Navigation Links
Vaginal delivery is the safest option for women with pelvic girdle pain
Date:1/17/2013

Caesarean section increases the risk of persistent pelvic girdle pain after delivery compared with vaginal delivery, according to a new study from the Norwegian Institute of Public Health.

Caesarean section rates are increasing worldwide, and this trend has partly been explained by women's requests for planned caesarean section without a medical reason. Pregnancy-related pelvic girdle pain has been associated with increased preference for caesarean section and with increased planned caesarean section rates.

"Some women with severe pelvic girdle pain might fear that a vaginal delivery will be too difficult or painful, or will worsen the condition after delivery even though scientific evidence is lacking", says Elisabeth K. Bjelland, who is a postdoctoral researcher at the Institute's Division of Mental Health and lead author of the study.

Knowledge about how caesarean section affects prognosis of pelvic girdle pain is therefore needed. The purpose of this study was to investigate the relationship between mode of delivery and the persistence of pelvic girdle pain six months after delivery.

In this follow-up study, 79.9% of women had unassisted vaginal deliveries, 6.7% had instrumental vaginal deliveries (by vacuum or forceps), 7.2% had emergency caesarean sections and 6.2% had planned caesarean sections.

Doubles the risk of pain after delivery

After taking a number of other factors into account, the results showed that:

  • Planned caesarean section was associated with a two- to threefold increased risk of severe pelvic girdle syndrome (severe pain over the frontal part of the pelvis and on both sides of the rear part of the pelvis) six months after delivery.

  • In women who used crutches in pregnancy, both emergency and planned caesarean section was associated with severe pelvic girdle syndrome six months after delivery.

  • Instrumental vaginal delivery was also associated with an increased risk of pelvic girdle syndrome six months after delivery.

"Previous studies have reported that patients with prolonged or severe pain are at increased risk of chronic pain after surgery. One explanation may be that pain influences the central nervous system in such a way that the pain inhibition systems become less effective. Therefore, women with severe pelvic girdle pain during pregnancy may be more vulnerable to the pain associated with caesarean section, compared with women without pelvic girdle pain", explains Bjelland.

Clinical advice

When deciding the mode of delivery, clinicians should be aware of the increased risk of non-recovery after caesarean section among women with severe pelvic girdle pain.

"Our findings, which support previous assumptions, do not indicate that caesarean section represents a benefit for the process of recovery from pelvic girdle pain. If there are no medical reasons for a caesarean section, the findings suggest that vaginal delivery is the safest option for women presenting with severe pelvic girdle pain", advises Bjelland.


'/>"/>

Contact: Julie Johansen
julie.johansen@fhi.no
Norwegian Institute of Public Health
Source:Eurekalert

Related biology news :

1. Reduced glycerin formulation of tenofovir vaginal gel safe for rectal use
2. Ben-Gurion U. licenses drug delivery platform for central nervous system diseases to NY biotech firm
3. Delivery of gene-therapy for heart disease boosted 100-fold; now in 100-patient trial
4. Light-induced delivery of nitric oxide eradicates drug-resistant bacteria
5. Oligonucleotide Delivery: Biology, Engineering and Development Conference
6. Elegant delivery
7. Pilot Results Move GHX Closer to Delivery of Healthcare Industrys First Implantable Device Supply Chain Solution
8. University of Leicester takes delivery of unique eye imaging equipment
9. Body heat, fermentation drive new drug-delivery micropump
10. UC Davis researchers develop new drug delivery system for bladder cancer using nanoparticles
11. Aware Enables Automated Delivery of Radiation Dose Information Through Integration With Leading Radiology Reporting System
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/5/2017)... , April 5, 2017 Today ... announcing that the server component of the HYPR platform ... for providing the end-to-end security architecture that empowers biometric ... HYPR has already secured over 15 million users ... including manufacturers of connected home product suites and physical ...
(Date:3/30/2017)... March 30, 2017  On April 6-7, 2017, Sequencing.com ... Genome hackathon at Microsoft,s headquarters in ... will focus on developing health and wellness apps that ... Hack the Genome is the first hackathon for ... world,s largest companies in the genomics, tech and health ...
(Date:3/28/2017)... , March 28, 2017 The ... Hardware (Camera, Monitors, Servers, Storage Devices), Software (Video Analytics, ... Region - Global Forecast to 2022", published by MarketsandMarkets, ... 2016 and is projected to reach USD 75.64 Billion ... and 2022. The base year considered for the study ...
Breaking Biology News(10 mins):
(Date:10/11/2017)... ... October 11, 2017 , ... ComplianceOnline’s Medical Device Summit is back for ... June 2018 in San Francisco, CA. The Summit brings together current and former FDA ... board directors and government officials from around the world to address key issues in ...
(Date:10/11/2017)... ... October 11, 2017 , ... Disappearing forests and increased emissions ... over 5.5 million people each year. Especially those living in larger cities are affected ... based in one of the most pollution-affected countries globally - decided to take action. ...
(Date:10/10/2017)... ... October 10, 2017 , ... ... pharmaceutical company advancing targeted antibody-drug conjugate (ADC) therapeutics, today confirmed licensing rights ... (Hybrid Polymerized Liposomal Nanoparticle), a technology developed in collaboration with Children’s Hospital ...
(Date:10/10/2017)... , Oct. 10, 2017 SomaGenics announced ... the NIH to develop RealSeq®-SC (Single Cell), expected to ... profiling small RNAs (including microRNAs) from single cells using ... highlights the need to accelerate development of approaches to ... "New techniques for measuring levels of ...
Breaking Biology Technology: