A new study of working women has identified factors in pregnancy and postpartum that can predict pain in the joints that comprise the hip. While 90 percent of working women inside Netherlands resume work following your birth of the first child, health problems in the postpartum period often require sick leave. Chief among these medical concerns is pelvic arch pain (PGP).
“You will need to identify predictors for postpartum PGP, because physicians, obstetricians, midwives, and employers are able to use them to identify women at risk for PGP and develop and implement safety measures,” says lead investigator Mireille N.M. van Poppel, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam. “These professionals may give extra guidance directed at preventing PGP while being pregnant or perhaps in the early postpartum period to women at risk for developing postpartum PGP.” The learning team administered surveys to 548 pregnant Dutch employees from 15 companies at three different time intervals: 30 weeks of pregnancy and 6 and 12 weeks postpartum.
The survey posed demographic, work-related, pregnancy-related, fatigue, psychosocial, pelvis pain-related, and delivery-related questions. To participate in case study, workers must work for leastways 12 hours a week during their pregnancy, and have the intention to return to work after maternity leave.
The study found that PGP existed among 73 percent with the respondents at 30 weeks of being pregnant, 48 percent between 0 and 6 weeks postpartum and 43 percent between 6 and 12 weeks postpartum. In analyzing the analysis data, investigators developed two statistical models, one for pregnancy-related predictors then one for pregnancy- and postpartum-related predictors. Getting pregnant model determined which the following can predict PGP at 12 weeks after birth: Good reputation for low back pain, higher somatization (a disorder through which people experience unexplained headaches, stomachaches, breathlessness, nausea, etc.), in excess of 8 hours of sleep or rest a day, and uncomfortable positions at the office.
Pregnancy and postpartum-related predictors of PGP included: increasing disability, having PGP, and mean pain at 6 weeks; higher somatization during pregnancy and also at 6 weeks after delivery; higher birth weight in the baby; uncomfortable positions at the office; as well as the length of time of bed rest (the larger the number of days, the less risk of PGP). “More somatization, more time of sleep or rest, with no times of bedrest after delivery were discovered to be associated with a higher risk of PGP, and those are new findings,” says van Poppel.
“While somatization is a predictor of chronic back pain and ibs, it offers not been previously reported being a predictor of PGP. One explanation may be that girls who have PGP probably possess a higher understanding their bodily sensations. Alternatively, ladies who have mental problems might somatize and report PGP consequently.” Investigators request further research to verify the role of sleep and somatization when pregnant and bedrest after delivery relative to PGP.
Abstract of this article is as following.
The objective of this study was to examine which factors during pregnancy and postpartum predict pelvic girdle pain (PGP) at 12weeks postpartum among working women. A total of 548 Dutch pregnant employees were recruited in 15 companies, mainly health care, child care, and supermarkets. The definition of PGP was any pain felt in the pelvic girdle region at 12weeks postpartum. Participants received questionnaires at 30weeks of pregnancy and at 6 and 12weeks postpartum with demographic, work-related, pregnancy-related, fatigue, psychosocial, PGP-related and delivery-related questions. Univariate and multiple logistic regression analyses were performed. Almost half of the women experienced pain in their pelvic girdle at 12weeks postpartum. However, the level of pain and the degree of disability due to postpartum PGP was low. Pregnancy-related predictors for PGP at 12weeks were history of low back pain, higher somatisation, more than 8hours of sleep or rest per day, and uncomfortable postures at work. The pregnancy and postpartum-related predictors were: more disability at 6weeks, having PGP at 6weeks, higher mean pain at 6weeks, higher somatisation during pregnancy and at 6weeks postpartum, higher birth weight of the baby, uncomfortable postures at work and number of days of bed rest. Based on these results, it is concluded that extra attention should be given to women who experience PGP during pregnancy to prevent serious PGP during late pregnancy and postpartum. More research is needed to confirm the roles of hours of sleep, somatisation, and bed rest in relation to PGP.
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“Predictors for postpartum pelvic girdle pain in working women: The Mom@Work cohort study,” by Suzanne G.M. Stomp-van den Berg, Ingrid J.M. Hendriksen, David J. Bruinvels, Jos W.R. Twisk, Willem van Mechelen, Mireille N.M. van Poppel
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