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:4/3/2017)... , April 3, 2017  Data ... precision engineering platform, detected a statistically significant ... product prior to treatment and objective response ... the potential to predict whether cancer patients ... to treatment, as well as to improve ...
(Date:3/29/2017)... 2017  higi, the health IT company that operates ... America , today announced a Series B investment ... EveryMove. The new investment and acquisition accelerates higi,s strategy ... transform population health activities through the collection and workflow ... higi collects and secures data today on behalf of ...
(Date:3/24/2017)... DUBLIN , Mar 24, 2017 Research ... Vehicle Access System Market Analysis & Trends - Industry Forecast to ... ... poised to grow at a CAGR of around 15.1% over the ... This industry report analyzes the market estimates and forecasts for ...
Breaking Biology News(10 mins):
(Date:4/26/2017)... (PRWEB) , ... April 26, 2017 , ... ... be demonstrating its new Bioflash MailGuardtm mail security screening solution at the National ... The Bioflash MailGuard system provides a fast, highly accurate, easy to use and ...
(Date:4/25/2017)... ... , ... As part of the Stago EdVantage Virtual University Virtual ... in order to illuminate this clinical problem for people unfamiliar with the topic. , ... a high degree of morbidity and mortality. DIC is a confusing disorder from both ...
(Date:4/25/2017)... ... April 25, 2017 , ... ... & Rehabilitation, P.A. , proudly announced today that acclaimed physiatrist Matthew Terzella, MD, ... on May 15, 2017. , Dr. Terzella completed his residency in Physical Medicine ...
(Date:4/24/2017)... 24, 2017  Dante Labs announced today the offer of ... (ca. $900). While American individuals have been able to access ... can access WGS below EUR 1,000. The sequencing ... genetic information to make informed decisions about disease monitoring, prevention, ... ...
Breaking Biology Technology: