The association between pelvic girdle pain and sick leave during pregnancy; a retrospective study of a Norwegian population

Autor: Inger Økland, Jan Petter Larsen, Stefan Malmqvist, Inger Kjærmann, Kolbjørn Brønnick, Knut Andersen
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Adult
Sleep Wake Disorders
medicine.medical_specialty
Longitudinal study
Activities of daily living
Multivariate analysis
Lifting
bekkenløsning
Population
Physical Exertion
Posture
Reproductive medicine
sick leave
Workload
graviditet
Job Satisfaction
Disability Evaluation
Young Adult
pelvic girdle pain
Surveys and Questionnaires
Obstetrics and Gynaecology
Activities of Daily Living
medicine
Humans
education
Pain Measurement
Retrospective Studies
Pregnancy
education.field_of_study
business.industry
Norway
Obstetrics and Gynecology
Pelvic girdle pain
medicine.disease
Pregnancy Complications
coping
sykemelding
Sick leave
Physical therapy
Educational Status
Female
pregnancy
medicine.symptom
business
Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 [VDP]
Research Article
Zdroj: BMC Pregnancy and Childbirth
Popis: This article was originally published in BMC Pregnancy and Childbirth. It is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Background: The incidence of pelvic girdle pain (PGP) in pregnancy is wide ranged depending on definition, the utilised diagnostic means, and the design of the studies. PGP during pregnancy has negative effects on activities of daily living and causes long sick leave, which makes it a major public health issue. Our objectives were to explore the frequency of sick leave in pregnancy due to PGP, assess the relationship between different types of pain-related activities of daily living, examine physical workload, type of work in relation to sick leave, and to explore factors that make women less likely to take sick leave for PGP. Methods: All women giving birth at the maternity ward of Stavanger University Hospital, Norway, were asked to participate and complete a questionnaire on demographic features, PGP, pain-related activities of daily living, sick leave in general and for PGP, frequency of exercising before and during pregnancy. Drawings of pelvic girdle and low back area were used for the localization of pain. PGP intensity was then rated retrospectively on a numerical rating scale. Non-parametric tests, multinomial logistic regression and sequential linear regression analysis were used in the statistical analysis. Results: PGP is a frequent and major cause of sick leave during pregnancy among Norwegian women, which is also reflected in activities of daily living as measured with scores on all Oswestry disability index items. In the multivariate analysis of factors related to sick leave and PGP we found that work satisfaction, problems with lifting and sleeping, and pain intensity were risk factors for sick leave. In addition, women with longer education, higher work satisfaction and fewer problems with sitting, walking and standing, were less likely to take sick leave in pregnancy, despite the same pain intensity as women being on sick leave. Conclusions: A coping factor in pregnant women with PGP was discovered, most likely dependant on education, associated with work situation and/or work posture, which decreases sick leave. We recommend these issues to be further examined in a prospective longitudinal study since it may have important implications for sick leave frequency during pregnancy.
Databáze: OpenAIRE
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