Persistence of low back/pelvic girdle pains in women after pregnancy: An experience from Aminu Kano Teaching Hospital, Nigeria


Submitted: October 7, 2019
Accepted: January 30, 2020
Published: March 17, 2020
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Authors

  • Ayyuba Rabiu Department of Obstetrics and Gynecology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Mustapha Ibrahim Usman Department of Surgery, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Muhammad Kabir Abubakar Department of Surgery, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Sulaiman Muhammad Daneji Department of Obstetrics and Gynecology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Ibrahim Garba Department of Obstetrics and Gynecology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Shamsuddeen Muhammad Department of Surgery, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
  • Idris Sulaiman Abubakar Department of Obstetrics and Gynecology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.

Persistence of symptoms of low back pains and pelvic girdle pains are frequent complaints after pregnancy. Knowledge of back pain prevention and back education is essential for prevention and relief of persistence pains after delivery. The aim is to determine the factors that are associated with persistence of low back/girdle pains after pregnancy, the severity of the pains and measures undertaken by the patients for alleviation of this chronic condition. The study was a cross sectional survey. Ethics approval was obtained from Aminu Kano Teaching Hospital Ethics Committee. Information such as socio demographic characteristics of the clients, persistence and severity of low back pains/pelvic girdle pains after pregnancy and associated risk factors, was asked and documented on a questionnaire. Consecutive, consenting clients were recruited for the survey. Data collected were analyzed using SPSS Version 19. Qualitative data were summarized using frequencies and percentages. χ2 and Fishers’ Exact tests were used, where appropriate, for categorical data. A P value of ≤0.05 was considered significant. During the period, 51 patients with chronic back/pelvic girdle pains or both were recruited. Their mean age (±SD) was 30.9±5.62 years. Bed rest was the most means of relief of low back/pelvic girdle pains. Variables such as advancing age, ethnic group, high parity, educational status and obesity were found to be present and high among patients with persistence of low back/pelvic girdle pains. However, only their employment status was found to be associated with the severity of their pains (χ2 =11.443, P=0.001). The survey showed only employment status was statistically associated with severity of the low back/pelvic girdle pains (χ2 =11.443, P=0.001). Other variables were not associated. There was low knowledge of back pain prevention and back education among the study group.


Usman M, Abubakar M, Muhammad S, Rabiu A, Garba I. Low back pain in pregnant women attending antenatal clinic: The Aminu Kano teaching hospital experience. Ann Afr Med 2017;16(3). DOI: https://doi.org/10.4103/aam.aam_214_16

Fung B, Kwong C, Ho E. Low back pain of women during pregnancy in the mountainous district of central Taiwan. Chung Hua I Hsueh Tsa Chih, Tappei 1993;51:103–6.

Ostgaard H, Andersson G, Wennergren M. The impact of low back pain and pelvic pain in pregnancy on the pregnancy outcome. Acta Obs Gynecol Scand 1991;70:21–4. DOI: https://doi.org/10.3109/00016349109006172

Gutke A, Östgaard H, Öberg B. Predicting persistent pregnancy-related low back pain. Spine (Phila Pa 1976) 2008;33(12):386–93. DOI: https://doi.org/10.1097/BRS.0b013e31817331a4

Albert H, Godskesen M, Korsholm L, Westergaard J. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand 2006;85(5):539–44. DOI: https://doi.org/10.1080/00016340600578415

Bergström C, Persson M, Mogren I. Pregnancy-related low back pain and pelvic girdle pain approximately 14 months after pregnancy - pain status, self-rated health and family situation. BMC Pregnancy Childbirth 2014;14(1):1–12. DOI: https://doi.org/10.1186/1471-2393-14-48

Mogren I. Physical activity and persistent low back pain and pelvic pain post partum. BMC Public Health 2008;8:1–5. DOI: https://doi.org/10.1186/1471-2458-8-417

Bergström C, Persson M, Mogren I. Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and/or pelvic girdle pain at 14 months postpartum. Chiropr Man Ther [Internet] 2016;24(1):1–11. Available from: http://dx.doi.org/10.1186/s12998-016-0088-9 DOI: https://doi.org/10.1186/s12998-016-0088-9

Pincus T, Burton A, Vogel S, Field A. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976) 2002;27(5):109–20. DOI: https://doi.org/10.1097/00007632-200203010-00017

Stuge B, Hilde G, Vollestad N. Physical therapy for pregnancy-related low back and pelvic pain: A systematic review. Acta Obstet Gynecol Scand [Internet] 2003;82(11):983–90. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed6&NEWS=N&AN=2003431022 DOI: https://doi.org/10.1034/j.1600-0412.2003.00125.x

To W, Wong M. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gynecol Scand [Internet] 2003;82(12):1086–91. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed6&NEWS=N&AN=2003480514 DOI: https://doi.org/10.1046/j.1600-0412.2003.00235.x

Mukkannavar P, Desai B, Mohanty U, Parvatikar V, Karwa D, Daiwajna S. Pelvic girdle pain after childbirth: The impact of mode of delivery. J Back Musculoskelet Rehabil [Internet] 2013;26(3):281–90. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed11&NEWS=N&AN=2013505118 DOI: https://doi.org/10.3233/BMR-130378

Abbasi S, Hamid M, Ahmed Z, Nawaz F. Prevalence of low back pain experienced after delivery with and without epidural analgesia: A non-randomised prospective direct and telephonic survey. Indian J Anaesth 2014;58(2):143–148. DOI: https://doi.org/10.4103/0019-5049.130814

Turgut F, Turgut M, Çetinşahin M. A prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol 1998;80(1):45–8. DOI: https://doi.org/10.1016/S0301-2115(98)00080-3

Olsson C, Nilsson-Wikmar, L Grooten W. Determinants for lumbopelvic pain 6 months postpartum. Disabil Rehabil 2012;34(5):416–22. DOI: https://doi.org/10.3109/09638288.2011.607212

Cherni Y, Desseauve D, Decatoire A, Veit-Rubinc N, Begon M, Pierre F, et al. Evaluation of ligament laxity during pregnancy. J Gynecol Obstet Hum Reprod [Internet] 2019;48(5):351–7. Available from: https://doi.org/10.1016/j.jogoh.2019.02.009 DOI: https://doi.org/10.1016/j.jogoh.2019.02.009

Mogren I. Does caesarean section negatively influence the post-partum prognosis of low back pain and pelvic pain during pregnancy? Eur Spine J 2007;16(1):115–21. DOI: https://doi.org/10.1007/s00586-006-0098-8

Omokhodion F, Umar U, Ogunnowo B. Prevalence of low back pain among staff in a rural hospital in Nigeria. Occup Med (Chic Ill) 2000;50(2):107–10. DOI: https://doi.org/10.1093/occmed/50.2.107

Sikiru, L Shmaila H. Prevalence and risk factors of low back pain among nurses in Africa: Nigerian and Ethiopian specialized hospitals survey study. East Afr J Public Heal 2009;6(1):22–5. DOI: https://doi.org/10.4314/eajph.v6i1.45737

Al-Dajah S, Al-Daghdi A. Prevalence and Risk Factors of Low Back Pain Among Nurses in Sudayr Region. Eur Sci J 2013;9(33):198–205.

Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: Prevalence and associated risk factors among hospital staff. J Adv Nurs 2009;65(3):516–24. DOI: https://doi.org/10.1111/j.1365-2648.2008.04905.x

Lahad A, Malter A, Berg A, Deyo R. The effectiveness of four interventions for the prevention of low back pain (Structured abstract). JAMA J Am Med Assoc [Internet] 1994;272(16):1286–96. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=dare&AN=00125498-100000000-11970%5Cnhttp://sfxhosted.exlibrisgroup.com/sherbrooke?sid=OVID:daredb&id=pmid:&id=doi:&issn=&isbn=&volume=&issue=2&spage=&pages=&date=2015&title=Database+of+A DOI: https://doi.org/10.1001/jama.1994.03520160070046

Andersson GBJ. Epidemiology of low back pain. Acta Orthop Scand 1998;69(281):28–31. DOI: https://doi.org/10.1080/17453674.1998.11744790

Russell R, Dundas R, Reynolds F. Long term backache after childbirth: Prospective search for causative factors. Br Med J 1996;312(7043):1384–8. DOI: https://doi.org/10.1136/bmj.312.7043.1384a

Rabiu, Ayyuba, Mustapha Ibrahim Usman, Muhammad Kabir Abubakar, Sulaiman Muhammad Daneji, Ibrahim Garba, Shamsuddeen Muhammad, and Idris Sulaiman Abubakar. 2020. “Persistence of Low back/Pelvic Girdle Pains in Women After Pregnancy: An Experience from Aminu Kano Teaching Hospital, Nigeria”. Annals of African Medical Research 2 (2). https://doi.org/10.4081/aamr.2019.90.

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