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Physiother Theory Pract · Feb 2014
Pelvic girdle pain in Indian postpartum women: a cross-sectional study.
- Prashant Mukkannavar, B R Desai, Umasankar Mohanty, Shweta Kulkarni, Vijeta Parvatikar, and Sneha Daiwajna.
- SDM College of Physiotherapy , Dharwad, Karnataka , India .
- Physiother Theory Pract. 2014 Feb 1; 30 (2): 123-30.
UnlabelledDuring pregnancy or postpartum period many women will experience some degree of pelvic girdle pain (PGP). In India, there is no information about the PGP prevalence and its associated factors evaluated during postpartum period.PurposeTo reveal the prevalence of PGP postpartum in Indian women and identify associated factors with PGP postpartum.MethodsIn this cross-sectional study, 284 postpartum women completed a questionnaire and underwent clinical examinations. The clinical examination included pain provocation tests for the pelvic as well as the active straight leg raise (ASLR) test. Possible associating factors were studied by using nonparametric tests and logistic regression analysis.ResultsA total of 116 postpartum women (41%) had reported PGP at the time of the examination. A stepwise logistic regression analysis was performed to reveal associated factors. In the final model, factors such as (1) Caesarean delivery (adjusted OR, 2.0; 95% CI, 1.3-4.9); (2) ASLR test score ≥4 (adjusted OR, 2.3; 95% CI, 1.2-3.3); (3) Unilateral P4 test (adjusted OR, 1.8; 95% CI, 1.1-3.0); and (4) Sitting position during feeding (adjusted OR, 1.5; 95% CI, 0.9-2.8) were associated with the PGP.ConclusionWe found a high prevalence of PGP in Indian women during the first three months of postpartum period. Our finding suggests that unilateral posterior pelvic pain provocation test (P4), ASLR test score ≥4, caesarean section delivery and sitting in breast-feeding posture were associated with increased risk of PGP during postpartum.
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