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Silva C.G.G.1, Albuquerque D.B.L.d.1,2, Andrade C.2, Lira P.I.C.2, Bitencourt R.3, Matos D.3, Freitas R.D.3, Fernandes L.3, Lemos A.2,3
1Mauricio de Nassau University Center, Department of Physical Therapy, Recife, PE, Brazil, 2Federal University of Pernambuco, Graduate Program in Health of Children and Adolescents, Recife, PE, Brazil, 3Federal University of Pernambuco, Department of Physical Therapy, Recife, PE, Brazil
Background: Due to biological immaturity and unfavorable psychosocial conditions, it is conjectured that adolescent pregnancy can increase the risk of pelvic girdle pain. Although many studies have related various risk factors for pelvic girdle pain in adult pregnant women, the evidence for pregnant adolescents remains unclear.
Purpose: To evaluate the association of lumbopelvic pain prior to pregnancy and other potential factors with the development of pelvic girdle pain in pregnant adolescents.
Methods: This case-control study involved 73 pregnant adolescents with the presence of pelvic girdle pain and 331 pregnant women without pelvic girdle pain. Pregnant adolescents, in the age group 10 to 19 years, between the 28th and 40th gestational week and with pelvic girdle pain were included in the case group. The diagnosis of cases was confirmed by positive score in pain provocation tests. The control group presented the same criteria except for the presence of pelvic girdle pain. Pregnant adolescents with osteoarticular disorders, neuromuscular disorders, previous surgery of the spine, pelvis or femur and with neoplasms were excluded. A logistic regression model was used to identify whether lumbopelvic pain prior to pregnancy would be associated with the occurrence of pelvic girdle pain, controlling for other confounding factors. The variables considered for the model were sociodemographic (age, marital status, years of education, family income), anthropometric (maternal height, weight, current and pre-pregnancy BMI, weight gain), gynecological (age at menarche and gynecological age, use of contraception, lower back pain during menstruation), obstetrical (parity, interval between pregnancies), musculoskeletal (previous lower back pain in pregnancy), psychosocial (common mental disorder), and those related to lifestyle (smoking, physical activity), as well as occupation and strenuous work. This study was approved by the Research Ethics Committee of the Federal University of Pernambuco
(CAAE: 16489013.0.0000.5208).
Results: There was no association between prior lumbopelvic pain in pregnancy and the presence of pelvic girdle pain. Common mental disorder (OR: 2.27; 95% CI: 1.23 to 4.18), lower back pain during menstruation (OR: 2.10; 95% CI: 1.16 to 3.80) and hard work (OR: 1.95; 95% CI: 1.13 to 3.35) were associated with pelvic girdle pain in the pregnant adolescents.
Conclusion(s): The presence of lower back pain during menstruation and a common mental disorder increased the chance of the pregnant adolescent experience pain in the pelvic girdle by 2 times and strenuous work by 1.95 times. Screening for these factors in the prenatal period makes it possible to implement early preventive measures.
Implications: The study aims to improve the quality of life in pregnant adolescents and its method awareness of them.
Funding acknowledgements: no.
Topic: Musculoskeletal
Ethics approval: Ethics Committee of the Federal University of Pernambuco (CAAE: 16489013.0.0000.5208).
All authors, affiliations and abstracts have been published as submitted.
