1. Low Back Pain during Pregnancy and Delivery Outcomes
- Author
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Ambrogio P. Londero, Paolo Cocco, Markus Gantert, and Arrigo Fruscalzo
- Subjects
medicine.medical_specialty ,Multivariate analysis ,Visual analogue scale ,pregnancy ,parturition ,delivery ,pain ,low back pain ,girdle pain ,Cesarean Section ,Cross-Sectional Studies ,Female ,Humans ,Infant, Newborn ,Pregnancy ,Prospective Studies ,Labor, Obstetric ,Low Back Pain ,Maternity and Midwifery ,medicine ,Prospective cohort study ,Obstetrics ,business.industry ,Incidence (epidemiology) ,Obstetrics and Gynecology ,Gestational age ,Infant ,Obstetric ,medicine.disease ,Newborn ,Low back pain ,Labor ,Pediatrics, Perinatology and Child Health ,Girdle pain ,medicine.symptom ,business - Abstract
Aim To evaluate low back pain (LBP) incidence and impact throughout pregnancy in terms of women’s well-being and delivery outcomes. Material and methods Cross-sectional prospective study conducted on singleton pregnancies at ≥37th gestational age admitted for delivery. Localization of LBP, intensity and frequency as well as derived functional disability status were assessed with a self-reported questionnaire. Main delivery outcomes including mode of delivery, and maternal or neonatal complications were recorded. Results A total of 229 women participated in the study. LBP prevalence amounted to 55.9%, with the pain already present before pregnancy in 14.0% of the cases. The pain was mostly localized in the lower back (40.6%), symphysis (23.3%), and coccyx (20.5%). Both the frequency and intensity of pain gradually increased significantly during pregnancy, reaching 20 days/month (IQR=10–30) and 6/10 points (IQR=5–8) on a visual analog scale in the 3rd trimester (p Conclusions LBP is a common issue in pregnant women, accounting for increasing morbidity and invalidity, and leading to an increased cesarean section risk during labor.
- Published
- 2022