TY - JOUR

T1 - Low back pain intensity among childbearing women and associated predictors

T2 - A cohort study

AU - Backhausen, Mette G

AU - Bendix, Jane M

AU - Damm, Peter

AU - Tabor, Ann

AU - Hegaard, Hanne K

N1 - Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Low back pain is a common condition among childbearing women, causing physical disability and an increased risk of sick leave and obstetric complications.AIMS: To assess the prevalence and intensity of low back pain during pregnancy, to describe the physical disability and sick leave in relation to the severity of low back pain and to identify predictors of moderate to severe low back pain in socio-demographic, health and obstetric characteristics among childbearing women.METHODS: A cohort study was undertaken (n=566) during August 2015 to March 2016. Questionnaires were used to obtain information about low back pain intensity, physical disability due to low back pain and sick leave at 20 and 32weeks of gestation. Of the 654 eligible women, 87% completed the first questionnaire.FINDINGS: Three out of four reported any low back pain at 20weeks of gestation, and nine out of ten women at 32weeks. Of these women, one in three reported moderate to severe pain at 20weeks, increasing to half of the women at 32weeks. Both sick leave and physical disability increased with increasing low back pain scores. Pre-pregnancy low back pain, multiparity and lower level of education were all identified as predictors of moderate to severe low back pain.CONCLUSIONS: Women with pre-pregnancy low back pain, multiparity and lower level of education, represent the group of women with the highest risk of moderate to severe low back pain during pregnancy and should be payed special attention.

AB - BACKGROUND: Low back pain is a common condition among childbearing women, causing physical disability and an increased risk of sick leave and obstetric complications.AIMS: To assess the prevalence and intensity of low back pain during pregnancy, to describe the physical disability and sick leave in relation to the severity of low back pain and to identify predictors of moderate to severe low back pain in socio-demographic, health and obstetric characteristics among childbearing women.METHODS: A cohort study was undertaken (n=566) during August 2015 to March 2016. Questionnaires were used to obtain information about low back pain intensity, physical disability due to low back pain and sick leave at 20 and 32weeks of gestation. Of the 654 eligible women, 87% completed the first questionnaire.FINDINGS: Three out of four reported any low back pain at 20weeks of gestation, and nine out of ten women at 32weeks. Of these women, one in three reported moderate to severe pain at 20weeks, increasing to half of the women at 32weeks. Both sick leave and physical disability increased with increasing low back pain scores. Pre-pregnancy low back pain, multiparity and lower level of education were all identified as predictors of moderate to severe low back pain.CONCLUSIONS: Women with pre-pregnancy low back pain, multiparity and lower level of education, represent the group of women with the highest risk of moderate to severe low back pain during pregnancy and should be payed special attention.

KW - Adult

KW - Cohort Studies

KW - Educational Status

KW - Female

KW - Humans

KW - Low Back Pain/epidemiology

KW - Parity

KW - Pregnancy

KW - Pregnancy Complications/epidemiology

KW - Prevalence

KW - Risk Factors

KW - Sick Leave/statistics & numerical data

KW - Surveys and Questionnaires

KW - Young Adult

U2 - 10.1016/j.wombi.2018.09.008

DO - 10.1016/j.wombi.2018.09.008

M3 - Journal article

C2 - 30274876

VL - 32

SP - e467-e476

JO - Women and Birth

JF - Women and Birth

SN - 1871-5192

IS - 4

ER -