Pregnancy and Pelvic Girdle Pain

2017 ◽  
Vol 107 (4) ◽  
pp. 299-306 ◽  
Author(s):  
Floriane Kerbourc'h ◽  
Jeanne Bertuit ◽  
Véronique Feipel ◽  
Marcel Rooze

Background: A woman's body undergoes many changes during pregnancy, and it adapts by developing compensatory strategies, which can be sources of pain. We sought to analyze the effects of pregnancy and pelvic girdle pain (PGP) on center of pressure (COP) parameters during gait at different speeds. Methods: Sixty-one healthy pregnant women, 66 women with PGP between 18 and 27 weeks of pregnancy, and 22 healthy nonpregnant women walked at different velocities (slow, preferential, and fast) on a walkway with built-in pressure sensors. An analysis of variance was performed to determine the effects of gait speed and group on COP parameters. Results: In healthy pregnant women and women with PGP, COP parameters were significantly modified compared with those in nonpregnant women (P < .01). Support time was increased regardless of gait speed, and anteroposterior COP displacement was significantly decreased for women with PGP compared with healthy pregnant women. In addition, mediolateral COP displacement was significantly decreased in pregnant women compared with nongravid women. Conclusions: Gait speed influenced COP displacement and velocity parameters, and gait velocity potentiated the effect of pregnancy on the different parameters. Pelvic girdle pain had an influence on COP anteroposterior length only. With COP parameters being only slightly modified by PGP, the gait of pregnant women with PGP was similar to that of healthy pregnant women but differed from that of nonpregnant women.

Bone ◽  
2010 ◽  
Vol 47 ◽  
pp. S237 ◽  
Author(s):  
V. Barkatsa ◽  
G. Wozniak ◽  
N. Syrmos ◽  
C. Iliadis ◽  
Z. Roupa

2019 ◽  
Vol 68 ◽  
pp. 45-52 ◽  
Author(s):  
Lene Christensen ◽  
Marit B. Veierød ◽  
Nina K. Vøllestad ◽  
Vidar E. Jakobsen ◽  
Britt Stuge ◽  
...  

BMJ ◽  
2005 ◽  
Vol 330 (7494) ◽  
pp. 761 ◽  
Author(s):  
Helen Elden ◽  
Lars Ladfors ◽  
Monika Fagevik Olsen ◽  
Hans-Christian Ostgaard ◽  
Henrik Hagberg

Author(s):  
Sarah Fogarty, PhD ◽  
Catherine McInerney ◽  
Phillipa Hay, PhD

Background: Pregnancy-related pelvic girdle pain (PPGP) significantly impacts women’s lives both physically and psychologically. Given the severity and impact of PPGP on pregnancy, the authors anticipated that pregnant women with PPGP might respond differently to massage than pregnant women without PPGP. Purpose: The aim of the study was to further analyze a published 2017 study to assess the response of pregnancy massage in participants with and without PPGP. Setting: Two massage clinics, one in Sydney and one in Melbourne, recruited participants from December 2016 to December 2017. Participants: Nineteen women with PPGP and 78 without PPGP. Research Design: PPGP and non-PPGP women receiving at least one massage, with outcome measures assessed immediately prior to and after massage, and again one week post-massage. Main Outcome Measures: Visual analog scales for pain, stress, range of movement, sleep, and self-reported side effects of massage. Results: Both groups changed significantly and similarly over time for measures of pain, stress, range of motion, and sleep (all p < .05). Post hoc analysis found significant reduction in all outcome measures immediately following massage, but returned to baseline at one week post-massage for all measures except pain, which remained reduced for the PPGP group (49.79±25.68 to 34.75±34.75, p = .03, effect size 0.593), and stress remained reduced in the non-PPGP group (33.36±21.54 to 24.90±19.18, p = .002, effect size 0.373). The PPGP group entered the study with higher baseline levels of pain (p = .01) and a greater restriction in range of motion (p = .006) than the non-PPGP group. There was no difference in the number of side effects experienced between the two groups (p = .130). Conclusions: Although PPGP clients report greater pain and restriction in range of motion at baseline than non-PPGP clients, the response to pregnancy massage was similar. Results support a role of pregnancy massage in the management of PPGP. More research on massage for PPGP is needed to confirm a lasting effect of pain reduction from massage.


2020 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Solomon Gedlu ◽  
Balamurugan Janakiraman

Abstract Background: Pelvic girdle pain (PGP) is a commonly reported maternal morbidity that negatively impacts the well-being of women during pregnancy and extends long term into the post-partum period. The burden of maternal morbidity; including pregnancy-related PGP; has been overlooked in Ethiopia to date. This study aimed to determine the prevalence and identify factors associated with pelvic girdle pain during pregnancy in North West Ethiopia.Methods: A hospital-based cross-sectional study was conducted among pregnant women visiting the antenatal care clinic in Obstetrics ‘outpatient department at the University of Gondar comprehensive specialized hospital in Gondar. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Univariate and multivariable logistic regression model analyses were used to identify factors associated with PGP. Results: A total of 424 participants with gestational ages ranging from 6 to 39 weeks participated in this study. The age of the study participants ranged from 18 to 44 years with a mean age of (27 ±4.6 years). The overall cumulative prevalence of pelvic girdle pain among pregnant women was 103 (24.3%), 95% CI (20.3, 28.8). The major associated factors with pelvic girdle pain were previous history of pelvic girdle pain (AOR 16.08; 95% CI, 8.47-30.51), previous history of back pain (AOR 1.66; 95% CI, 1.5-4.24) and having children (AOR 1.42; 95% CI, 1.29-3.76).Conclusion: One-quarter of pregnant Ethiopian women reported pelvic girdle pain. Many respondents endured pain on multiple occasions and association with the previous history of PGP might be an episode of relapse. PGP must be considered a major pregnancy-related morbidity, and progress in the intervention of PGP is vital to enhance the quality of life in this population.


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