title: Pelvic girdle pain during pregnancy and puerperium.
abstract: Pelvic girdle pain (PGP) is a term used specifically to pregnancy-related pain in the lumbosacral, sacroiliac and symphysis pubis joints. Pregnancy-induced hormonal and physical changes increase the risk of musculoskeletal problems in pregnancy. The severity of these conditions varies from mild self-limiting pain to a severe disabling condition. PGP is common in pregnancy and while most can be managed as outpatients, a few patients require inpatient admission for further investigations and management. Prompt identification of these conditions is essential to avoid serious disability. Lack of awareness and failure of recognition not only results in women feeling isolated, but may also result in long-term morbidity. In this review, we explore the aetiology, presentation, risk factors, risk of recurrence, differential diagnosis and multidisciplinary management of these conditions. We also enclose obstetric guidelines to increase the awareness of the health professionals.
authors.affiliation: Departments of Obstetrics and Gynaecology, Jessop Wing, UK. remon.keriakos@sth.nhs.uk
authors.forename: R
authors.initials: R
authors.lastname: Keriakos
authors.forename: S R Chaudhuri
authors.initials: SR
authors.lastname: Bhatta
authors.forename: F
authors.initials: F
authors.lastname: Morris
authors.forename: S
authors.initials: S
authors.lastname: Mason
authors.forename: S
authors.initials: S
authors.lastname: Buckley
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010020:Osteonecrosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D010024:Osteoporosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D059388:Pelvic Girdle Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D011256:Pregnancy Outcome; D046548:Pubic Symphysis Diastasis / Q000628:therapy; D011644:Puerperal Disorders; D012008:Recurrence