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Psychosocial and behavioural characteristics in women with pregnancy-related lumbopelvic pain 12 years postpartum
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology. Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
2019 (English)In: Chiropractic and Manual Therapies, ISSN 2045-709X, E-ISSN 2045-709X, Vol. 27, no 1, article id 34Article in journal (Refereed) Published
Abstract [en]

Background: There is insufficient evidence regarding psychosocial factors and its long-term association with persistent pregnancy-related lumbopelvic pain. The overall aim of this study was to investigate women with persistent pregnancy-related lumbopelvic pain 12 years postpartum based on psychosocial and behavioural characteristics using the Swedish version of the Multidimensional Pain Inventory (MPI-S) classification system.

Material and methods: This is a cross-sectional study based on a previous cohort. Data collection took place through a questionnaire. A total of 295 women from the initial cohort (n = 639) responded to the questionnaire giving a response rate of 47.3%. To determine the relative risk (RR) of reporting pain 12 years postpartum, a robust modified Poisson regression was used. This is the first study using the MPI-S as a predictive variable on women with persistent pregnancy-related lumbopelvic pain.

Results: The MPI-S classification procedure was carried out on a total of n = 226 women, where 53 women were classified as interpersonally distressed (ID), 82 as dysfunctional (DYS), and 91 as adaptive copers (AC). Women in the ID and DYS subgroups had a relative risk (RR) of reporting persistent pregnancy-related lumbopelvic pain 12 years postpartum that was more than twice as high compared to the AC subgroup (95% confidence interval (CI) in parenthesis): RR 2.57 (CI 1.76 - 3.75), p<0.0001 and RR 2.23 (CI 1.53 - 3.25), p<0.0001 respectively. Women in the DYS subgroup had more than 5 times increased risk of reporting sick leave the past 12 months compared to the AC subgroup (RR 5.44; CI 1.70 - 17.38, p=0.004).

Conclusions: The present study demonstrates that it is possible to classify women with persistent pregnancy-related lumbopelvic pain 12 years postpartum into relevant clinical subgroups based on psychosocial and behavioural characteristics using the MPI-S questionnaire.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 27, no 1, article id 34
Keywords [en]
Pregnancy-related lumbopelvic pain, Postpartum, Psychosocial characteristics, MPI, Cross-sectional questionnaire study
National Category
Nursing Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-162128DOI: 10.1186/s12998-019-0257-8ISI: 000480518400001PubMedID: 31417671OAI: oai:DiVA.org:umu-162128DiVA, id: diva2:1342950
Available from: 2019-08-15 Created: 2019-08-15 Last updated: 2019-09-02Bibliographically approved

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Bergström, CeciliaPersson, MargaretaMogren, Ingrid

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