The posterior pelvic pain provocation test in pregnant women

1994 ◽  
Vol 3 (5) ◽  
pp. 258-260 ◽  
Author(s):  
H. C. Östgaard ◽  
G. Zetherström ◽  
E. Roos-Hansson
2009 ◽  
Vol 18 (7) ◽  
pp. 1008-1012 ◽  
Author(s):  
Annelie Gutke ◽  
Eva Roos Hansson ◽  
Gunilla Zetherström ◽  
Hans Christian Östgaard

1998 ◽  
Vol 7 (3) ◽  
pp. 333
Author(s):  
K Mimori ◽  
T Nakagawa ◽  
T Sugihara ◽  
K Shinomiya

2018 ◽  
Vol 25 (12) ◽  
pp. 1823-1827
Author(s):  
Razia Rizwan ◽  
Mohsana Tariq ◽  
Sahreen Anwar ◽  
Raheela Kanwal

Background: Pregnancy related posterior pelvic pain (PRPPP) is a common complaint among pregnant females. It is one of main source for disability, absence from work and is responsible for direct and indirect economical impact. Purpose of the Study: To investigate the prevalence of pregnancy associated posterior pelvic pain and to ascertain its occurrence in three trimesters of pregnancy. Study Design: Cross sectional survey. Setting: District Head Quarter Hospital Sargodha & Gynae OPDs of different clinics. Period: Jan 2013 to Dec 2013. Materials and Methods: 200 pregnant females, the range of age group was 16-42 years and participants were selected through convenience sampling technique. All pregnant females were interviewed using structured questionnaire having open and close ended questions. Posterior pelvic pain provocation test and Gaenslen’s test were performed on all females with lumbo-pelvic pain and intensity of pain was measured, using visual analogue scale. Results: 200 pregnant females were studied, 140 (70%) pregnant females were in 2nd or 3rd trimesters of pregnancy and 102 (51%) reported posterior pelvic pain, and amongst 60 pregnant females in 1st trimesters showed only 10 (5%) reported posterior pelvic pain. All pregnant females (n=112,56%) having posterior pelvic pain showed positive posterior pelvic pain tests and Intensity of pain in pregnant females with pelvic girdle pain in 1st, 2nd and 3rd trimesters measured using visual analogue scale, with mean value 6.09 ( SD= 2.16). Conclusion: About 2 in every 3rd femalesstudied; reported to have posterior pelvic pain, more in 2nd and 3rd trimesters of pregnancy as compared to 1st trimester of pregnancy. The high prevalence causes considerable health problem, physical dysfunction, and poor work performance in Pakistani pregnant females andneed more attention by health professionals and researchers. 


1999 ◽  
Vol 27 (2) ◽  
pp. 137-142 ◽  
Author(s):  
Kou Mimori ◽  
Takeshi Muneta ◽  
Teruhiko Nakagawa ◽  
Kenichi Shinomiya

1983 ◽  
Vol 29 (4) ◽  
pp. 282-284 ◽  
Author(s):  
Stephen N. Joffe ◽  
John N. Primrose

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021378 ◽  
Author(s):  
Stefan Malmqvist ◽  
Inger Kjaermann ◽  
Knut Andersen ◽  
Anne Marie Gausel ◽  
Inger Økland ◽  
...  

ObjectiveTo explore if pregnant women with pelvic girdle pain (PGP), subgrouped following the results from two clinical tests with high validity and reliability, differ in demographic characteristics and weekly amount of days with bothersome symptoms through the second half of pregnancy.DesignA prospective longitudinal cohort study.ParticipantsPregnant women with pelvic and lumbopelvic pain due for their second-trimester routine ultrasound examination.SettingObstetric outpatient clinic at Stavanger University Hospital, Norway.MethodsWomen reporting pelvic and lumbopelvic pain completed a questionnaire on demographic and clinical features. They were clinically examined following a test procedure recommended in the European guidelines for the diagnosis and treatment of PGP. Women without pain symptoms completed a questionnaire on demographic data. All women were followed weekly through an SMS-Track survey until delivery.Primary and secondary outcome measuresThe outcome measures were the results from clinical diagnostic tests for PGP and the number of days per week with bothersome pelvic pain.Results503 women participated. 42% (212/503) reported pain in the lumbopelvic region and 39% (196/503) fulfilled the criteria for a probable PGP diagnosis. 27% (137/503) reported both the posterior pelvic pain provocation (P4) and the active straight leg raise (ASLR) tests positive at baseline in week 18, revealing 7.55 (95% CI 5.54 to 10.29) times higher mean number of days with bothersome pelvic pain compared with women with both tests negative. They presented the highest scores for workload, depressed mood, pain level, body mass index, Oswestry Disability Index and the number of previous pregnancies. Exercising regularly before and during pregnancy was more common in women with negative tests.ConclusionIf both P4 and ASLR tests were positive mid-pregnancy, a persistent bothersome pelvic pain of more than 5 days per week throughout the remainder of pregnancy could be predicted. Increased individual control over work situation and an active lifestyle, including regular exercise before and during pregnancy, may serve as a PGP prophylactic.


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