Prognosis of women with pelvic pain during pregnancy: a long-term follow-up study.
METHODS
A follow-up study of women with pelvic pain during pregnancy.


OBJECTIVE
To evaluate prognostic factors for pelvic pain.


METHODS
Out of a cohort of 870 pelvic pain patients, 598 women, who delivered less than 42 months prior to the follow-up measurement, were selected for follow-up.


RESULTS
Data of 430 women were available for analysis with a mean follow-up duration of 18 months postpartum. Forty-three women still experienced moderate or severe pain and were seriously hindered in more than one activity. At intake symptomatic women experienced a higher overall severity of complaints, more walking deficiencies, and mentioned prepregnancy back pain more often and reported labor lasting longer than 18 h 2.5 times more often than asymptomatic women. Explained variance of these factors is small.


CONCLUSIONS
Mean 18 months postpartum a small group had moderate or severe pain. Prepregnancy back pain, severity of complaints, and number of walking deficiencies at primary referral as well as duration of labor showed a significant relation with symptoms.
Röst
Cecile C M
CC
Department of General Practice, Erasmus University of Rotterdam, Rotterdam, The Netherlands.
Jacqueline
J
J
Kaiser
A
A
Verhagen
Arianne P
AP
Koes
Bart W
BW
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007743:Labor, Obstetric; D009426:Netherlands / Q000453:epidemiology; D010147:Pain Measurement; D017699:Pelvic Pain / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D011247:Pregnancy; D011379:Prognosis; D011644:Puerperal Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D011795:Surveys and Questionnaires