• Patricia Andrade Batista, Cláudia de Oliveira, Rafaela Alkmin da Costa, FranciscoRossana Pulcineli VieiraRPVDepartment of Obstetrics and Gynecology, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil., and Fabio Roberto Cabar.
• Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil. Electronic address: pab.fisio@gmail.com.
• Clinics (Sao Paulo). 2024 Jan 1; 79: 100325100325.

IntroductionPregnancy and diabetes mellitus promote several musculoskeletal changes predisposing this population to complaints of Lower Back (LB) and Pelvic Pain (PP).ObjectiveTo assess the frequency of LB and PP and associated factors in type 1 Diabetic (DM1) pregnant women.MethodAn observational analytical cross-sectional study. Thirty-six pregnant women with DM1 were evaluated through a postural assessment with a focus on pelvic positioning and what patients reported. The associated factors were assessed using the State-Trait Anxiety Inventory (STAI), the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Female Sexual Function Index (FSFI).ResultsThe frequency of LB and PP was 55.6 % and 30.6 %, respectively. The presence of anxiety was not associated with a higher prevalence of pain. The incidence of sexual dysfunctions was higher in the GD. DM1 duration had a mean of 14.9 years (± 8.2 SD) in the GD and 9.0 years (± 6.9 SD) in the GSD, which was statistically significant (p ≤ 0.050). In the multiple binary regression analysis for the occurrence of pain, the independent factor was DM1 duration ≥ 17 years (OR = 11.2; 95 % CI = 1.02‒124.75). The association between DM1 duration ≥ 17 years and being overweight showed a probability of 95 % for the studied population in the analysis of the probabilities of occurrence of the pain event.ConclusionThere was a high frequency of LB and PP related to pregnancy in DM1 pregnant women in the second trimester of pregnancy. The incidence of sexual dysfunction and DM1 duration ≥ 17 years increases the chance that DM1 pregnant women will experience pain. There was no association between anxiety. urinary incontinence and pain in DM1 pregnant women.Copyright © 2024 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

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