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ID 113279
タイトル別表記
妊娠初期から産後の縦断的検討による産後3か月の腰痛・骨盤痛の予測因子
著者
植村, 裕子 徳島大学大学院保健科学教育部(保健学専攻)
Horike, Kimiyo Shikoku Medical Center for Children and Adults
前田, 和寿 Shikoku Medical Center for Children and Adults KAKEN研究者をさがす
Sakae, Reiko Kagawa Prefectural University of Health Sciences
Matsumura, Keiko Kagawa Prefectural University of Health Sciences
キーワード
Low Back Pain
Pelvic Pain
Pregnancy
Prospective Study
資料タイプ
学位論文
抄録
Background: Low back and pelvic pain (LBPP) is an important issue related to mental health as well as to difficulty for daily life activity during early pregnancy and in the postpartum period. We examined the intensity of LBPP, difficulty for daily life activity and mental health and their associations from early pregnancy until 3 months postpartum in a prospective study. We also examined predictive factors for LBPP at 3 months postpartum. Methods: We recruited 55 pregnant women who responded to questionnaires in the first, second and third trimesters and at one week, one month and 3 months postpartum. We designed a self-administered questionnaire including a visual analog scale (VAS), pregnancy mobility index (PMI) of LBPP and Edinburgh postnatal depression scale (EPDS). Results: There were significant differences in the proportions of women with LBPP in the first trimester (63.6%), second trimester (78.2%) and third trimester (83.6%) and at one week postpartum (80.0%), one month postpartum (69.1%) and 3 months postpartum (56.4%). VAS score at 3 months postpartum was significantly correlated with VAS scores at the first trimester (r = 0.410, p = 0.002), second trimester (r = 0.298, p = 0.027) and one month postpartum (r = 0.476, p < 0.001). VAS score at 3 months postpartum was significantly correlated with PMI scores at the first trimester and one month postpartum. The presence of LBPP at 3 months postpartum was significantly associated with the proportion of women with LBPP at the first trimester. In multiparous women, predictive factor of LBPP at 3 months postpartum was a past history of LBPP in the previous pregnancy. Conclusion: The proportion of women with LBPP and the intensity of LBPP were increased at late pregnancy and gradually decreased until 3 months postpartum. LBPP at 3 months postpartum was associated with LBPP at the first trimester and a past history of LBPP in a previous pregnancy was an important factor for prediction of LBPP at 3 months postpartum. Provision of information regarding LBPP and confirmation of LBPP before pregnancy in addition to assessment of LBPP at early pregnancy are necessary for reduction of LBPP at 3 months postpartum.
掲載誌名
Open Journal of Nursing
ISSN
21625336
21625344
出版者
Scientific Research Publishing Inc.
8
8
開始ページ
552
終了ページ
566
発行日
2018-08-28
備考
内容要旨・審査要旨・論文本文の公開
本論文は,著者Yuko Uemuraの学位論文として提出され,学位審査・授与の対象となっている。
権利情報
Copyright © 2018 by author(s) and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3271号
学位記番号
甲保第36号
学位授与年月日
2019-02-21
学位名
博士(保健学)
学位授与機関
徳島大学
部局
医学系
病院