Postpartum back pain after spinal anesthesia in caesarean delivery: a prospective cohort study
Keywords:
Back pain, spinal anesthesia, cesarean deliveryAbstract
Postpartum back pain after cesarean delivery under spinal anesthesia is frequent.
Many mothers are concerned about causes of the pain. This research is therefore conducted to find prevalence of the pain and to explore relationship between postpartum back pain in cesarean delivery under spinal anesthesia and potential factors and to provide long term follow-up data. The study design was prospective descriptive. Data collection was performed at Udonthani Hospital from 3 April 2016 to 13 June 2017 which included demographic clinical data, gestational age, pre-pregnancy back pain and back pain during pregnancy. Postpartum back pain prevalence was collected by phone 1, 3 and 6 months after the cesarean delivery.
The results of the study were 330 female. The prevalence of back pain after 1 month
postpartum found 121 patients (36.67%), 70 patients (21.21%) at 3 months and 47 patients (14.24%) at 6 months. Multiple logistic regression analysis was analyzed and demonstrated that history of pre-pregnancy back pain and history of back pain during pregnancy increased Odd ratio of chronic back pain (Adjusted Odd ratio= 10.475, 95%CI 4.789-22.912 , Adjusted Odd ratio= 5.748 , 95%CI 1.879-17.584 respectively, p-value <0.01, p-value =0.08, respectively and higher BMI increased probability of chronic back pain.
In summary, the prevalence of postpartum back pain was one-third of the patients receiving cesarean delivery under spinal anesthesia after one month. Independent variables of having a history of back pain before pregnancy, back pain during pregnancy and increasing BMI will increase likelihood of the pain.
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การละเมิดลิขสิทธิ์ถือเป็นความรับผิดชอบของผู้ส่งบทความโดยตรง
ผลงานที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของผู้นิพนธ์ ขอสงวนสิทธิ์มิให้นำเนื้อหา ทัศนะ หรือข้อคิดเห็นใด ๆ ของบทความในวารสารไปเผยแพร่ทางการค้าก่อนได้รับอนุญาตจากกองบรรณาธิการ อย่างเป็นลายลักษณ์อักษร
