期刊论文详细信息
BMC Pregnancy and Childbirth
“Struggling with daily life and enduring pain”: a qualitative study of the experiences of pregnant women living with pelvic girdle pain
Ingrid Mogren4  Lars Dahlgren1  Anna Winkvist3  Margareta Persson2 
[1] Department of sociology, Umeå University, Umeå, Sweden;Dalarna University, School of Health and Social studies, Falun, SE-791 88, Sweden;Sahlgrenska Academy, Dept. of internal medicine and clinical nutrition, University of Gothenburg, Göteborg, Sweden;Department of Clinical Science, Obstetrics and gynecology, Umeå University, Umeå, Sweden
关键词: Qualitative;    Pregnancy;    Experiences;    Pelvic girdle pain;   
Others  :  1138039
DOI  :  10.1186/1471-2393-13-111
 received in 2012-10-21, accepted in 2013-05-06,  发布年份 2013
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【 摘 要 】

Background

Few studies have investigated the experiences of living with pelvic girdle pain (PGP) and its impact on pregnant women’s lives. To address this gap in knowledge, this study investigates the experiences of women living with PGP during pregnancy.

Methods

A purposive sample, of nine pregnant women with diagnosed PGP, were interviewed about their experiences. Interviews were recorded, transcribed to text and analysed using a Grounded Theory approach.

Results

The core category that evolved from the analysis of experiences of living with PGP in pregnancy was “struggling with daily life and enduring pain”. Three properties addressing the actions caused by PGP were identified: i) grasping the incomprehensible; ii) balancing support and dependence and iii) managingthe losses. These experiences expressed by the informants constitute a basis for the consequences of PGP: iv) enduring pain; v) being a burden; vi) calculating the risks and the experiences of the informants as vii) abdicating as a mother. Finally, the informants’ experiences of the consequences regarding the current pregnancy and any potential future pregnancies is presented in viii) paying the price and reconsidering the future. A conceptual model of the actions and consequences experienced by the pregnant informants living with PGP is presented.

Conclusions

PGP during pregnancy greatly affects the informant’s experiences of her pregnancy, her roles in relationships, and her social context. For informants with young children, PGP negatively affects the role of being a mother, a situation that further strains the experience. As the constant pain disturbs most aspects of the lives of the informants, improvements in the treatment of PGP is of importance as to increase the quality of life. This pregnancy-related condition is prevalent and must be considered a major public health concern during pregnancy.

【 授权许可】

   
2013 Persson et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Wu WH, Meijer OG, Uegaki K, Mens JM, Van Dieen JH, Wuisman PI, Ostgaard HC: Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J 2004, 13:575-589.
  • [2]Vermani E, Mittal R, Weeks A: Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 2010, 10(1):60-71.
  • [3]Mogren IM, Pohjanen AI: Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine 2005, 30(8):983-991.
  • [4]Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ: Understanding peripartum pelvic pain: implications of a patient survey. Spine (Phila Pa 1976) 1996, 21(11):1363-1369. discussion 1369–1370
  • [5]Mogren I: Perceived health six months after delivery in women who have experienced low back pain and pelvic pain during pregnancy. Scand J Caring Sci 2007, 21(4):447-455.
  • [6]Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B: European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008, 17(6):794-819.
  • [7]Robinson HS, Eskild A, Heiberg E, Eberhard-Gran M: Pelvic girdle pain in pregnancy: the impact on function. Acta Obstet Gynecol Scand 2006, 85(2):160-164.
  • [8]Robinson HS, Mengshoel AM, Veierod MB, Vollestad N: Pelvic girdle pain: potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum. Man Ther 2010, 15(6):522-528.
  • [9]Mogren IM: Previous physical activity decreases the risk of low back pain and pelvic pain during pregnancy. Scand J Publ Health 2005, 33(4):300-306.
  • [10]Mogren IM: Physical activity and persistent low back pain and pelvic pain post partum. BMC Publ Health 2008, 8:417. BioMed Central Full Text
  • [11]Biering K, Nohr EA, Olsen J, Andersen AM, Hjollund NH, Juhl M: Pregnancy-related pelvic pain is more frequent in women with increased body mass index. Acta Obstet Gynecol Scand 2011, 90(10):1132-1139.
  • [12]Mogren IM: BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy. Eur Spine J 2006, 15(7):1093-1102.
  • [13]Olsson CB, Nilsson-Wikmar L, Grooten WJ: Determinants for lumbopelvic pain 6 months postpartum. Disabil Rehabil 2012, 34(5):416-422.
  • [14]Mogren I: Perceived health, sick leave, psychosocial situation, and sexual life in women with low-back pain and pelvic pain during pregnancy. Acta Obstet Gynecol Scand 2006, 85(6):647-656.
  • [15]Olsson C, Nilsson-Wikmar L: Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand 2004, 83(4):351-357.
  • [16]Dorheim S, Bjorvatn B, Eberhard-Gran M: Sick leave during pregnancy: a longitudinal study of rates and risk factors in a Norwegian population. BJOG 2013, 120(5):521-530.
  • [17]Sullivan M, Bishop S, Pivik J: The pain catastrophizing scale: development and validation. Psychol Assess 1995, 7:524-532.
  • [18]Olsson CB, Grooten WJ, Nilsson-Wikmar L, Harms-Ringdahl K, Lundberg M: Catastrophizing during and after pregnancy: associations with lumbopelvic pain and postpartum physical ability. Phys Ther 2012, 92(1):49-57.
  • [19]Mogren I, Winkvist A, Dahlgren L: Trust and ambivalence in midwives’ views towards women developing pelvic pain during pregnancy: a qualitative study. BMC Publ Health 2010, 10:600.
  • [20]Pierce H, Homer CS, Dahlen HG, King J: Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract 2012, 2012:387428.
  • [21]Stuge B, Bergland A: Evidence and individualization: important elements in treatment for women with postpartum pelvic girdle pain. Physiother Theory Pract 2011, 27(8):557-565.
  • [22]Fredriksen EH, Moland KM, Sundby J: “Listen to your body”: a qualitative text analysis of internet discussions related to pregnancy health and pelvic girdle pain in pregnancy. Patient Educ Couns 2008, 73(2):294-299.
  • [23]Glaser B, Strauss A: The Discovery of Grounded Theory. New York: Aldine de Gruyter; 1967.
  • [24]Dahlgren L, Emmelin M, Winkvist A: Qualitative Methodology for International Public Health. Umeå: Umeå University; 2004.
  • [25]Corbin JM, Strauss A: Basics in qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications; 2008.
  • [26]Sjukpenning under graviditet [in Swedish]. [http://www.forsakringskassan.se/privatpers/foralder/vanta_barn/sjukpenning_under_graviditet/ webcite]
  • [27]Riksförsäkringsverket: Gravida kvinnors situation [in Swedish]. Stockholm; 2003. https://www.forsakringskassan.se/wps/wcm/connect/645f7708-16a8-4f1b-91c3-30cdb0a58ce4/analyserar_2003_07.pdf?MOD=AJPERES webcite
  • [28]Sydsjo G, Sydsjo A: Newly delivered women’s evaluation of personal health status and attitudes towards sickness absence and social benefits. Acta Obstet Gynecol Scand 2002, 81(2):104-111.
  • [29]Sydsjo A, Sydsjo G, Alexanderson K: Influence of pregnancy-related diagnoses on sick-leave data in women aged 16–44. J Womens Health Gend Based Med 2001, 10(7):707-714.
  • [30]Skouteris H, Germano C, Wertheim EH, Paxton SJ, Milgrom J: Sleep quality and depression during pregnancy: a prospective study. J Sleep Res 2008, 17(2):217-220.
  • [31]Dorheim SK, Bjorvatn B, Eberhard-Gran M: Insomnia and depressive symptoms in late pregnancy: a population-based study. Behav Sleep Med 2012, 10(3):152-166.
  • [32]Bjelland EK, Stuge B, Engdahl B, Eberhard-Gran M: The effect of emotional distress on persistent pelvic girdle pain after delivery: a longitudinal population study. BJOG 2013, 120(1):32-40.
  • [33]Soderberg S, Lundman B, Norberg A: Struggling for dignity: the meaning of women’s experiences of living with fibromyalgia. Qual Health Res 1999, 9(5):575-587.
  • [34]Juuso P, Skar L, Olsson M, Soderberg S: Living with a double burden: meanings of pain for women with fibromyalgia. Int J Qual Stud Health Well-being 2011., 6(3) Epub 2011 Jul 13
  • [35]Joachim G, Acorn S: Stigma of visible and invisible chronic conditions. J Adv Nurs 2000, 32(1):243-248.
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