Dursun Muhsin
Adana Ortadogu Special Hospital, Department of Orthopedics and Traumatology - Adana, Turkey.
Rev Assoc Med Bras (1992). 2025 Jul 7;71(6):e20241804. doi: 10.1590/1806-9282.20241804. eCollection 2025.
The aim of this study was to retrospectively investigate the musculoskeletal problems and health perceptions of women who applied to the orthopedic clinic after cesarean delivery.
This study used a descriptive and cross-sectional design. It was conducted with 243 women who sought treatment in an orthopedic clinic between January 2023 and May 2024. Women who agreed to participate in the study, who had a cesarean section for the first time, who did not have any musculoskeletal problems before the cesarean section, who had musculoskeletal problems for a year or more after the cesarean section, and who sought treatment in the orthopedics and traumatology outpatient clinic were included in the study. Data were collected through the "Personal Information Form," the "Extended Nordic Musculoskeletal Questionnaire," and the "Nottingham Health Profile."
The average age of the participating women was 32.61±6.89 years. Of all the women, 44.8% experienced pain mostly in the back and lower back region within the last year following cesarean delivery. Nottingham Health Profile scores were negatively affected by several variables such as age, weight gained during pregnancy, BMI, and musculoskeletal disorders (p<0.050). An analysis of the effect sizes showed that Cohen's d values for back and lower back regions according to pain experience within the last year were 1.07 and 1.07, respectively, indicating a high effect size.
Musculoskeletal problems, particularly in the back and lower back regions, negatively affect women's overall health perception after cesarean delivery.
本研究的目的是回顾性调查剖宫产术后到骨科门诊就诊的女性的肌肉骨骼问题及健康认知情况。
本研究采用描述性横断面设计。对2023年1月至2024年5月期间在骨科门诊寻求治疗的243名女性进行了研究。纳入研究的女性需同意参与研究、首次剖宫产、剖宫产术前无任何肌肉骨骼问题、剖宫产后有肌肉骨骼问题且持续一年或更长时间、并在骨科和创伤科门诊寻求治疗。通过“个人信息表”、“扩展北欧肌肉骨骼问卷”和“诺丁汉健康量表”收集数据。
参与研究的女性平均年龄为32.61±6.89岁。在所有女性中,44.8%在剖宫产术后的最后一年内主要在背部和下背部区域经历疼痛。诺丁汉健康量表得分受到年龄、孕期体重增加、体重指数和肌肉骨骼疾病等多个变量的负面影响(p<0.050)。效应量分析表明,根据过去一年的疼痛经历,背部和下背部区域的科恩d值分别为1.07和1.07,表明效应量较高。
肌肉骨骼问题,尤其是背部和下背部区域的问题,对剖宫产术后女性的整体健康认知产生负面影响。