The effect of gestational diabetes mellitus on occurrence of the pelvic girdle pain and symptom severity in pregnant women

Autor: Nilüfer Kablan, Habibe Ayvacı, Merve Can, Yaşar Tatar, Pınar Kumru, Sadık Şahin
Přispěvatelé: Kablan N., Ayvacı H., Can M., Tatar Y., Kumru P., Şahin S.
Rok vydání: 2022
Předmět:
Social Sciences and Humanities
Social Sciences (SOC)
GDM
Medicine (miscellaneous)
Sağlık Bilimleri
Gestational diabetes mellitus
Clinical Medicine (MED)
TIP
GENEL & DAHİLİ
Pelvic Girdle Pain
Pregnancy
Surveys and Questionnaires
Klinik Tıp (MED)
MEDICINE
GENERAL & INTERNAL
RISK
INSULIN-RESISTANCE
Klinik Tıp
Obstetrics and Gynecology
General Medicine
Tıp
PGP
OBESITY
General Health Professions
Medicine
Sosyal Bilimler (SOC)
Female
Tıp (çeşitli)
Family Practice
EXERCISE
Assessment and Diagnosis
Temel Bilgi ve Beceriler
Genel Tıp
Pathophysiology
INFLAMMATION
Health Sciences
Internal Medicine
Humans
Sosyal ve Beşeri Bilimler
Aile Sağlığı
Dahiliye
Patofizyoloji
IL-6
Internal Medicine Sciences
Fundamentals and Skills
Dahili Tıp Bilimleri
CLINICAL MEDICINE
Değerlendirme ve Teşhis
Pregnancy Complications
Diabetes
Gestational
Pregnant Women
Genel Sağlık Meslekleri
Zdroj: Journal of Obstetrics and Gynaecology. 42:2058-2063
ISSN: 1364-6893
0144-3615
Popis: The primary objective of this study was to examine the effect of gestational diabetes mellitus (GDM) on pelvic girdle pain (PGP) occurrence and symptom severity. Pregnant women who were with/without GDM, 20-40 years of age, and also in the second and third trimesters of pregnancy were included in the study. PGP provocation tests were administered to 187 pregnant women to determine the presence and severity of PGP. Based on the test results, the study subjects were divided into two groups; Group 1 (GDM+, PGP+; n:32) and Group 2 (GDM-, PGP+; n:35). Both groups were asked to fill in the Pelvic Girdle Questionnaire (PGQ). The relationship between the presence of GDM and the presence of PGP was found to be significant (p = .043). It was found the groups were similar in view of pain, and also in PGQ total/subscale scores (p > .05). Although GDM has no effect on symptom severity, it has been determined that it may relate to the development of PGP. Therefore, early interventions (nutrition, exercise, belt using, etc.) are recommended to prevent the development of PGP in pregnant women with a family history of diabetes, with a previous diagnosis of diabetes and/or with GDM detected in their previous pregnancies. What is already known on this subject? Gestational diabetes mellitus and pelvic girdle pain are pathologies that develops secondary to pregnancy-related systemic and biomechanical changes. What do results on this study add? GDM may related the development of PGP. What are the implications of these findings for clinical practice and/or further research? Early interventions (nutrition, exercise, belt using, etc.) and strict control of pregnant women in view of PGP is recommended to prevent the development of PGP in pregnant women with a family history of diabetes, with previous diagnosis of diabetes and/or with GDM detected in their previous pregnancies. The evaluation of pregnant women for PGP before administering interventions, such as exercise and diet (both decrease the pro-inflammatory markers), following the diagnosis of GDM and the measurement of plasma anti- and pro-inflammatory marker values in the same time period will further reveal the relationship between GDM and PGP.
Databáze: OpenAIRE
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