Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and/or pelvic girdle pain at 14 months postpartum

被引：31
作者：
Bergström C. [1 ]
Persson M. [2 ]
Mogren I. [1 ]
机构：
[1] Umeå University, Department of Clinical Sciences, Obstetrics and Gynecology, Umeå
[2] Umeå University, Department of Nursing, Umeå
来源：
Chiropractic & Manual Therapies | / 24卷 / 1期
关键词：
Cohort studies; Female; Healthcare utilisation; Pelvic girdle pain; Postpartum period; Pregnancy; Pregnancy complications; Pregnancy related low back pain; Sick leave;
D O I：
10.1186/s12998-016-0088-9
中图分类号：
学科分类号：
摘要：
Background: Pregnancy related low back pain (PLBP) and pelvic girdle pain (PGP) are considered common complications of pregnancy. The long-term consequences for women with persistent PLBP/PGP postpartum are under-investigated. The main objective was to investigate the prevalence, pattern and degree of sick leave as well as healthcare utilisation and its perceived effect in women with persistent PLBP/PGP at 12 months postpartum. Method: This is a follow-up study of a cohort involving of a sample of women, who delivered from January 1st 2002 to April 30th in 2002 at Umeå University Hospital and Sunderby Hospital, and who reported PLBP/PGP during pregnancy. A total of 639 women were followed-up by a second questionnaire (Q2) at approximately 6 months postpartum. Women with persistent PLBP/PGP at the second questionnaire (N = 200) were sent a third questionnaire (Q3) at approximately 12 months postpartum. Results: The final study sample consisted of 176 women reporting PLBP/PGP postpartum where N = 34 (19.3 %) reported 'no' pain, N = 115 (65.3 %) 'recurrent' pain, and N = 27 (15.3 %) 'continuous' pain. The vast majority (92.4 %) of women reported that they had neither been on sick leave nor sought any healthcare services (64.1 %) during the past 6 months at Q3. Women with 'continuous' pain at Q3 reported a higher extent of sick leave and healthcare seeking behaviour compared to women with 'recurrent' pain at Q3. Most women with persistent PLBP/PGP had been on sick leave on a full-time basis. The most commonly sought healthcare was physiotherapy, followed by consultation with a medical doctor, acupuncture and chiropractic. Conclusion: Most women did not report any sick leave or sought any healthcare due to PLBP/PGP the past 6 months at Q3. However, women with 'continuous' PLBP/PGP 14 months postpartum did report a higher prevalence and degree of sick leave and sought healthcare to a higher extent compared to women with 'recurrent' PLBP/PGP at Q3. Women with more pronounced symptoms might constitute a specific subgroup of patients with a less favourable long-term outcome, thus PLBP/PGP needs to be addressed early in pregnancy to reduce both individual suffering and the risk of transition into chronicity. © 2016 Bergström et al.
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  • [1] Bergstrom C., Persson M., Mogren I., Pregnancy-related low back pain and pelvic girdle pain approximately 14 months after pregnancy - pain status, self-rated health and family situation, BMC Pregnancy Childbirth, 14, (2014)
  • [2] Gutke A., Ostgaard H.C., Oberg B., Predicting persistent pregnancy-related low back pain, Spine (Phila Pa 1976), 33, pp. E386-E393, (2008)
  • [3] Noren L., Ostgaard S., Johansson G., Ostgaard H.C., Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up, Eur Spine J, 11, pp. 267-271, (2002)
  • [4] Vleeming A., Albert H.B., Ostgaard H.C., Sturesson B., Stuge B., European guidelines for the diagnosis and treatment of pelvic girdle pain, Eur Spine J, 17, pp. 794-819, (2008)
  • [5] Kanakaris N.K., Roberts C.S., Giannoudis P.V., Pregnancy-related pelvic girdle pain: an update, BMC Med, 9, (2011)
  • [6] Wu W.H., Meijer O.G., Uegaki K., Mens J.M., Dieen J.H., Wuisman P.I., Et al., Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence, Eur Spine J, 13, pp. 575-589, (2004)
  • [7] Gutke A., Josefsson A., Oberg B., Pelvic girdle pain and lumbar pain in relation to postpartum depressive symptoms, Spine (Phila Pa 1976), 32, pp. 1430-1436, (2007)
  • [8] Albert H.B., Godskesen M., Korsholm L., Westergaard J.G., Risk factors in developing pregnancy-related pelvic girdle pain, Acta Obstet Gynecol Scand, 85, pp. 539-544, (2006)
  • [9] Juhl M., Andersen P.K., Olsen J., Andersen A.M., Psychosocial and physical work environment, and risk of pelvic pain in pregnancy. A study within the Danish national birth cohort, J Epidemiol Community Health, 59, pp. 580-585, (2005)
  • [10] Mogren I., Perceived health, sick leave, psychosocial situation, and sexual life in women with low-back pain and pelvic pain during pregnancy, Acta Obstet Gynecol Scand, 85, pp. 647-656, (2006)
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