Factors in early pregnancy predicting pregnancy‐related pain in the second and third trimester

Ruth K. Ertmann; Dagny R. Nicolaisdottir; Volkert Siersma; Gritt Overbeck; Sarah Strøyer de Voss; Frederikke Agerbo Modin; Melissa C. Lutterodt

doi:10.1111/aogs.14670

journal article Open Access Sep 28, 2023

Factors in early pregnancy predicting pregnancy‐related pain in the second and third trimester

Ruth K. Ertmann

Dagny R. Nicolaisdottir Volkert Siersma

Gritt Overbeck

Sarah Strøyer de Voss Frederikke Agerbo Modin Melissa C. Lutterodt

Acta Obstetricia et Gynecologica Scandinavica Vol. 102 No. 10 pp. 1269-1280 · Wiley

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Abstract

AbstractIntroductionPain during pregnancy affects women's well‐being, causes worry and is a risk factor for the child and the mother during labor. The aim was to investigate the relative importance of an extensive set of pregnancy‐related physiological symptoms and psychosocial factors assessed in the first trimester compared with the occurrence of pregnancy‐related pain symptoms later in the pregnancy.Material and methodsIncluded were all women who booked an appointment for a first prenatal visit in one of 125 randomly selected general practitioner practices in Eastern Denmark from April 2015 to August 2016. These women answered an electronic questionnaire containing questions on the occurrence of five pregnancy‐related pain symptoms: back pain, leg cramps, pelvic cavity pain, pelvic girdle pain and uterine contractions. The questionnaire also included sociodemographic questions and questions on chronic diseases, physical symptoms, mental health symptoms, lifestyle and reproductive background. The questionnaire was repeated in each trimester. The relative importance of this set of factors from the first trimester on the five pregnancy‐related pain symptoms compared with the second and third trimesters was assessed in a dominance analysis.ResultsA total of 1491 women were included. The most important factor for pregnancy‐related pain in the second trimester and third trimester is the presence of the corresponding pain in the first trimester. Parity was associated with pelvic cavity pain and uterine contractions in the following pregnancies. For back pain and pelvic cavity pain, the odds increased as the women's estimated low self‐assessed fitness decreased and had low WHO‐5 wellbeing scores.ConclusionsWhen including physical risk factors, sociodemographic factors, psychological factors and clinical risk factors, women's experiences of pregnancy‐related pain in the first trimester are the most important predictors for pain later in pregnancy. Beyond the expected positive effects of pregnancy‐related pain, notably self‐assessed fitness, age and parity were predictive for pain later in pregnancy.

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References

46

[1]

10.3399/bjgpopen19x101674

[2]

10.1186/1471-2393-13-111

[3]

10.1111/j.1471-0528.2009.02427.x

[4]

10.2340/16501977-1801

[5]

10.1186/s12884-015-0667-0

[6]

10.1186/s12884-018-1929-4

[7]

10.1080/08039488.2019.1579861

[8]

10.1097/brs.0b013e318060a673

[9]

10.1186/1741-7015-9-15

[10]

10.1097/00007632-199603150-00008

[11]

10.1007/s00586-003-0615-y

[12]

Risk factors for pregnancy-related pelvic girdle pain: a scoping review

Francesca Wuytack, Cecily Begley, Deirdre Daly

BMC Pregnancy and Childbirth 10.1186/s12884-020-03442-5

[13]

10.1007/s00586-008-0602-4

[14]

10.3122/jabfm.2012.02.110216

[15]

10.1080/02813432.2020.1847827

[16]

Statistics‐Danmark.https://www.dst.dk/da/

[17]

Board TDH.The Danish Health Board.https://www.sst.dk/da/udgivelser/2022/Anbefalinger‐for‐svangreomsorgen2021.

[18]

10.3390/ijerph20053813

[19]

10.1016/s0749-3797(18)30781-5

[20]

The WHO-5 Well-Being Index: A Systematic Review of the Literature

Christian Winther Topp, Søren Dinesen Østergaard, Susan Søndergaard et al.

Psychotherapy and Psychosomatics 10.1159/000376585

[21]

10.1002/9781118511800

[22]

10.1177/1094428104266510

[23]

10.1080/00016340600578415

[24]

10.1016/j.math.2010.05.007

[25]

Bjelland EK "Pelvic girdle pain in pregnancy: the impact of parity" Am J Obstet Gynecol (2010)

[26]

10.1016/j.wombi.2017.07.013

[27]

10.1111/birt.12567

[28]

10.1007/s12160-013-9521-7

[29]

10.1080/07399332.2013.862796

[30]

10.1016/j.ijgo.2016.03.029

[31]

10.1016/j.pmedr.2015.05.010

[32]

10.2466/pms.104.2.519-533

[33]

10.18794/aams/66867

[34]

10.1136/bjsports-2018-099400

[35]

10.3390/ijerph16101840

[36]

10.3390/ijerph15122745

[37]

10.1186/s12874-020-01197-3

[38]

10.1186/s12998-019-0279-2

[39]

Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health

Judith Stephenson, Nicola Heslehurst, Jennifer Hall et al.

The Lancet 10.1016/s0140-6736(18)30311-8

[40]

Origins of lifetime health around the time of conception: causes and consequences

Tom P Fleming, Adam J Watkins, Miguel A Velazquez et al.

The Lancet 10.1016/s0140-6736(18)30312-x

[41]

Intervention strategies to improve nutrition and health behaviours before conception

Mary Barker, Stephan U Dombrowski, Tim Colbourn et al.

The Lancet 10.1016/s0140-6736(18)30313-1

[42]

10.1097/gco.0b013e328359f131

[43]

Pennick V "Interventions for preventing and treating pelvic and back pain in pregnancy" Cochrane Database Syst Rev (2015)

[44]

Liddle SD "Interventions for preventing and treating low‐back and pelvic pain during pregnancy" Cochrane Database Syst Rev (2015)

[45]

10.1016/j.msksp.2020.102152

[46]

10.1159/000471764

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Details

Published: Sep 28, 2023
Vol/Issue: 102(10)
Pages: 1269-1280
License: View

Authors

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Ruth K. Ertmann