Rosa Virgara|Carol Maher|Gisela van Kessel
The comorbidity of low back pelvic pain and risk of depression and anxiety in pregnancy in primiparous women
Lyell McEwin Hospital|University of South Australia|University of South Australia
approximately 50 australian women experience low back pain pregnancy somewhere 8 36 women suffering pregnancy related depressionanxiety low back pelvic pain depression anxiety associated poor maternal health outcomes including increased sick leave higher rates functional disability increased access healthcare also impacts upon time mode delivery increase inductions elective caesarean sections babies women depression anxiety preterm birth low birth weight intrauterine growth restriction common complications given poor health outcomes important determine comorbidity low back pelvic pain depressionanxiety pregnancy cross sectional study hospital based sample 96 nulliparous women assessed 28 weeks part routine antenatal appointment data collected via interview clinical records included edinburgh depression scale eds numerical rating scale nrs modified oswestry low back pain disability questionnaire modq spearmans correlation coefficients prevalence ratios anova used determine comorbidity 96 women consented participation study study outcomes moderately correlated three main findings one positive correlation low back pelvic girdle pain lbpp depressionanxiety rho 039 p 0001 lbpp functional disability rho 051 p 0001 risk depressionanxiety functional disability rho 054 p 0001 two woman lbpp 13 times likely increased risk depressionanxiety whilst woman increased risk depressionanxiety 22 times likely lbpp finally three amongst women reported lbpp level disability experienced significantly higher women concurrent increased risk depressionanxiety p 0003 occurred even though severity pain differ groups nrs score mean p 038 study found high level cooccurrence lbpp functional disability depressionanxiety women third trimester pregnancy importantly women reported higher depressionanxiety symptoms appeared experience higher levels functional disability relation lbpp women lower depressionanxiety symptoms lbpp