Low back pain intensity among childbearing women and associated predictors. A cohort study

Publication date: Available online 28 September 2018

Source: Women and Birth

Author(s): Mette G. Backhausen, Jane M. Bendix, Peter Damm, Ann Tabor, Hanne K. Hegaard

Abstract

Background

Low back pain is a common condition among childbearing women, causing physical disability and an increased risk of sick leave and obstetric complications.

Aims

To assess the prevalence and intensity of low back pain during pregnancy, to describe the physical disability and sick leave in relation to the severity of low back pain and to identify predictors of moderate to severe low back pain in socio-demographic, health and obstetric characteristics among childbearing women.

Methods

A cohort study was undertaken (n = 566) during August 2015 to March 2016. Questionnaires were used to obtain information about low back pain intensity, physical disability due to low back pain and sick leave at 20 and 32 weeks of gestation. Of the 654 eligible women, 87% completed the first questionnaire.

Findings

Three out of four reported any low back pain at 20 weeks of gestation, and nine out of ten women at 32 weeks. Of these women, one in three reported moderate to severe pain at 20 weeks, increasing to half of the women at 32 weeks. Both sick leave and physical disability increased with increasing low back pain scores. Pre-pregnancy low back pain, multiparity and lower level of education were all identified as predictors of moderate to severe low back pain.

Conclusions

Women with pre-pregnancy low back pain, multiparity and lower level of education, represent the group of women with the highest risk of moderate to severe low back pain during pregnancy and should be payed special attention.

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