Prevalence of Postpartum Low Back Pain : Analysis of the Risk and Protective Factors
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2010-05-22
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Faculty of Medicine, Khon Kaen University
Abstract
\ Objective.\ To eveluate the prevalence, severity and clinical risk associated with postpartum low back pain among otherwise healthy Thai women.\ Methods.\ Two hundred women attentding the well baby clinic at srinagarind Hospital were randomly selected for study to identify postpartum patients with symptomatic low back pain.\ A complete history and physical examination wer performed by an orthopaedic suregeon and a physiatist.\ Data included any history of back pain and a visula analog scale for pain.\ Results.\ At an average of 8.3 6.5 months postpartum, patients with a mean age of 27.1 4.5 years, exhibited a 35.5% [17/200 women] prevalence of symptomatic low back pain.\ Among the symptomatic group, average pain scale was 30.1 26.7 and 90% had required bed rest to achieve relief.\ Analysis disclosed a significantly [P\<0.001] greater parity and higher frequency of prior back pain among the symptomatic group.\ Patient age and family income were not different by group.\ Symptomatic women were significantly [P\<0.001] less likely to have been compliant with the thai traditional postpartum ritual.\ Conclusions.\ The prevalence data from this study are consistent with those of other studies except for the lack of a correlation with socioeconomic status.\ The Thai-traditional postpartum ritual may be protective against postpartum back pain but the factors responsible for that effect remain uncertain.
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Srinagarind Medical Journal (SMJ); Vo. 10 No. 1 January - March 1995; 7-12