Deng Songyuan, Bennett Kevin J
School of Medicine Columbia, University of South Carolina, Columbia, SC, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241267097. doi: 10.1177/17455057241267097.
Musculoskeletal changes occur during pregnancy; one-half of pregnant women experienced low back pain and/or pelvic pain during pregnancy. Prescription opioid use for Medicaid enrolled pregnant women has increased dramatically due to severe low back pain/pelvic pain.
This study aimed to explore the prevalence of low back pain/pelvic pain and related risk factors among a broader population.
This is a retrospective cohort study.
This study utilized de-identified Medicaid claims data provided by the South Carolina Revenue and Fiscal Affairs Office, including individuals who gave birth between 2016 and 2021 during pregnancy. Low back pain/pelvic pain and a group of musculoskeletal risk factors were identified with International Classification of Diseases v10. Comparisons were made for the prevalence of low back pain and pelvic pain between those with pregnancy-related musculoskeletal risk and those without.
Among 167,396 pregnancies, 65.6% were affected by musculoskeletal risk factors. The overall prevalence of low back pain was 15.6%, and of pregnancy-related pelvic pain was 25.2%. The overall prevalence for either low back pain or pelvic pain was 33.3% (increased from 29.5% in 2016 to 35.3% in 2021), with 24.6% being pregnancy-induced. Pregnancies with musculoskeletal risk factors were more likely to be diagnosed with low back pain (20.7% versus 5.7%, < 0.001) or pelvic pain (35.3% versus 6.0%, < 0.001) than those without.
This study found a very high prevalence of musculoskeletal risk and a high prevalence of low back pain or pelvic pain, with an increasing trend, among South Carolina pregnancies enrolled in Medicaid during the period 2016-2021. Most of the diagnosed low back pain or pelvic pain were pregnancy induced. Musculoskeletal risk factors were associated with low back pain or pelvic pain.
孕期会发生肌肉骨骼变化；一半的孕妇在孕期经历过腰痛和/或骨盆疼痛。由于严重的腰痛/骨盆疼痛，参加医疗补助计划的孕妇中处方阿片类药物的使用显著增加。
本研究旨在探讨更广泛人群中腰痛/骨盆疼痛的患病率及相关危险因素。
这是一项回顾性队列研究。
本研究利用南卡罗来纳州税收和财政事务办公室提供的去识别化医疗补助索赔数据，包括2016年至2021年孕期分娩的个体。使用国际疾病分类第10版识别腰痛/骨盆疼痛和一组肌肉骨骼危险因素。对有与妊娠相关肌肉骨骼危险因素者和无此危险因素者的腰痛和骨盆疼痛患病率进行比较。
在167396例妊娠中，65.6%受肌肉骨骼危险因素影响。腰痛的总体患病率为15.6%，与妊娠相关的骨盆疼痛患病率为25.2%。腰痛或骨盆疼痛的总体患病率为33.3%（从2016年的29.5%增至2021年的35.3%），其中24.6%由妊娠引起。有肌肉骨骼危险因素的妊娠比无此危险因素的妊娠更易被诊断为腰痛（20.7%对5.7%，P<0.001）或骨盆疼痛（35.3%对6.0%，P<0.001）。
本研究发现，2016 - 2021年期间参加南卡罗来纳州医疗补助计划的妊娠中，肌肉骨骼危险因素的患病率非常高，腰痛或骨盆疼痛的患病率也很高且呈上升趋势。大多数诊断出的腰痛或骨盆疼痛是由妊娠引起的。肌肉骨骼危险因素与腰痛或骨盆疼痛相关。
