Low back pain in pregnant women: A necessary or an avoidable evil?

The aim of this study was to determine the prevalence, the main features and the potential risk factors of LBP in pregnant women. This cross-sectional study included 173 pregnant women in the third trimester. Non-inclusion criteria were severe mental disability and known previous history of musculos...

Full description

Saved in:

Bibliographic Details
Published in:	Musculoskeletal care Vol. 21; no. 3; pp. 865 - 870
Main Authors:	Ben Nessib, Dorra, Armi, Sawssem, Ferjani, Hanène, Garsi, Mariem, Ben Sassi, Senda, Kerkeni, Sarra, Ben Aissa, Rania, Berraies, Ghada, Kaffel, Dhia, Mathlouthi, Nabil, Maatallah, Kaouther, Belghith, Cyrine, Slimani, Olfa, Hamdi, Wafa
Format:	Journal Article
Language:	English
Published:	England Wiley Subscription Services, Inc 01-09-2023
Subjects:	Pregnancy Womens health risk factors low back pain pregnancy
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The aim of this study was to determine the prevalence, the main features and the potential risk factors of LBP in pregnant women. This cross-sectional study included 173 pregnant women in the third trimester. Non-inclusion criteria were severe mental disability and known previous history of musculoskeletal diseases. The participants were categorised into two groups: women with pregnancy-related LBP and pain-free women. Demographic, socio-professional, clinical and obstetrical data were compared between the two groups using the appropriate statistical tests. The mean age was 32.2 ± 5.4 years [17-45]. Among them, 108 (62.4%) reported one or more episodes of LBP during at least 7 days, mostly in the third semester (n = 71). The presence of LBP was significantly associated with history of LBP in previous pregnancies and jobs requiring prolonged standing. Active jobs and the presence of gestational complications were significantly more common in pain-free women. In the multivariate analysis, LBP was independently predicted by the history of LBP in previous pregnancies and the absence of gestational complications. The association of LBP with gestational complications as a protective factor has not yet been reported in previous studies. These complications are a common cause of hospitalisation, which represents a period of relative rest during pregnancy. Our results revealed that history of LBP in previous pregnancies, sedentary lifestyle prior to pregnancy and prolonged standing are the main risk factors of LBP. In contrast, rest and avoidance of physical overstrain during pregnancy may be protective factors.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1478-2189 1557-0681
DOI:	10.1002/msc.1763