off to assess the association between the outcome and dependent variables.
Among 324 pregnant women with pelvic girdle pain 96 (29.6%) had small extent level of activity limitation, 185 (57.1%) had moderate activity limitation, and 43 (13.3%) large extent level of activity limitation. Having previous children (AOR = 0.37, 95% CI:0.14, 0.98), occupation (AOR = 1.77, 95% CI: 1.06, 2.95) and taking alcohol (AOR = 0.43, 95% CI: 0.19, 0.99) were the independent predictors for activity limitation.
Nearly one-third of the participants had a modest degree of activity restriction, while more than half of the pregnant women with PPGP had a moderate to high level of restriction. Previous children, occupation, and alcohol consumption were all independent predictors of activity limitation among pregnant women.
对于许多孕妇而言，妊娠引起的骨盆带疼痛会对她们的日常生活产生影响。患有腰骨盆疼痛的女性会有中度至重度不适，这使得诸如从椅子上起身、弯腰和行走等日常活动变得困难。本研究的目的是确定日常活动受限的程度，并找出与妊娠相关的骨盆带疼痛的预测因素。
前瞻性横断面研究。
本前瞻性横断面研究于2018年1月至10月至2019年10月29日期间，对337名患有与妊娠相关的腰骨盆疼痛的孕妇进行。采用一份根据与活动受限相关的骨盆带疼痛问卷改编的结构化问卷进行数据收集。使用Epi-info 7.1版进行数据录入，使用STATA 14版进行统计分析。采用95%置信区间比值比和p值<0.05的有序回归来评估结果与自变量之间的关联。
在324名患有骨盆带疼痛的孕妇中，96名（29.6%）活动受限程度较小，185名（57.1%）活动受限程度中等，43名（13.3%）活动受限程度较大。有过孩子（调整后比值比=0.37，95%置信区间：0.14，0.98）、职业（调整后比值比=1.77，95%置信区间：1.06，2.95）和饮酒（调整后比值比=0.43，95%置信区间：0.19，0.99）是活动受限的独立预测因素。
近三分之一的参与者活动受限程度适中，而超过一半的骨盆带疼痛孕妇活动受限程度为中度至高度。有过孩子、职业和饮酒都是孕妇活动受限的独立预测因素。
