Publication:

Pregnancy related lumbo-pelvic pain: a prevalence study in a tertiary institute in Pondicherry, India

Background Pregnancy related low lumbo- pelvic pain (PLPP) is a common complaint that occurs in 60-70% of pregnancies. It can begin at any point during pregnancy. Although most cases are mild, approximately one third of women experience severe pain. The aim of the study was to determine the prevalence of PLPP among antenatal mothers in a tertiary care institute in Pondicherry, India and assess the disability caused therein.

Methods 202 consecutive pregnant women screened for PLPP in the antenatal clinic in Aarupadi Veedu Medical College Hospital Pondicherry, India by questionnaire and assessment of lumbar spine by Mckenzie protocol 2003 and pelvis by specific physical examination for evaluation of low back ache. 31 women had low back ache out of 202 who took part in screening procedure in the antenatal clinic at tertiary care institute to study the point prevalence in the given population disability was assessed by Oswestry disability index scoring questionnaire.

Results Prevalence of PLPP was as low as 15.35% compared to an average of 45% in European studies. PLBP was the dominant clinical pattern 54.84%, PLPP plus PPGP combined was 41.94% and PPGP was a very rare pattern 3.23% Oswestry disability index (ODI) in this study suggests scores upto 30 (mild to moderately disability).

Conclusions PLPP is a disabling palpable clinical problem less recognised in India and most often dismissed as part of pregnancy. Sensitization of obstetrician and the orthopaedician to interact in a multidisciplinary approach would address the problem effectively.