scholarly journals Back Pain in Pregnant Women: Its Origins, Peculiarities of Pathogenesis and Biomechanics

2019 ◽  
Vol 4 (2) ◽  
pp. 60-64
Author(s):  
D. V. Fedorov ◽  
O. Yu. Kirgizova

The problem of the back pain in pregnant women is one of the most important in modern medicine. 65–90 % of pregnant women complain of the back pain. The women may have the back pain from the early stages of pregnancy, or it may occur with the growth of the fetus.The causes of the pain during pregnancy are late reproductive age, high body mass index, physical strain, pain during previous pregnancies. Vertebrogenic and pelvic pain in pregnant women can first appear at the beginning of the gestational period. According to various authors, the frequency of such pain is 30–35 %. As a rule, painful neurologic manifestations begin in the third trimester, on average at the 18 th –22 nd week of pregnancy. About a half of women with early manifestation of lumbosacral pain during the pregnancy keep suffering from pain for a year after giving birth. In 20 % of cases, symptomatic pain is felt for 3 years after the delivery. The primary factors causing the pain syndrome is the shift in the centre of gravity due to enlargement of the pregnant uterus of the postural balance. The localization of the pain depending on the peculiarities of the posture can be different. In most of cases the lower back, thoracolumbar passage, sacrum, with the occasional radiation to buttock or pelvic joint, are affected. One of the most common pain syndromes in gynecology is the myofascial syndrome characterized by hyper tonus of the muscles and fasciae and ligaments of the pelvic minor.

2020 ◽  
Vol 2 (2) ◽  
pp. 75
Author(s):  
Ni Luh Putu Sentania Widhi Permana Putri ◽  
Ni Wayan Suarniti ◽  
Ni Nyoman Budiani

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.  


2021 ◽  
Vol 2 (5) ◽  
pp. 45-48
Author(s):  
K.R. Rakhmatov ◽  

The first results of radiofrequency ablation of facet nerves and its effectiveness in eliminating local chronic back pain and reflected pain vertebrogenic syndromes were studied in 122 patients. Thebest results were obtained in patients with spondyloarthrosis with a positive test blockade of the facet nerves. Spondyloarthrosis is the most common condition presenting as neck pain, although it usually appears as an incidental finding in older asymptomatic subjects in cervical radiographs.Keywords: back pain, reflex, pain, syndrome, facet nerve, high-frequency, exposure, spondyloarthrosis, syndrome, radiofrequency ablation.


1970 ◽  
Vol 1 ◽  
pp. 1-4 ◽  
Author(s):  
F Husain ◽  
SA Latif ◽  
MM Uddin

Study was carried out in the department of physiology, Mymensingh Medical College, Mymensingh, Bangladesh during the period of July 2006 to June 2007 to investigate the effect of pregnancy on serum total cholesterol. The serum concentrations of total cholesterol was measured in 100 cases of 2nd and 3rd trimester of pregnancy and in a control group of 100 cases of non pregnant women which was matched on reproductive age. Data were analyzed by computer with SPSS program using unpaired student‘t’ test. The results showed that the pregnant women had significantly higher concentrations of serum total cholesterol. Higher concentration of total cholesterol was more common in pregnant than control and reaching maximum at 3rd trimester of pregnancy. This may be a purely physiological response to pregnancy or it may be indicative of pathology in some women. These results deserve a follow up study to investigative whether the hypercholesterolemia persists after parturition. Key Words: Total cholesterol, pregnancy, parturition, hypercholesterolemia J Bangladesh Soc Physiol. 2006 Dec;(1):1-4.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-20
Author(s):  
Siti Maryani ◽  
Riza Amalia ◽  
Marlynda Happy Nurmalita Sari

ABSTRACTPhysiological changes during pregnancy occur due to the development of the fetus and preparation for labor. Third trimester requires attention because of the many discomforts felt by the mother due to the rapid growth and development of the fetus. Massage therapy is a non-pharmacological technique that can help reduce discomfort during pregnancy. The aim of the study was to analyze the benefits of massage therapy to reduce discomfort during the third trimester in the form of sleep disturbances, back pain and anxiety. The method used is literature review. The articles used are articles published in 5 years starting from 2015-2020. The keywords used are pregnancy massage and third trimester pregnancy discomfort. Five research articles used in the literature review showed that the results of massage therapy carried out on TM III pregnant women can reduce the intensity of back pain, improve sleep quality and reduce anxiety / stress and can make mothers feel happy. The conclusion obtained by pregnancy massage is a massage technique with gentle and smooth methods in certain parts to make the mother feel fresher and more comfortable. The main goal of massage therapy for pregnant women is to improve the welfare of the mother and the fetus. It is hoped that massage techniques can be taught by the patient's family health personnel so that pregnant women and their families can do it independently and provide a stronger psychological effect because it is given by the closest person to the pregnant mother.Key words: pregnancy massage, third trimester of pregnancy, complementary therapy during pregnancy ABSTRACTPerubahan fisiologi selama kehamilan terjadi akibat adanya tumbuh kembang janin dan persiapan persalinan. Trimester III memerlukan perhatian karena banyaknya ketidaknyamanan yang dirasakan oleh ibu akibat tumbuh kembang janin yang cepat. Terapi pijat merupakan salah satu teknik non farmakologi yang dapat membantu mengurangi ketidaknyamanan selama kehamilan. Tujuan penelitian adalah menganalisis manfaat terapi pijat untuk mengurangi ketidaknyamanan selama trimester III berupa gangguan tidur, nyeri punggung dan kecemasan. Metode yang digunakan adalah kajian literatur. Artikel yang digunakan adalah artikel terbitan 5 tahun dimulai dari 2015-2020. Keyword yang digunakan adalah pijat hamil/ pregnancy massage dan ketidaknyamanan kehamilan TM III. Lima artikel penelitian yang digunakan dalam kajian literatur didapatkan hasil terapi pijat yang dilakukan pada ibu hamil TM III dapat menurunkan menurunkan intensitas nyeri punggung, meningkatkan kualitas tidur dan mengurangi kecemasan/ stres serta dapat membuat ibu merasa bahagia. Kesimpulan yang diperoleh pijat hamil merupakan teknik pemijatan dengan cara lembut dan halus pada bagian tertentu untuk membuat ibu merasa lebih segar dan nyaman. Tujuan utama terapi pemijatan ibu hamil adalah untuk meningkatkan kesejahteraan ibu dan janin. Diharapkan teknik pemijatan bisa diajarkan oleh tenaga kesehatan kekeluarga pasien sehingga ibu hamil dan keluarga dapat melakukan secara mandiri dan memberikan efek psikologi yang lebih kuat karena diberikan oleh orang terdekat dengan ibu hamil.Kata kunci: pijat kehamilan, kehamilan trimester III, terapi komplementer selama kehamilan


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Niken Tri Sukeksi ◽  
Gita Kostania ◽  
Emy Suryani

Abstract: Acupressure, Back Pain, Pregnancy. Acupressure is effective to relieve back pain in Meridian point. Acupressure technique is done to help pregnant women in relieving complaints in pregnancy such as nausea and vomiting. In labour process, this technique can be an induction of labor, and can reduce anxiety. The purpose is to know the influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten. Research is pre experimental design with one group pretest posttest approach. The population is all pregnant women in Puskesmas Jogonalan I area of Klaten. The population target is all third trimester of pregnant women in Puskesmas Jogonalan I area of Klaten. Technique sampling is purposive sampling with 30 peopole, ang using t-test data analysis. The characteristics of respondents showed that most of them are 20-35 years old, their gestational age are 3137 weeks, their occupation are housewives, and most of them have 2-3 children. Degree of back pain in pregnant women before acupressure as many as 21 people (70%) are in severe pain. Degree of back pain in pregnant women after given acupressure as many as 24 people (80%) are in mild pain. There is influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten (t =9,893; p=0,001<0,05).


2021 ◽  
Vol 9 (4) ◽  
pp. 268-273
Author(s):  
Roghayeh Dargahi ◽  
Behrooz Nazari ◽  
Abbasali Dorosti ◽  
Saeid Charsouei

Objectives: Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors. Materials and Methods: This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression. Results: All participants were at a weak level. The majority of participants had a score of "serious sleep problem", and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic. Conclusions: In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.


2020 ◽  
Vol 9 (2) ◽  
pp. 1403-1408
Author(s):  
Dewi Nurlaela Sari ◽  
Yanyan Mulyani

Low back pain is one of the discomfort felt by pregnant women, especially pregnancies that are in the third trimester. This study aims to determine the effect of Zingiber Officinale and pure honey in the handling of low back pain discomfort in Trimester III pregnant women. This type of research method is a quasi-experiment with one group pre-post test design approach. The sampling method used purposive sampling, namely as many as 51 respondents. The bivariate test used was the Wilxocon test with a paired t-test. The results showed that offering food and honey was effective in reducing the low back pain scale in pregnant women with a p-value (2-tailed) of 0.000 (p <0.05). In conclusion, it is found that there is an effect of offering female labor and pure honey in the management of low back pain in third-trimester pregnant women. 


2020 ◽  
Vol 1 (1) ◽  
pp. 26-34
Author(s):  
Ni Gusti Ayu Pramita Aswitami ◽  
Ni Putu Mirah Yunita Udayani ◽  
I G.A. Manik Karuniadi

Background: Pregnant women in third trimester 85% have complain with lower back pain. Management of back pain in pregnant women can be done by nonpharmacology, one of them with acupressure therapy. Acupressure therapy is one of complementary midwifery care services. The purpose of this activity is that midwives are able to provide complementary care in the form of acupressure therapy to improve health and reduce complaints of back pain in pregnant women. Methods: The acupressure therapy training activity was attended by 20 midwives who were held at STIKES Bina Usada Bali. This activity is carried out in 3 stages, namely the planning stage, the implementation phase and the evaluation phase. Evaluation is done by measuring knowledge using a questionnaire and acupressure practice skills using a checklist. Results: The results of community service activities indicate an increase in knowledge of midwives about acupressure therapy and an increase in the skills of midwives in conducting acupressure techniques. Conclution: It is recommended that community service providers provide training with a greater area coverage and midwives are expected to implement the results of this training to pregnant women especially those with back pain.


2020 ◽  
Vol 7 (1) ◽  
pp. 39-45
Author(s):  
Lina Puspitasari ◽  
Ernawati Ernawati

Background. Low back pain is the pain in the lower back region that occurs in 50% of pregnantwomen and it can be overcome with training. Mechanical Body is an effort to facilitate musclemovement without causing muscle tension so as to reduce musculoskeletal injury. Hamstringexercise action can also support the reduction of low back pain, this is caused by the exerciseprocess in the form of a reduction that results in muscle flexion resulting in reduced muscularinjury and an increase in body metabolism. The purpose of this study was to determine the benefitsof body mechanics and hamstring exercise on the reduction of low back pain in third trimesterpregnant women. Research methods. This study uses a comparative test analysis type approach.Subjects in this study were 36 third trimester pregnant women who experienced complaints of lowback pain. This research was conducted at PMB Midwife Utami, Amd.Keb. The study wasconducted in November 2018-March 2019. This study used the Wilcoxon Signed Rank test in theSPSS 20 software program. The results of this study used the Wilcoxon Signed Rank formula.Based on the calculation results using a computerized analysis of the results obtained Z value of -5.255 and p value (Asymp Sign 2 tailed) of 0,000 where the value is below the critical limit ofresearch or a point of significance of 0.05 (5%) and Z table value of 1.68830. The conclusion ofthis study is that there are benefits of mechanical body and hamstring exercise on the reduction oflow back pain in third trimester pregnant women.


2021 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Kurniyati Kurniyati ◽  
Derison Marsinova Bakara

Changes that occur during pregnancy may be difficult during pregnancy and during childbirth. Complications during pregnancy include back pain, low back pain, pelvic pain, and shortness of breath. One of the most common discomforts is back pain. Back pain is the most common musculoskeletal problem in pregnant women. It is estimated that 50% to 70% of pregnant women suffer from this problem. The purpose of this study was to determine the effect of pelvic tilt training on the reduction of back pain in third-trimester pregnant women in the Rejang Lebong Regency. The research variable was back pain in third-trimester pregnant women measured before and after pelvic tilt exercises. The research was conducted in May-July 2020. This type of research is Quasi-Experimental, the results of the sample calculation obtained a sample of 32 people. The statistical test used to see the reduction in back pain before and after Pelvic tilt exercise is non-parametric Wilcoxon. Results of back pain in the third trimester of pregnant women after being given pelvic tilt exercise with p <0.005. There is a difference in back pain in the third trimester of pregnant women after pelvic tilt exercises.


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