Association between history of childbirth and chronic, functionally significant back pain in later life

BMC Women's Health

Research

Ian Mackey¹  Maisa S. Ziadni¹  Pamela Flood¹  Michelle Zhang²  Corinne Cooley³ 

[1] Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, 300 Pasteur Dr, 94305, Palo Alto, CA, USA;School of Medicine, Stanford University, Palo Alto, CA, USA;Present address: UW Internal Medicine Residency Program, 1959 NE Pacific Street, 98195-6421, Seattle, WA, USA;Stanford Health Care, Palo Alto, California, USA;

关键词: Back pain;    Pregnancy;    Childbirth;    Chronic pain;    Acute pain;   

DOI  :  10.1186/s12905-022-02023-2

 received in 2021-12-17, accepted in 2022-10-25,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundBack pain is more prevalent among women than men. The association with sex could be related to pregnancy and childbirth, unique female conditions. This association has not been thoroughly evaluated.MethodsUsing a retrospective cohort design, we evaluated the relationship between history of childbirth on the prevalence and severity of functionally consequential back pain in 1069 women from a tertiary care pain management clinic. Interactions among preexisting, acute peripartum, and subsequent back pain were evaluated as secondary outcomes among the parous women using logistic and linear regression as appropriate.ResultsThe women who had given birth had a higher risk for functionally significant back pain compared to women who had not given birth (85% vs 77%, p < 0.001, Risk Ratio 1.11 [1.04-1.17]). The association was preserved after correction for age, weight, and race. Back pain was also more slightly severe (Numerical Rating Score for Pain 7[5-8] vs 6[5-7] out of 10, p = 0.002). Women who recalled severe, acute postpartum back pain had a higher prevalence of current debilitating back pain (89% vs 75%, Risk Ratio 1.19 (1.08-1.31), p = 0.001). Twenty-eight percent of acute postpartum back pain never resolved and 40% reported incomplete resolution.ConclusionsA history of pregnancy and childbirth is a risk factor for chronic functionally significant back pain in women. Severe acute postpartum back pain is a risk factor for future disability suggesting that the peripartum period may provide an important opportunity for intervention. Early recognition and management may mitigate future disability.Trial registrationThe study was registered with clinicaltrials.gov as “Association Between Chronic Headache and Back Pain with Childbirth” (NCT04091321) on 16/09/2019 before it was initiated.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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