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KMID : 0894219980040010071
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Journal of Korean Academy of Orthopaedic Manual Therapy
1998 Volume.4 No. 1 p.71 ~ p.82
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Prevalence of back pain in pregnancy
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Abstract
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The purpose of this study is to analyze the phases of back pain occurring on pregnant women. and to raise the necessity of the pain management on the basis of the former analysis. The objective group is 284 pregnant women who visited department of OBGY of hospital located both in Seoul and Andong.
The results are as follows:
1. 204(71.8%) pregnant women were suffering from back pain. The ratio of pain occurrance in terms of the duration of pregnancy shows that 78.3% within 3 pregnant months, 68.4% between four and six months and 72.1% over seven month. Most common ares of pain was low back area rating 60.5%.
2. The most painful postural for the suffering women was lying on the back rating 35.9% and the next painful posture was standing rating 34.4%. And the most painful movement was to maintaining continues movement(57.8%). Twisting back rates the second(17.2%). These two variables were relevant each other(p<0.05).
3. 46.7% of pregnant women were experiencing nocturnal pain. Among women experienced the pain before pregnancy. 39.9% were suffering during the pregnancy. The occurrence of nocturnal pain was related to the pain before and after the pregnancy(p<0.05%).
4. 58.8% of pregnant women who experientce back pain take the pain for granted as a normal proceeding of pregnancy while 3.9% recognize the symptom as an abnormal. Pain recognition in accordance with the phases does not show much difference(p<0.05).
5. It is shown that the more one delivers the number of babies. the faster back pain occurs(p<0.01).
6. 32.3% of the pain-suffering women have family member(s) having back pain. Family memeber(s) of the women who does not experience the pain don´t have the pain either. This case reports 46.1%. Statistically, these two variables are relevant(p<0.01).
7. 43.0% of back pain experiencing women does not have any particular management plan against the pain. 20.7% is exercising as for prevention. Women who recognize the necessity of some means of therapy for their marked 42.9%. The majority(65.8%) of women responded exercise gymnastic work-out are most appropriate pain management.
The above results show that a great number of pregnant women is experiencing back pain. however, they properly managed. This span sugests that appropriate advocacy and educaion for pregnant women is necessary. It is recommended that positive contribution can be made to better health of pregnant women when pain management by physical therapist is given.
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