Patients with Pain During Pregnancy

2016 ◽  
Author(s):  
Charles J. Fox ◽  
Alan D. Kaye ◽  
Elyse Cornett ◽  
Katherine Stammen ◽  
Michael Franklin
Keyword(s):  
Abdominal Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Pelvic Pain ◽  
Joint Laxity ◽  
The Body ◽  
Healthy Pregnancy ◽  
Pain Analgesics ◽  
Chronic Severe Pain ◽  
Anxiety Depression

Most women experience some degree of pain during pregnancy. Back pain occurs in about half of all pregnant women, with pain typically in the low back due to the physiologic changes in the body that occur with pregnancy, such as weight gain, changed center of gravity, increased ligament and joint laxity, and altered posture. Pelvic pain, leg cramps, and abdominal pain are all common among pregnant women. Many women who have pain during pregnancy are reluctant to use analgesics due to concerns about what the medications may do to their unborn child. Because of this, it is hypothesized that many women are either undertreated for pain or do not receive any treatment. Chronic, severe pain that is ineffectively treated is associated with hypertension, anxiety, and depression, all of which do not lead to a healthy pregnancy. A variety of interventional procedures are commonly performed during pregnancy that can safely alleviate pain. This review goes into detail about the types of pain treatments that are available to pregnant women and are safe and effective in alleviating pregnancy-related pain. Keywords: Pelvic pain, leg cramps, abdominal pain, hypertension, anxiety, depression, joint laxity, ligament laxity, back pain, analgesics, pregnancy

Does antenatal physical therapy for pregnant women with low back pain or pelvic pain improve functional outcomes? A systematic review

2012 ◽  
Vol 91 (9) ◽  
pp. 1038-1045 ◽  
Author(s):  
EMMA RICHARDS ◽  
GISELA VAN KESSEL ◽  
ROSA VIRGARA ◽  
PAULA HARRIS
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Pregnant Women ◽  
Pelvic Pain ◽  
Functional Outcomes ◽  
Low Back

scholarly journals A Rare Case of Cystic Schwannoma of the Portal Triad

2016 ◽  
Vol 28 (1) ◽  
pp. 33 ◽  
Author(s):  
Dimitrios Avgerinos ◽  
Meshach Heenatigala ◽  
Andrew Lo
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Back Pain ◽  
Rare Case ◽  
The Body ◽  
Portal Triad ◽  
Pancreatic Cystadenoma ◽  
Time Of Operation ◽  
Cystic Schwannoma ◽  
Vague Abdominal Pain

Schwannomas can occur anywhere throughout the body andhave often been mistaken for more-sinister lesions, especiallywhen found in relation to the pancreas. Clinical symptomsrange from none to vague abdominal pain, back pain,anorexia, weight loss, vomiting, jaundice, and episodes ofcholangitis and gastrointestinal bleeding. Preoperative diagnosisis difficult, and endoscopic ultrasound with fine-needleaspiration is often limited in specificity. Given the low statisticallikelihood of schwannomas, therapy is usually targeted at thepossibility of pancreatic cystadenoma/cystadenocarcinoma.Simple enucleation is usually the preferred treatment, anddiagnosis can be established at the time of operation by frozensection. Schwannomas can be malignant, but preoperativeimaging and pathology can help establish the benign natureof most specimens. Patients typically do well with resolution ofsymptoms. Here we present the case of a patient with abdominalpain and a peripancreatic mass observed with computedtomography, who was found to have a cystic schwannomaextending from the portal triad. The mass was removed andthe patient was discharged without complications.

scholarly journals The Effect of Pilates on Pain in Pregnant Women

2021 ◽  
Author(s):  
bahareh motaghi ◽  
fereshte Aein ◽  
ziba Reisi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Pelvic Pain ◽  
Intervention Group ◽  
Moderate Intensity ◽  
Low Back ◽  
Double Blind ◽  
And Control ◽  
In Pregnancy

Abstract Background and ObjectivesAlthough pregnancy is a joyful period for most women, the physiological, anatomical, and biochemical changes can cause stress among mothers. low back pain (LBP), and pelvic pain (PP) are common in pregnancy. Also, considering that Pilates also has an effect on reducing LBP during non-pregnancy, in order to promote women's health during pregnancy and reduce economic costs, we decided to measure the effect of Pilates on reducing pain in pregnant women.Materials and MethodsIn the present double-blind randomized clinical trial, the effect of Pilates on reducing pain in pregnancy is investigated. The participants include 60 pregnant women who referred to the health care centers in Shahrekord City. The participants are randomly assigned into the intervention and control groups. The intervention group women, who are at 20 weeks of gestation, are required to attend two Pilates sessions per week for 12 weeks. Each session lasted 30 minutes with moderate intensity. Followed by the intervention, pain assessment was carried out using a visual analog scale (VAS). Data are analyzed using independent t-test in SPSS software version 23. The P-values of <0.05 are statistically significant.ResultsTwo groups are matched in terms of their demographic characteristics prior to the intervention. After the intervention, low back pain (0.001) and pelvic pain (P<0.001) are significantly lower in the intervention than the control group.ConclusionPilates can decrease low back pain and pelvic pain in pregnancy.

scholarly journals Efektivitas Kompres Hangat terhadap Intensitas Nyeri Punggung pada Ibu Hamil Trimester III

2020 ◽  
Vol 3 (1) ◽  
pp. 24-31
Author(s):  
Ayu Restu Amalia ◽  
Erika Erika ◽  
Ari Pristiana Dewi
Keyword(s):  
Back Pain ◽  
Statistical Analysis ◽  
Pregnant Women ◽  
Rating Scale ◽  
Univariate Analysis ◽  
T Test ◽  
The Body ◽  
Control Group ◽  
Third Trimester ◽  
Significant Difference

Introduction: Providing a warm feeling to a particular area of one of the lower backs using warm water and a jar generates warmth on parts of the body to reduce pain. This study aimed to determine the effectiveness of warm compresses against back pain in third trimester pregnant women in a Public Health Center in Pekanbaru. Methods: The study used a quasi-experiment design with a non-equivalent control group research design employing a purposive sampling technique with a total sample of 30 respondents. The measuring instrument used is the Numeric Rating Scale (NRS). Statistical analysis used the dependent t-test and independent t-test. Results: Univariate analysis results showed that 90.0% of respondents were 20-35 years old, while the distribution of high school education level was 36.7%. The highest distribution of work as housewives was 43.3%, with the highest gravida status being multiparous was 50.0%. The majority of the Minang respondents were 40.0%. The highest gestational age was 30 weeks experienced by 23.3% respondents. The average pain intensity of the pretest experimental group was 4.53 and the posttest value was 3.07, with a difference of 146, while the control group pretest control group was 4.40 and posttest which was 4.07, there was no significant difference between the pre-test and post-test in the control group. The results of statistical analysis showed that p value = 0.001 <α (0.05), so it was found that the warm compress effectively reduces the intensity of back pain in third trimester pregnant women. The warm compress can be recommended as a complementary therapy for back pain.

scholarly journals Intervensi Nyeri Punggung pada Ibu Hamil di Desa Pengelatan

2020 ◽  
Vol 4 (3) ◽  
pp. 134
Author(s):  
Wigutomo Gozali ◽  
Nyoman Ayu Dwi Astini ◽  
M Rizal Permadi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Soft Tissues ◽  
Negative Impact ◽  
The Body ◽  
Low Back ◽  
Third Trimester ◽  
Before And After ◽  
Daily Physical Activities

The enlargement of the uterus and weight gain in the third trimester of pregnancy then the center of gravity moves forward so that the pregnant woman must adjust her stance. Improper body changes will force additional stretching and fatigue on the body, especially in the back. One of the causes of low back pain is due to hormonal changes that cause changes in the supporting and connecting soft tissues resulting in decreased muscle elasticity and flexibility. The negative impact caused by low back pain is that it can cause a decrease in the quality of life of pregnant women due to disruption of daily physical activities. The research objective was to determine the intensity of pain before and after back pain intervention in two and third trimester pregnant women in Pengelatan Village, Buleleng District, Buleleng Regency. This research is a pre-experimental study with a "One Group Pretest-Postest" design. The sampling method used was total sampling. Data collection by interviews, observation, intervention and pain scale Visual Analog Scale (VAS). Analysis data using the univariate and bevariate analysis using paired t-test. The results of the study were differences in pain intensity before and after respondents in the massage intervention. Pregnant women should routinely do massage therapy to reduce pain.

scholarly journals Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 125
Author(s):  
Ah-Hyun Hyun ◽  
Joon-Yong Cho ◽  
Jung-Hoon Koo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Body Fat ◽  
Hip Joint ◽  
The Body ◽  
Low Back ◽  
Physical And Mental Health ◽  
Home Based ◽  
Before And After

Pilates is effective for training the core muscles and stabilizing the hip joints, which provides relief from pelvic pain and low back pain during pregnancy. However, there are no specific guidelines on appropriate physical exercises for pregnant women due to the current pandemic. We aimed to apply the exercise standard proposed by the American College of Obstetricians and Gynecologists to home-based tele-Pilates exercise (HTPE), to determine its effect on the physical and mental health of pregnant women. We randomly divided the subjects into the following two groups who completed 8 weeks of HTPE (50 min/day, 2 days/week): (a) Pilates exercise (PE, n = 7) and (B) non-Pilates exercise (CON, n = 7). HTPE was performed by adjusting the program every 3 weeks, based on pain and physical fitness levels. We measured body composition, muscles of the hip joint, pelvic tilt, Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI), before and after HTPE. Following HTPE, while the percentage of body fat and body mass index had significantly decreased, the body fat mass did not change in the PE group (p < 0.05). The PE group showed an increase in strength of the left and right hip flexion and hip abduction, compared to the CON group (p < 0.01). The ODI and PSQI were significantly decreased in the PE group (p < 0.05). Therefore, the 8-week HTPE program is an effective exercise for pregnant woman that reduces body fat metabolism and strengthens muscles of the hip joint, thus alleviating pregnancy-induced low back pain and insomnia.

scholarly journals EFEKTIVITAS EFFLEURAGE MASSAGE UNTUK MENGURANGI NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI RB CI SEMARANG

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Dyah Ayu Wulandari ◽  
Yuli Andryani
Keyword(s):  
Back Pain ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Pain Scale ◽  
The Body ◽  
Research Use ◽  
Group Design ◽  
Before And After ◽  
Gentle Pressure ◽  
Spinal Muscles

Background: About 80% of women will feel back pain at some point during pregnancy. Most back pain during pregnancy occurs due to changes in the spinal muscles which are as much as 70%. and 30% of back pain during pregnancy may be due to irregularities in the condition of the spine that occurred earlier. Effleurage massage is a form of massage by using a palm that gives a gentle pressure to the top of the body in a circular direction repeatedly.Purpose: Knowing the scale of pain in pregnant women who have back trimester III back pain before and after effleurage massage done at RB CI Semarang.Research methods: Type of research used quantitative method, population in this research is trimester III pregnant woman in RB CI Semarang a number of 40 Respondent with collecting data obtained by doing effleurage massage with pre experimental design using pretest - postest one group design. Sampling technique in this research use Purposive Sampling technique.Results: the results obtained before the effleurage massage performed on pregnant women on average - scale pain 7, while after effleurage massage performed on average pregnant women decreased to pain scale 3. Conclusion:There is effect of effleurage massage on back pain in pregnant mother of trimester III.Keywords: effleurage massage, back painLiterature : 17 (2005 – 2017 ) AbstractAbout 80% of women will feel back pain at some point during pregnancy. Most back pain during pregnancy occurs due to changes in the spinal muscles which are as much as 70%. and 30% of back pain during pregnancy may be due to irregularities in the condition of the spine that occurred earlier.Effleurage massage is a form of massage by using a palm that gives a gentle pressure to the top of the body in a circular direction repeatedly.Knowing the scale of pain in pregnant women who have back trimester III back pain before and after effleurage massage done at RB CI Semarang.Type of research used quantitative method, population in this research is trimester III pregnant woman in RB CI Semarang a number of 40 Respondent with collecting data obtained by doing effleurage massage with pre experimental design using pretest - postest one group design. Sampling technique in this research use Purposive Sampling technique.the results obtained before the effleurage massage performed on pregnant women on average - scale pain 7, while after effleurage massage performed on average pregnant women decreased to pain scale 3. There is effect of effleurage massage on back pain in pregnant mother of trimester III.Keywords:effleurage massage, back pain

scholarly journals Perbandingan Antara Kompres Hangat dan Akupressure untuk Menurunkan Nyeri Punggung Bawah Ibu Hamil Trimester III

2020 ◽  
Vol 5 (2) ◽  
pp. 117-125
Author(s):  
Lutfiana Puspita Sari ◽  
Morista Citra Pratama ◽  
Kuswati Kuswati
Keyword(s):  
Back Pain ◽  
Pregnant Women ◽  
Lower Back Pain ◽  
The Body ◽  
Bivariate Analysis ◽  
P Value ◽  
Third Trimester ◽  
Group Design ◽  
Lower Back ◽  
The Difference

Background: Lower back pain is discomfort under costa and top of the gluteal inferior that experienced by 70% pregnant women in Indonesia. Warm compresses increase oxygenation and acupressure provides balance to the body. Aim this study is to analyze the effect of warm compresses and acupressure on lower back pain in third trimester pregnant women. Methods: This research uses pre-experimental design with pretest-posttest group design. It is used Purposive Sampling with 30 third trimester of pregnant woman as respondent. Bivariate analysis use the shapiro wilk by comparing pre and posttests using paired t test. Meanwhile, to compare the effect of warm compresses and acupressure by using independent t test.Results: Bivariate analysis showed that p value of warm compresses is 0.00 with the difference of mean is 2,3. While, p value of acupressure is 0.00, with the difference of mean is 1,2. Conclusion: There is an effect of warm compresses and acupressure on lower back pain in the third trisemeter of pregnant women.

Pelvic Pain and Low Back Pain in Pregnant Women – an Epidemiological Study

1995 ◽  
Vol 24 (3) ◽  
pp. 135-141 ◽  
Author(s):  
E. Heiberg Endresen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Epidemiological Study ◽  
Pelvic Pain ◽  
Low Back
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