Prevalence of Neck and Low Back Pain in Women During Post-Partum Period
Neck and Back Pain During Post-Partum
DOI:
https://doi.org/10.55735/hjprs.v2i4.93Keywords:
lower back pain, neck pain, pregnancy, prevalenceAbstract
Background: Due to the changes in the woman's body during and after birth, neck and back pain are common complaints among postpartum women. Objective: To determine the prevalence of neck and low back pain in the post-partum period of pregnancy. Methods This descriptive cross-sectional study was carried out within six months after the approval of the synopsis. After receiving their written consent, participants from the Jinnah and Services hospitals were given a standard questionnaire to complete. Pregnant females aged between 20-40 years of age were included in the study. Those having complications like gestational diabetes, pre-eclampsia or other serious conditions were excluded from the study. A predesigned Nordic questionnaire was utilized for the data collection purpose. A total of 19 closed-ended questions were included in the survey, covering the subjects' demographic information, parity, recent C-section or normal delivery, physical activity, low back and neck pain during the postpartum period. After completing the questionnaire, data was gathered to assess the prevalence of neck and low back pain. Using SPSS 22.0, the data was analyzed and for the quantitative variables, means and standard deviations were computed, while the qualitative variables were shown as frequency and percentage. Results: Among 119 postpartum women, 53 (44.5%) had a normal vaginal birth and 66 (55.5%) had the cesarean mode of delivery, 43 (36.1%) were breastfeeding, 22 (18.49%) were bottle-feeding and 54 (45.38%) were given both. In 12 months, 62 (52.10%) reported neck pain, whereas 80 (67.23%) reported low back pain. Women experiencing neck pain were 53(44.54%) and 72(60.50%) in the previous 7 days respectively. Conclusion: The study revealed that the frequency of neck pain and lower back pain was found to be 44.54% and 60.5% respectively in pregnant females.
References
Piazze J, Palma E, Recchia F, et al. Obstetrics and Gynaecology Cases-Reviews. 2016.
https://pdfs.semanticscholar.org/8814/51634eac2332257aa7fd5f5c078230c816cf.pdf
Wisner KL, Stika CS, Clark CT. Double duty: does epidural labor analgesia reduce both pain and postpartum depression? Anesthesia and analgesia 2014; 119(2): 219. doi:10.1213/ANE.0000000000000322
Auvinen JP, Tammelin TH, Taimela SP, et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. European Spine Journal 2010; 19(4): 641-9.
https://doi.org/10.1007/s00586-009-1215-2
Bergström C, Persson M, Nergård K-A, Mogren I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC musculoskeletal disorders 2017; 18(1): 1-13.
https://doi.org/10.1186/s12891-017-1760-5
Kesikburun S, Güzelküçük Ü, Fidan U, Demir Y, Ergün A, Tan AK. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Therapeutic advances in musculoskeletal disease 2018; 10(12): 229-34. https://doi.org/10.1177/1759720X18812449
Bergström C, Persson M, Mogren I. Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and/or pelvic girdle pain at 14 months postpartum. Chiropractic & manual therapies 2016; 24(1): 1-11. https://doi.org/10.1186/s12998-016-0088-9
Stuber KJ, Wynd S, Weis CA. Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature. Chiropractic & manual therapies 2012; 20(1): 1-7. https://doi.org/10.1186/2045-709X-20-8
Iwata H, Mori E, Maehara K, Sakajo A, Aoki K, Tamakoshi K. Shoulder stiffness, back pain, and wrist pain: Are older primiparas more vulnerable? International Journal of Nursing Practice 2018; 24: e12654. https://doi.org/10.1111/ijn.12654
Schytt E, Lindmark G, Waldenström U. Physical symptoms after childbirth: prevalence and associations with self‐rated health. BJOG: An International Journal of Obstetrics & Gynaecology 2005; 112(2): 210-7. https://doi.org/10.1111/j.1471-0528.2004.00319.x
Graham W, Woodd S, Byass P, et al. Diversity and divergence: the dynamic burden of poor maternal health. The Lancet 2016; 388(10056): 2164-75.
https://doi.org/10.1016/S0140-6736(16)31533-1
Shrestha Pradhan S, Shiwakoti S, Pradhan S, Shrestha S. Fertility Awareness, Intentions Related to Childbearing and Attitudes toward Parenthood among University Level Students of Kathmandu. CHIEF EDITOR 2018; 2: 3-9. https://www.dhulikhelhospital.org/old/images/nursing-journal/THE_CLIFF_Nursing_Journal_2019.pdf.pdf#page=8
Romano M, Cacciatore A, Giordano R, La Rosa B. Postpartum period: three distinct but continuous phases. Journal of prenatal medicine 2010; 4(2): 22.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279173/
Koyasu K, Ueyama N, Tannikawa Y. Physiological evaluation of neck and shoulder pain (Katakori in Japanese) in postpartum Japanese women. J Womens Health, Issues Care 2016; 5 2015; 2. https://doi.org/10.1007/s00776-011-0177-5
Östgaard HC, Roos-Hansson E, Zetherström G. Regression of back and posterior pelvic pain after pregnancy. Spine 1996; 21(23): 2777-80.
Laurent H, Goodman SH, Stowe ZN, et al. Course of ante-and postnatal depressive symptoms related to mothers’ HPA axis regulation. Journal of abnormal psychology 2018; 127(4): 404. https://doi.org/10.1037/abn0000348
Khorsan R, Hawk C, Lisi AJ, Kizhakkeveettil A. Manipulative therapy for pregnancy and related conditions: a systematic 1. Piazze J, Palma E, Recchia F, et al. Obstetrics and Gynaecology Cases-Reviews. 2016.
https://pdfs.semanticscholar.org/8814/51634eac2332257aa7fd5f5c078230c816cf.pdf
Wisner KL, Stika CS, Clark CT. Double duty: does epidural labor analgesia reduce both pain and postpartum depression? Anesthesia and analgesia 2014; 119(2): 219. doi:10.1213/ANE.0000000000000322
Auvinen JP, Tammelin TH, Taimela SP, et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. European Spine Journal 2010; 19(4): 641-9.
https://doi.org/10.1007/s00586-009-1215-2
Bergström C, Persson M, Nergård K-A, Mogren I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC musculoskeletal disorders 2017; 18(1): 1-13.
https://doi.org/10.1186/s12891-017-1760-5
Kesikburun S, Güzelküçük Ü, Fidan U, Demir Y, Ergün A, Tan AK. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Therapeutic advances in musculoskeletal disease 2018; 10(12): 229-34. https://doi.org/10.1177/1759720X18812449
Bergström C, Persson M, Mogren I. Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and/or pelvic girdle pain at 14 months postpartum. Chiropractic & manual therapies 2016; 24(1): 1-11. https://doi.org/10.1186/s12998-016-0088-9
Stuber KJ, Wynd S, Weis CA. Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature. Chiropractic & manual therapies 2012; 20(1): 1-7. https://doi.org/10.1186/2045-709X-20-8
Iwata H, Mori E, Maehara K, Sakajo A, Aoki K, Tamakoshi K. Shoulder stiffness, back pain, and wrist pain: Are older primiparas more vulnerable? International Journal of Nursing Practice 2018; 24: e12654. https://doi.org/10.1111/ijn.12654
Schytt E, Lindmark G, Waldenström U. Physical symptoms after childbirth: prevalence and associations with self‐rated health. BJOG: An International Journal of Obstetrics & Gynaecology 2005; 112(2): 210-7. https://doi.org/10.1111/j.1471-0528.2004.00319.x
Graham W, Woodd S, Byass P, et al. Diversity and divergence: the dynamic burden of poor maternal health. The Lancet 2016; 388(10056): 2164-75.
https://doi.org/10.1016/S0140-6736(16)31533-1
Shrestha Pradhan S, Shiwakoti S, Pradhan S, Shrestha S. Fertility Awareness, Intentions Related to Childbearing and Attitudes toward Parenthood among University Level Students of Kathmandu. CHIEF EDITOR 2018; 2: 3-9. https://www.dhulikhelhospital.org/old/images/nursing-journal/THE_CLIFF_Nursing_Journal_2019.pdf.pdf#page=8
Romano M, Cacciatore A, Giordano R, La Rosa B. Postpartum period: three distinct but continuous phases. Journal of prenatal medicine 2010; 4(2): 22.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279173/
Koyasu K, Ueyama N, Tannikawa Y. Physiological evaluation of neck and shoulder pain (Katakori in Japanese) in postpartum Japanese women. J Womens Health, Issues Care 2016; 5 2015; 2. https://doi.org/10.1007/s00776-011-0177-5
Östgaard HC, Roos-Hansson E, Zetherström G. Regression of back and posterior pelvic pain after pregnancy. Spine 1996; 21(23): 2777-80.
Laurent H, Goodman SH, Stowe ZN, et al. Course of ante-and postnatal depressive symptoms related to mothers’ HPA axis regulation. Journal of abnormal psychology 2018; 127(4): 404. https://doi.org/10.1037/abn0000348
Khorsan R, Hawk C, Lisi AJ, Kizhakkeveettil A. Manipulative therapy for pregnancy and related conditions: a systematic review. Obstetrical & gynecological survey 2009; 64(6): 416-27.
DOI: 10.1097/OGX.0b013e31819f9ddf
Russell R, Groves P, Taub N, O'Dowd J, Reynolds F. Assessing long term backache after childbirth. British Medical Journal 1993; 306(6888): 1299-303. doi: https://doi.org/10.1136/bmj.306.6888.1299
Bastiaenen CH, de Bie RA, Vlaeyen JW, et al. Long-term effectiveness and costs of a brief self-management intervention in women with pregnancy-related low back pain after delivery. BMC Pregnancy and Childbirth 2008; 8(1): 1-14. https://doi.org/10.1186/1471-2393-8-19
Desai G, Sunil Kumar G, Manoj L, et al. Prevalence & correlates of chronic perinatal pain–a study from India. Journal of Psychosomatic Obstetrics & Gynecology 2019; 40(2): 91-6.
https://doi.org/10.1080/0167482X.2017.1405258
Brown S, Lumley J. Maternal health after childbirth: results of an Australian population based survey. BJOG: An International Journal of Obstetrics & Gynaecology 1998; 105(2): 156-61.
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