Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05684497 |
| Other study ID # |
Kastamonu University |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
July 9, 2021 |
| Est. completion date |
December 30, 2022 |
Study information
| Verified date |
January 2023 |
| Source |
Kastamonu University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Although pregnancy is a natural process, it is a period in which some bio-physiological
changes are experienced. These changes cause low back pain by affecting the musculoskeletal
system as well as the endocrine, cardiovascular and renal systems. Pregnancy-related low back
pain is defined as recurrent pain in the lumbopelvic region lasting more than one week. It
can manifest itself in pregnancy as low back pain, lumbar pain, pelvic pain and lumbopelvic
pain where both are present. In order to cope with low back pain in pregnancy and to increase
the quality of life, low back pain should be evaluated in antenatal and postnatal follow-ups.
Risk factors should be examined, women in the risk group should be identified, their low back
pain experience should be questioned, prevention and coping strategies and the effect of low
back pain on their quality of life should be evaluated. Healthy lifestyle programs should be
developed to help prevent low back pain and develop coping strategies for pregnant women with
low back pain.
Description:
Although pregnancy is a natural process, it is a period in which some bio-physiological
changes are experienced. These changes cause low back pain by affecting the musculoskeletal
system as well as the endocrine, cardiovascular and renal systems. Pregnancy-related low back
pain is defined as recurrent pain in the lumbopelvic region lasting more than one week. Low
back pain in pregnancy has been known for centuries and was described in ancient times by
physicians such as Hippocrates, Vesalius, Pinean, Hunter, and Velpeau. Walde distinguished
between pelvic pain and lumbar pain for the first time in 1962. It can manifest itself in
pregnancy as low back pain, lumbar pain, pelvic pain and lumbopelvic pain where both are
present.
Low back pain in pregnancy is usually 20-28. Although it can be seen in the first trimester
of pregnancy, it can also be seen in the first trimester. 40% of women who experience low
back pain during pregnancy continue to experience pain for 6 months postpartum, 30% for 12
months postpartum, and 10% for 24 months postpartum.
In the literature, the prevalence of low back pain, which is very common during pregnancy, is
reported to be 25-90%. In the literature, reported low back pain in pregnancy as 76.6% in a
study conducted in Ontario. In the literature, reported the prevalence of low back pain in
pregnancy as 83.5% in another study conducted in Pakistan. Although studies on the prevalence
of low back pain in pregnancy are limited in our country, prevalance reported of low back
pain during pregnancy was 53.93% in a study conducted in the province of Ağrı. In another
study conducted in Kayseri this rate was reported as 54.1%. In another study reported the
prevalence of low back pain as 75.3% in the study conducted in Kastamonu.
The etiology of low back pain in pregnancy is multifactorial and generally depends on
hormonal, metabolic and vascular changes. In addition, many factors such as genetic factors,
increased parity, postural changes, body mass index, smoking, sedentary lifestyle, stressful
life, infection, history of low back pain in previous pregnancy, history of low back pain
before pregnancy, working in a strenuous job create risk.
It is stated in the literature that low back pain during pregnancy affects women's quality of
life negatively. Decreased physical activity with low back pain causes social and economic
problems by bringing anxiety and depression. It is reported in the literature that low back
pain experienced during pregnancy reduces the quality of life by having a negative effect on
physical activity, personal care, sleep quality, social life, work life, sexual life, energy
and mood. In a study to examine the quality of life of women with low back pain during
pregnancy, it was reported that women with low back pain during pregnancy had lower physical,
mental and social scores, and their quality of life decreased as the severity of pain
increased.
Low back pain experienced during pregnancy is seen as a part of pregnancy by both women and
health professionals, and is neglected on the grounds that it does not pose a serious risk
for the mother and baby. However, low back pain experienced during pregnancy negatively
affects the quality of life, can be permanent in the postpartum period and cause postpartum
depression.
In order to cope with low back pain in pregnancy and to increase the quality of life, low
back pain should be evaluated in antenatal and postnatal follow-ups.Risk factors should be
examined, women in the risk group should be identified, their low back pain experience should
be questioned, prevention and coping strategies and the effects of low back pain on their
quality of life should be evaluated. Healthy lifestyle programs should be developed to help
prevent low back pain and develop coping strategies for pregnant women with low back pain.
Within the healthy lifestyle program; Providing the right posture, providing ideal weight
gain during pregnancy and preventing constipation, individual nutrition education, prevention
of urinary tract infections, healthy sexual life, regulation of activity, position change,
ergonomics training, adequate rest, appropriate shoe selection, smoking cessation, stress
management, non It should contribute to reducing low back pain and increasing the quality of
life by including pharmacological methods of coping with pain.
Pender's Health Promotion Model guides the planning, implementation and evaluation of health
protection and promotion behaviors. Pender's Health Promotion Model will be a guide in the
counseling that nurses will give on the prevention of low back pain in pregnancy and the
development of strategies to cope with low back pain.
