Pelvic girdle pain in pregnancy: the impact of parity

Am J Obstet Gynecol. 2010 Aug;203(2):146.e1-6. doi: 10.1016/j.ajog.2010.03.040. Epub 2010 May 26.

Abstract

Objective: The purpose of this study was to estimate the association of parity with pelvic girdle syndrome (PGS; pain in anterior and bilateral posterior pelvis).

Study design: We included 75,939 pregnant women in the Norwegian Mother and Child Cohort Study. Data were obtained by self-administered questionnaires.

Results: By pregnancy week 30, 15% of the women had developed PGS. Among first-time mothers, 11% of the women reported PGS, compared with 18% of the women with 1 previous delivery and 21% of women with 2 previous deliveries. The odds ratios for PGS of having had 1 or 2 previous deliveries were 1.9 (95% confidence interval [CI], 1.9-2.0) and 2.4 (95% CI, 2.3-2.6), respectively, after adjustment for other study factors. For PGS with severe pain, the corresponding odds ratios were 2.6 (95% CI, 2.3-2.9) and 3.8 (95% CI, 3.3-4.3).

Conclusion: The risk of the development of PGS increased with number of previous deliveries, which suggests that parity-related factors play a causal role.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Body Mass Index
  • Cohort Studies
  • Confidence Intervals
  • Delivery, Obstetric / methods
  • Educational Status
  • Female
  • Gestational Age
  • Humans
  • Logistic Models
  • Norway
  • Odds Ratio
  • Pain Measurement
  • Parity*
  • Pelvic Bones / physiopathology*
  • Pelvic Pain / diagnosis
  • Pelvic Pain / epidemiology*
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / epidemiology*
  • Pregnancy Outcome*
  • Risk Assessment
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Young Adult