COMMON MUSCULOSKELETAL PROBLEMS ARISES AMONG WOMEN AFTER PARTURITION AT SELECTED AREA OF BANGLADESH
Abstract
Background: Pregnancy increases the susceptibility to developing musculoskeletal diseases. Postpartum musculoskeletal issues are frequently observed after childbirth, causing significant discomfort and distress for women.
Purpose:To identify the common musculoskeletal problems that arises among women after the event of parturition at a selected area of Bangladesh.
Methods:A cross-sectional study of Dhaka hospital postpartum mothers with musculoskeletal complaints was conducted. Study sites were Enam Medical College and Super Medical Hospital. Convenience sampling yielded 112 eligible individuals. Ethics, hospital approval, and participant anonymity were crucial. Face-to-face interviews using questionnaires and VAS were used to collect data. We obtained informed consent from participants to ensure confidentiality and withdrawal. We followed WHO and Bangladesh Medical Research Council ethical guidelines to ensure research integrity.
Results:The Bangladeshi postpartum women study revealed common musculoskeletal disorders and their relationships. The majority of participants, 23–27 (55%) with one or two children, reported low back pain (57.1%), pelvic girdle discomfort (67.9%), and urine incontinence (38.4%). Pelvic girdle pain, diastasis recti, and urine incontinence were linked to childbirth. greater kids mean greater pain. The OREBRO scale showed varying severity (mean score: 101.64 ± 12.56). Childbirth affected musculoskeletal complaints, as shown by OMPQ ratings and participant age. This study prepares for more interventions.
Conclusion:The study proposes that these findings can serve as fundamental information for the development of management and assessment programs in the postpartum musculoskeletal population.
Downloads
References
2. Ghodke B, Pusukuru R, Mehta V. Association of lipid profile in pregnancy with preeclampsia, gestational diabetes mellitus, and preterm delivery. Cureus. 2017 Jul 3;9(7).
3. Zadro J, O’Keeffe M, Maher C. Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review. BMJ open. 2019 Oct 1;9(10):e032329.
4. Akter M. Common musculoskeletal problems arising among women after parturition at selected area of BANGLADESH (Doctoral dissertation, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh).
5. Gómez-Galán M, Pérez-Alonso J, Callejón-Ferre ÁJ, López-Martínez J. Musculoskeletal disorders: OWAS review. Industrial health. 2017 Jul 31;55(4):314-37.
6. Christopher SM, Garcia AN, Snodgrass SJ, Cook C. Common musculoskeletal impairments in postpartum runners: an international Delphi study. Archives of Physiotherapy. 2020 Dec;10(1):1-1.
7. Almousa S, Lamprianidou E, Kitsoulis G. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiotherapy Research International. 2018 Jan;23(1):e1699.
8. Zuchelo LT, Bezerra IM, Da Silva AT, Gomes JM, Soares Junior JM, ChadaBaracat E, de Abreu LC, Sorpreso IC. Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review. International Journal of Women's Health. 2018 Aug 8:409-24.
9. Thabet AA, Alshehri MA. Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial. Journal of musculoskeletal & neuronal interactions. 2019;19(1):62.
10. Zyluk A. Carpal tunnel syndrome in pregnancy: a review. Polish orthopedics and traumatology. 2013 Oct 7;78:223-7.
11. Thabet AA, Alshehri MA. Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial. Journal of musculoskeletal & neuronal interactions. 2019;19(1):62.
12. Mukkannavar P, Desai BR, Mohanty U, Parvatikar V, Karwa D, Daiwajna S. Pelvic girdle pain after childbirth: the impact of mode of delivery. Journal of back and musculoskeletal rehabilitation. 2013 Jan 1;26(3):281-90.
13. Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Practice. 2010 Jan;10(1):60-71.
14. Davenport MH, Marchand AA, Mottola MF, Poitras VJ, Gray CE, Garcia AJ, Barrowman N, Sobierajski F, James M, Meah VL, Skow RJ. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. British journal of sports medicine. 2019 Jan 1;53(2):90-8.
15. Long G, Yao ZY, Na Y, Ping Y, Wei S, Mingsheng T. Different types of low back pain in relation to pre-and post-natal maternal depressive symptoms. BMC Pregnancy and Childbirth. 2020 Dec;20:1-8.
16. Woodley SJ, Lawrenson P, Boyle R, Cody JD, Mørkved S, Kernohan A, Hay-Smith EJ. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews. 2020(5).
Author(s) and co-author(s) jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere. Author(s) agree to the terms that the GPH Journal will have the full right to remove the published article on any misconduct found in the published article.
