Back and pelvic pain in an underserved United States pregnant population: a preliminary descriptive survey.
OBJECTIVE
The objective of this study was to identify the prevalence of back pain and treatment satisfaction in a population of low-socioeconomic pregnant women.


METHODS
This study used a cross-sectional design to determine the prevalence of self-reported musculoskeletal pain in pregnancy for 599 women. Women completed an author-generated musculoskeletal survey in the second trimester of their pregnancy that addressed pain history, duration, location, and intensity, as well as activities of daily living, treatment frequency, and satisfaction with treatment.


RESULTS
Sixty-seven percent of the total population reported musculoskeletal pain, and nearly half presented with a multi-focal pattern of pain that involved 2 or more sites. Twenty-one percent reported severe pain intensity rated on a numerical rating scale. Eighty percent of women experiencing pain slept less than 4 hours per night and 75% of these women took pain medications. Importantly, 85% of the women surveyed perceived that they had not been offered treatment for their musculoskeletal disorders.


CONCLUSIONS
Multi-focal musculoskeletal pain in pregnancy was prevalent in this underserved patient population. The pain in this population negatively affected sleep and treatment appeared inadequate.
Skaggs
Clayton D
CD
Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO, USA. skaggsdc@swbell.net
Prather
Heidi
H
Gross
Gilad
G
George
James W
JW
Thompson
Paul A
PA
Nelson
D Michael
DM
D000700:Analgesics / Q000627:therapeutic use; D001416:Back Pain / Q000188:drug therapy / Q000453:epidemiology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D008507:Medically Underserved Area; D008923:Missouri / Q000453:epidemiology; D010298:Parity; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D017699:Pelvic Pain / Q000188:drug therapy / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D015995:Prevalence; D012008:Recurrence; D012893:Sleep Wake Disorders / Q000453:epidemiology; D012959:Socioeconomic Factors
D000700:Analgesics