Prevalence and Factors Associated with Pelvic Girdle Pain During Pregnancy in Australian Women: A Cross-Sectional Study. Issue 14 (15th July 2021)

• Record Type: Journal Article
• Authors: Ceprnja, Dragana; Chipchase, Lucinda; Fahey, Paul; Liamputtong, Pranee; Gupta, Amitabh
• Is Part Of: Spine. Volume 46:Issue 14(2021)
• Publication Date: 2021-07-15
• Subjects: associated factors -- pelvic girdle pain -- pregnancy -- prevalence; Spine -- Abnormalities -- Periodicals; Spine -- Diseases -- Periodicals; Spine -- Surgery -- Periodicals; 616.73005
• DOI: 10.1097/BRS.0000000000003954
• Languages: English
• ISSNs: 0362-2436

Abstract

Abstract : Study Design: Cross-sectional study conducted between December 2017 and October 2019. Objective: To determine the prevalence and risk factors associated with pregnancy-related pelvic girdle pain (PPGP) in Australia. Summary of Background Data: PPGP is a common condition worldwide yet the prevalence and associated risk factors are not known in Australia. Methods: A random sample of pregnant women (N = 780) of (mean [SD]) 31 (5) years of age between 14 and 38 weeks gestation attending ante-natal care in a tertiary referral hospital in Sydney, Australia was conducted. The main outcome measure was point-prevalence of PPGP as classified by recommended guidelines including a physical examination. A number of potential risk factors, including socio-demographic characteristics, country of birth, ethnicity, history of low back pain (LBP) and PPGP, family history of PPGP, occupational factors, and physical activity were investigated with logistic regression. Results: The point-prevalence of PPGP in a random sample of 780 Australian women was 44% with the odds of having PPGP increasing with each additional week of gestation (odds ratio [OR]) (OR 1.02). Increasing parity ( P = 0.03, OR 1.15), country of birth ( P = 0.03), and greater duration of time spent standing ( P = 0.009, OR 1.06) were associated with PPGP. The strongest predictors of PPGP were previous LBP and/or PPGP both pregnancy ( P < 0.001, OR 4.35) and not pregnancy related ( P < 0.001, OR 2.24), and a family history of PPGP ( P < 0.001, OR 3.76). Conclusion: The prevalence of PPGP in Australian women was high with almost half the sample classified with PPGP, matching data reported worldwide. The identified risk factors associated with PPGP can be included in routine ante-natal care to screen women and identify those at risk of this common and disabling condition. Level of Evidence: 1 Abstract : Supplemental Digital Content is available in the textThe point-prevalence of pregnancy-related pelvic girdle pain (PPGP) in a large random sample of Australian women was 44%. The identified risk factors associated with PPGP included parity, country of birth, greater duration of time spent standing, previous low back pain and/or pelvic girdle pain, and a family history of PPGP.