Hypermobility and peripartum pelvic pain syndrome in pregnant South African women.
OBJECTIVE
To determine the incidence and correlation of joint hypermobility (HM) and peripartum pelvic pain (PPPP) in an homogeneous pregnant South African population.


METHODS
A cross-sectional study among Cape Coloured pregnant women. Joint mobility was measured by Beighton score; PPPP with a specially developed PPPP score.


RESULTS
Using the Beighton scores with a cut-off point of HM > or = 5/9, only 4.9% of the 509 pregnant women were hypermobile. Hyperextension of the elbow was the largest contributor to HM (35.4%). No correlation of HM with the incidence of PPPP was established. Only 20 very mild cases of PPPP were recorded. Back pain increased significantly during pregnancy to a mean of 38%. Right handedness occurred in 95.9%. No significant relation was found between HM and the non-dominant side.


CONCLUSIONS
Hypermobility in pregnant Cape Coloured women was surprisingly low (4.9%) with a decrease with age, but no increase during pregnancy. Peripartum pelvic pain is virtually absent and has no correlation with joint laxity. Back pain increased during pregnancy to a mean of 38%. Right handedness was high (96%) in comparison with the world-wide figure of 85%. No correlation was found between the dominant body side and hypermobility.
Department of Obstetrics and Gynaecology, University of Stellenbosch, Tygerberg Hospital, South Africa.
P W
PW
van Dongen
M
M
de Boer
W A
WA
Lemmens
G B
GB
Theron
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001416:Back Pain / Q000503:physiopathology; D003430:Cross-Sectional Studies; D004550:Elbow / Q000503:physiopathology; D005260:Female; D007839:Functional Laterality; D005865:Gestational Age; D020073:Gravidity; D006801:Humans; D007593:Joint Instability / Q000453:epidemiology* / Q000208:ethnology / Q000503:physiopathology; D010298:Parity; D017699:Pelvic Pain / Q000453:epidemiology* / Q000208:ethnology / Q000503:physiopathology; D049590:Postpartum Period; D011247:Pregnancy; D013019:South Africa / Q000453:epidemiology / Q000208:ethnology