School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.
Women Health. 2024 Apr;64(4):330-340. doi: 10.1080/03630242.2024.2334691. Epub 2024 Mar 31.
Pelvic girdle pain (PGP) is a common problem during pregnancy and postpartum and negatively affects women's well-being. Yet it is not well known in China. This study assessed PGP's intensity, location, and quality and the status of daily activities on postpartum women with pain, and explored the relationship between pain and the prevalence of depressive symptoms. A cross-sectional study recruiting 1,038 eligible women at 6 weeks postpartum from the obstetric clinic of a hospital was conducted in Beijing, China. Data were collected using self-reported questionnaires, including Introductory information form, Body chart, Number Rating Scale, McGill Pain Questionnaire-2, Pelvic Girdle Questionnaire, and Edinburgh Postnatal Depression Scale. In this study, 32.2 percent women experienced pain. The mean (SD) pain intensity score was 3.07 ± 1.60. About 50.6 percent women experienced sacroiliac joint pain, and 25.5 percent women experienced pain in a combination of locations. About 73.1 percent women experienced aching pain, and 57.5 percent experienced more than one kind of pain quality. The mean total score, which assesses activity and symptom limitations, was 21.93 ± 17.35 (percent), of which a normal sex life (1.29 ± 0.94) was made more challenging due to pain. In mental health, the prevalence of depressive symptoms coincided with the prevalence of pain ( = 0.008). Postpartum PGP still needs to be taken seriously, and women with pain require further support. The above knowledge offers information to manage pain, daily lives and depressive symptoms, contributes to think about strategies to better promote postpartum women physical and mental health in the future.
骨盆带疼痛（PGP）是妊娠和产后的常见问题，会对女性的健康产生负面影响。然而，在中国，这种情况并不为人所知。本研究评估了产后有疼痛的女性的 PGP 强度、位置和质量以及日常活动状态，并探讨了疼痛与抑郁症状发生率之间的关系。本研究采用横断面研究方法，在北京一家医院的产科门诊招募了 1038 名 6 周产后的合格女性。使用自我报告问卷收集数据，包括简介信息表、身体图表、数字评分量表、麦吉尔疼痛问卷-2、骨盆带问卷和爱丁堡产后抑郁量表。在这项研究中，32.2%的女性经历了疼痛。疼痛强度评分的平均值（标准差）为 3.07±1.60。约 50.6%的女性经历了骶髂关节疼痛，25.5%的女性经历了多种部位的疼痛。约 73.1%的女性经历了酸痛，57.5%的女性经历了不止一种疼痛性质。评估活动和症状限制的总得分平均值为 21.93±17.35（%），其中由于疼痛，正常的性生活（1.29±0.94）更加困难。在心理健康方面，抑郁症状的发生率与疼痛的发生率一致（=0.008）。产后 PGP 仍需引起重视，疼痛女性需要进一步的支持。以上知识可用于管理疼痛、日常生活和抑郁症状，有助于思考未来更好地促进产后妇女身心健康的策略。
