European Spine Journal

, Volume 16, Issue 1, pp 115–121

Does caesarean section negatively influence the post-partum prognosis of low back pain and pelvic pain during pregnancy?

Original Article

Abstract

Low back and pelvic pain (LBPP) is prevalent during pregnancy and also post-partum. The aetiology is poorly understood. The aim of this study was to investigate possible associations between epidural or spinal anaesthesia and caesarean section (CS) with persistent LBPP half a year after pregnancy. In a previous questionnaire study (n=891) altogether 639 (72%) women had reported LBPP during pregnancy. We sent these respondents a second questionnaire at approximately 6 months post-delivery. The response rate was 72.6% (n=464). The respondents were divided into three groups reporting ‘no pain’, ‘recurrent pain’ and ‘continuous pain’ in relation to LBPP 6 months after delivery. Pearson’s chi-square test was used to test the difference between groups and logistic regression analysis was performed. Forty percent of the respondents had received epidural anaesthesia (EDA) or spinal anaesthesia during delivery and 18.5% of women had been delivered by CS. Epidural or spinal anaesthesia was not associated with persistent LBPP. There was no significant difference in CS rates between different sub-groups. The risk of persistent LBPP was increased three- to fourfold in women delivered by elective CS compared with women delivered by emergency CS. Epidural or spinal anaesthesia was not associated with risk of persistent LBPP. Elective CS was associated with an increased risk of persistent LBPP. However, the results must be interpreted with caution because of a relatively small study sample.

Keywords

Low back and pelvic pain Pregnancy Post-partum Epidural anaesthesia Caesarean section 

Abbreviations

LBPP

Low back and pelvic pain during pregnancy

Q1

The first questionnaire after delivery

Q2

The second questionnaire at approximately 6 months after delivery

CS

Caesarean section

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of Clinical Science, Obstetrics and Gynaecology, Department of Public Health and Clinical Medicine, Epidemiology and Public Health SciencesUmea UniversityUmeaSweden

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