STUDY DESIGN: A follow-up study of women with pelvic pain during pregnancy. OBJECTIVES: To evaluate prognostic factors for pelvic pain. METHODS: Out of a cohort of 870 pelvic pain patients, 598 women, who delivered less than 42 months prior to the follow-up measurement, were selected for follow-up. RESULTS: Data of 430 women were available for analysis with a mean follow-up duration of 18 months postpartum. Forty-three women still experienced moderate or severe pain and were seriously hindered in more than one activity. At intake symptomatic women experienced a higher overall severity of complaints, more walking deficiencies, and mentioned prepregnancy back pain more often and reported labor lasting longer than 18 h 2.5 times more often than asymptomatic women. Explained variance of these factors is small. CONCLUSIONS: Mean 18 months postpartum a small group had moderate or severe pain. Prepregnancy back pain, severity of complaints, and number of walking deficiencies at primary referral as well as duration of labor showed a significant relation with symptoms.
STUDY DESIGN: A follow-up study of women with pelvic pain during pregnancy. OBJECTIVES: To evaluate prognostic factors for pelvic pain. METHODS: Out of a cohort of 870 pelvic painpatients, 598 women, who delivered less than 42 months prior to the follow-up measurement, were selected for follow-up. RESULTS: Data of 430 women were available for analysis with a mean follow-up duration of 18 months postpartum. Forty-three women still experienced moderate or severe pain and were seriously hindered in more than one activity. At intake symptomatic women experienced a higher overall severity of complaints, more walking deficiencies, and mentioned prepregnancy back pain more often and reported labor lasting longer than 18 h 2.5 times more often than asymptomatic women. Explained variance of these factors is small. CONCLUSIONS: Mean 18 months postpartum a small group had moderate or severe pain. Prepregnancy back pain, severity of complaints, and number of walking deficiencies at primary referral as well as duration of labor showed a significant relation with symptoms.
Authors: Leslie A MacDonald; Thomas R Waters; Peter G Napolitano; Donald E Goddard; Margaret A Ryan; Peter Nielsen; Stephen D Hudock Journal: Am J Obstet Gynecol Date: 2013-03-01 Impact factor: 8.661