title: Impact of carpal tunnel syndrome on the expectant woman's life.
abstract: BACKGROUND
  Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester.
  
  
  OBJECTIVE
  This article focuses on its impact to the third trimester pregnant mothers with CTS.
  
  
  METHODS
  Third trimester pregnant mothers with no other known risk factors for CTS, were interviewed and examined for a clinical diagnosis of CTS. The severity of CTS was assessed by means of symptoms severity and functionality using the Boston Carpal Tunnel Questionnaire.
  
  
  RESULTS
  Out of 333 third trimester pregnant mothers, 82 (24.6%) were clinically diagnosed with CTS. Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays. Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906). The commonest complaint was numbness/tingling during day time (n = 63, 76.8%). Majority of the CTS cases were mild (n = 66, 80.5%) and approximately one third (n = 28, 34.1%) had affected hand functions. All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).
  
  
  CONCLUSIONS
  This study shows that even though CTS in third trimester pregnancy is prevalent, generally it would be mild. However, function can still be affected especially if patients complain of pain.
authors.affiliation: Department of Orthopaedic, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. contactbonedoctor@gmail.com.
authors.forename: Zatel I
authors.initials: ZI
authors.lastname: Rozali
authors.forename: Faiz M
authors.initials: FM
authors.lastname: Noorman
authors.forename: Prisca K
authors.initials: PK
authors.lastname: De Cruz
authors.forename: Yam K
authors.initials: YK
authors.lastname: Feng
authors.forename: Halimatun Wa
authors.initials: HW
authors.lastname: Razab
authors.forename: Jamari
authors.initials: J
authors.lastname: Sapuan
authors.forename: Rajesh
authors.initials: R
authors.lastname: Singh
authors.forename: Faizal M
authors.initials: FM
authors.lastname: Sikkandar