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Factors associated with back pain after childbirth
T W Breen1, B J Ransil, P A Groves
1Department of Anesthesia and Critical Care, Charles A. Dana Research Institute, Boston, Massachusetts.
Anesthesiology
|July 1, 1994
Summary
Postpartum back pain affects 44% of women. Factors like prior pain history, younger age, and greater weight contribute, but epidural anesthesia does not appear to be a risk factor.
Area of Science:
- Obstetrics and Gynecology
- Pain Management
- Postpartum Care
Background:
- Postpartum back pain is a common complaint among women after childbirth.
- Identifying predisposing factors is crucial for effective management and prevention.
Purpose of the Study:
- To determine the incidence of back pain 1-2 months postpartum.
- To identify factors associated with postpartum back pain, including epidural anesthesia.
Main Methods:
- A cohort of 1,185 women were interviewed postpartum for pain history and delivery details.
- A follow-up questionnaire assessed back pain occurrence 1-2 months postpartum in 1,042 women.
Main Results:
- The incidence of postpartum back pain was 44%.
- Associated factors included a history of back pain, younger age, and greater weight.
- New-onset postpartum back pain was linked to greater weight and shorter stature.
Conclusions:
- Postpartum back pain is prevalent, with a 44% incidence in this study population.
- Key predisposing factors are a history of back pain, younger age, and greater weight.
- Epidural anesthesia was not found to be significantly associated with postpartum back pain.