Prognostic factors for pregnancy-related pelvic girdle pain, a systematic review

Midwifery
Francesca WuytackCecily Begley

Abstract

Pregnancy-related Pelvic Girdle Pain (PPGP) is a very common complaint. Although many women recover after a birth, about a third continue to have symptoms three months postpartum and 8.5% of women still have persistent symptoms two years afterwards. Knowledge of prognostic factors may help understand the course of PPGP and inform management. To determine the prognostic factors for PPGP by systematically reviewing the literature. Systematic review. We searched PubMed, Embase, CINAHL, PsycINFO, MIDIRS, and ClinicalTrial.gov (15 April 2017) with no filters. Only studies reported in English were included. Two review authors independently selected studies. Any factors that might affect the course of PPGP up to one year postpartum were of interest. We excluded interventions and diagnostic studies. We conducted double independent data extraction, risk of bias and quality of evidence (GRADE) assessment. We identified 4374 citations of which three studies were included in our analysis. Previous low back pain, pain in three to four pelvic locations, and being overweight/obese made recovery 12 weeks postpartum less likely. Six months postpartum, Pelvic Girdle Syndrome (PGS) was more likely to persist in women who used crutches or had seve...Continue Reading

Citations

Jan 18, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Anne Marie GauselInger Økland
Jun 21, 2020·Musculoskeletal Science & Practice·Darren BealesPeter O'Sullivan

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