Hacer ERTEN, Mahmure AYGÜN, Tuba YILMAZ ESENCAN, Yeliz DOĞAN MERİH

Gebelikle İlişkili Lumbopelvik Ağrı ve Engellilik: Görünmeyen ve İhmal Edilen Bir Sorun

Amaç: Bu çalışma, gebelerde lumbopelvik ağrı sıklığını belirlemek, bununla ilişkili engellilik düzeyini ve engellilik düzeyini etkileyebilecek faktörleri incelemek amacıyla yapılmıştır. Yöntemler: Tanımlayıcı, kesitsel ve analitik tipteki çalışma bir devlet hastanesinin rutin gebelik izlem polikliniğinden hizmet alan 381 gebe ile gerçekleştirilmiştir. Veri toplama aracı olarak olguların demografik, obstetrik ve diğer tanımlayıcı özelliklerini içeren bir form, ağrı bölgesini belirlemek için görsel ağrı bölgesi diyagramı ve engellilik düzeyini belirlemek için Roland–Morris Engellilik Anketi (RMEA) kullanılmıştır. Verilerin analizinde tanımlayıcı istatistiksel yöntemler ve parametrik olmayan testler kullanılmıştır. Bulgular: Katılımcıların %86,35'inde (n=329) lumbopelvik ağrı olduğu ve RMEA toplam puanına göre (12,0 ± 7,3) hafif derecede engelli oldukları saptanmıştır. Alt gruplara göre yapılan incelemede pelvik kuşak ağrısı olan gebelerin RMEA puan ortalamaları bel ağrısı olan gebelere göre istatistiksel olarak anlamlı derecede yüksek bulunmuştur (P < ,05). Yüksek engellilik puanları ile ilişkili diğer değişkenlerin, eğitim düzeyi, parite, meslek, gebelik haftası (trimaster), önceki gebelikte lumbopelvik ağrı varlığı, iş stresi ve olumsuz cinsel yaşam öyküsü olduğu saptanmıştır (P < ,05). Sonuç: Lumbopelvik ağrı, gebelikte sık görülen, bazı faktörlere bağlı olarak farklı düzeylerde engelliliğe neden olabilen ve antenatal bakım verenler tarafından göz ardı edilmemesi gereken bir durumdur.

Anahtar Kelimeler:

Gebelik, lumbopelvik ağrı, engellilik

Pregnancy-Related Lumbopelvic Pain and Disability: An Invisible and Neglected Problem

Objective: This study was carried out to examine the frequency of lumbopelvic pain in pregnant women, the level of disability associated with it, and the factors that may affect the level of disability. Methods: The descriptive, cross-sectional and analytical study was carried out with 381 pregnant women who received service from the routine pregnancy follow-up outpatient clinic of a state hospital. A form including demographic, obstetric, and other descriptive characteristics of the cases, a visual pain zone diagram to determine the pain area, and the Roland–Morris Disability Questionnaire (RMDQ) to determine the disability level were used as data collection tools. Descriptive statistical methods and non-parametric tests were used in the analysis of the data. Results: It was determined that 86.35% (n=329) of the participants had lumbopelvic pain and were mildly disabled according to the RMDQ total score (12.0 ± 7.3). In the analysis performed according to subgroups, the mean RMDQ scores of pregnant women with pelvic girdle pain were found to be statistically significantly higher than those with low back pain (P < .05). Other variables associated with high disability scores were education level, parity, occupation, gestational week (trimester), presence of lumbopelvic pain in the previous pregnancy, work stress, and negative sexual life history (P < .05). Conclusion: Lumbopelvic pain is a condition that is common in pregnancy, can cause different levels of disability depending on some factors, and should not be ignored by antenatal care providers.

Keywords:

Pregnancy, lumbopelvic pain, disability,

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