Pelvic girdle pain in pregnancy: the impact of parity

详细信息    查看全文

• 作者：Elisabeth K. Bjell ; Anne Eskild ; Rune Johansen ; Malin Eberhard-Gran
• 关键词：parity ; pelvic girdle pain ; pelvic girdle syndrome ; pregnancy ; risk factor
• 刊名：American Journal of Obstetrics and Gynecology
• 出版年：2010
• 出版时间：August 2010
• 年：2010
• 卷：203
• 期：2
• 页码：146.e1-146.e6
• 全文大小：222 K

文摘

Objective

The purpose of this study was to estimate the association of parity with pelvic girdle syndrome (PGS; pain in anterior and bilateral posterior pelvis).

Study Design

We included 75,939 pregnant women in the Norwegian Mother and Child Cohort Study. Data were obtained by self-administered questionnaires.

Results

By pregnancy week 30, 15 % of the women had developed PGS. Among first-time mothers, 11 % of the women reported PGS, compared with 18 % of the women with 1 previous delivery and 21 % of women with 2 previous deliveries. The odds ratios for PGS of having had 1 or 2 previous deliveries were 1.9 (95 % confidence interval [CI], 1.9–2.0) and 2.4 (95 % CI, 2.3–2.6), respectively, after adjustment for other study factors. For PGS with severe pain, the corresponding odds ratios were 2.6 (95 % CI, 2.3–2.9) and 3.8 (95 % CI, 3.3–4.3).

Conclusion

The risk of the development of PGS increased with number of previous deliveries, which suggests that parity-related factors play a causal role.