Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Program in Physical Therapy, Columbia University Irving Medical Center, New York, New York, USA.
J Womens Health (Larchmt). 2023 Nov;32(11):1192-1199. doi: 10.1089/jwh.2022.0459. Epub 2023 Aug 3.
Pregnancy-related lumbopelvic pain (PLPP) is a common ailment during pregnancy with physical, psychosocial, and economic consequences. Despite being common, prior literature has found that this symptom is widely underreported and therefore undertreated, especially in the United States. The objectives of this study were to determine the proportion of pregnant women who report PLPP during pregnancy to their health care providers (HCPs) and to determine what contributing factors for reporting exist. This is a cross-sectional survey design and was conducted at an academic medical center. All pregnant women attending a prenatal visit in obstetrical offices from July 2018 through March 2020 were asked to complete a questionnaire compiling demographic and socioeconomic information, answer validated survey instruments measuring physical and urinary function, and describe any pain, including intensity, frequency, and whether they told their HCPs about these symptoms and received any treatments. Of the 538 respondents who had PLPP, only 43% ( = 233) reported PLPP to their provider. Of those who reported PLPP, 22% ( = 51) received treatment, of which 80% ( = 41) noted that treatment was effective. Factors that increased the likelihood of informing HCPs about PLPP were difficulty with daily mobility and a greater week of gestation. HCPs should inquire about PLPP throughout pregnancy. Any level of PLPP should be reported and monitored by a patient's HCP, and if it is interfering with activities of daily living, sleeping, or quality of life, it should be treated.
妊娠相关腰背痛（PLPP）是妊娠期间常见的疾病，会对孕妇的身体、心理社会和经济状况造成影响。尽管这种症状很常见，但先前的文献发现，这种症状被广泛低估和治疗不足，尤其是在美国。本研究的目的是确定报告妊娠相关腰背痛的孕妇比例及其向医疗保健提供者（HCP）报告的情况，并确定存在哪些导致报告的因素。这是一项横断面调查设计，在一所学术医疗中心进行。2018 年 7 月至 2020 年 3 月期间，所有在妇产科办公室就诊的孕妇都被要求填写一份问卷，问卷中包含人口统计学和社会经济信息，回答经过验证的测量身体和尿功能的调查工具，并描述任何疼痛，包括疼痛的强度、频率，以及他们是否告知了 HCP 这些症状并接受了任何治疗。在 538 名有妊娠相关腰背痛的受访者中，只有 43%（233 人）向其提供者报告了妊娠相关腰背痛。在报告妊娠相关腰背痛的人群中，22%（51 人）接受了治疗，其中 80%（41 人）表示治疗有效。增加向 HCP 报告妊娠相关腰背痛可能性的因素包括日常活动困难和妊娠周数增加。HCP 应在整个怀孕期间询问妊娠相关腰背痛的情况。患者的 HCP 应报告和监测任何程度的妊娠相关腰背痛，如果它影响日常生活、睡眠或生活质量，则应进行治疗。
