The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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Short-term Clinical Observation of the Early Postpartum Low Back Pain in the Korean Medical Hospital

한방치료를 받은 출산 초기 산모의 요통 경과 고찰

  • Lee, Eun-Hee (Dept. of Korean Medicine, Graduate School of Woo-Suk University)
  • 이은희 (우석대학교 한의과대학 부인과교실)
  • Received : 2012.04.26
  • Accepted : 2012.05.15
  • Published : 2012.05.25
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Abstract

Objectives: The purpose of this study was to observe the early postpartum low back pain and pelvic girdle pain in the Korean medical hospital for 2-weeks. Methods: Fifty-one postpartum women who admitted for postpartum care in Korean hospital from December 3rd, 2011 to January 31st, 2012 had written out pain measurement questionnaires(SF-MPQ, VAS, ODI) three times for 2-weeks. SPSS 18.0 for Windows was used to analyse the data and the independent samples t-test, paired T-test were used to verify the results. Results: 1. Evaluation of low back pain within the first week after birth was as follows: SF-MPQ sensory area was $5.06{\pm}4.41$ points; SF-MPQ emotional areas was $0.86{\pm}1.34$ points; VAS mean was $3.79{\pm}2.02$ points; and ODI mean was $10.27{\pm}6.69$. 2. Early postpartum low back pain and pelvic girdle pain were significantly decreased in SF-MPQ, VAS, and ODI after 2-weeks(p < 0.01). 3. Age, birth type, parity, weight, and BMI increased during pregnancy does not affect the postpartum low back pain and pelvic girdle pain. Conclusions: The top 10% of postpartum low back pain scale was 10.8 points or more in the sensory area of SF-MPQ, and 3 points or more in the affective area of SF-MPQ. In the case of VAS, it was more than 7 points, and ODI was more than 21.8 points. Postpartum back pain with oriental medical treatment was significantly improved.

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References

  1. Wang SM et al. Auricular acupuncture as a treatment for pregnant women who have low back and posterior pelvic pain: a pilot study. American journal obstetrics & gynecology. 2009; 271:1-9.
  2. Ostgaard HC, Andersson GB. Postpartum low-back pain. Spine. 1992;17(1):53-5. https://doi.org/10.1097/00007632-199201000-00008
  3. 김경모, 박소연, 이충휘. 요통환자의 일반적 특성에 따른 한국어판 오스웨스티리 장애 설문지의 라쉬분석. 한국전문물리치료학회지. 2011;18(2):35-42.
  4. 양승정 등. 산후요통 환자 치험 1례. 대한한방부인과학회지. 2001;14(3):191-8.
  5. Britt Stugea, Inger Holma, Nina Vllestad. To treat or not to treat postpartum pelvic girdle pain with stabilizing exercises? Manual Therapy. 2006;11:337-43. https://doi.org/10.1016/j.math.2005.07.004
  6. Breen TW et al. Factors associated with back pain after childbirth. Anesthesiology. 1994;81(1):29-34. https://doi.org/10.1097/00000542-199407000-00006
  7. Turgut F, Turgut M, Cetinsahin M. A prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998;80(1):45-8. https://doi.org/10.1016/S0301-2115(98)00080-3
  8. Hilde Stendal Robinson et al. Pelvic girdle pain: Potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum. Manual therpy. 2010;15:522-8. https://doi.org/10.1016/j.math.2010.05.007
  9. 심미정. 산후여성의 임신중 요통, 요통장애와 분만중 통증에 관한 연구. 여성건강간호학회지. 2004;10(1):8-14.
  10. 대한한방부인과학회편저. 한방여성의학. 서울:의성당. 2012:692, 765, 775.
  11. Melzack R. The short-form Mcgill pain questionnaire. Pain. 1987;30: 191-7. https://doi.org/10.1016/0304-3959(87)91074-8
  12. 김영욱 등. Pain disability index와 Visual analougue scale을 이용한 경항통에 대한 팔체질침의 효과. 대한침구학회지. 2003;20(1):202-8.
  13. Fairbank j, Pynsent P. The Owenstry disability index. Spine. 2000;25:2940-52. https://doi.org/10.1097/00007632-200011150-00017
  14. Stuge B. Diagnosis and treatment of pelvic girdle pain. Tidsskr Nor Laegeforen. 2010;130(21):2141-5. https://doi.org/10.4045/tidsskr.09.0702
  15. Ostgaard, H. C, Zetherstrom, G, Roos -Hansson, E. Reduction of back and posterior pelvic pain in relation to pregnancy. Spine. 1994;19:894-900. https://doi.org/10.1097/00007632-199404150-00005
  16. Ostgaard, H. C, Andersson, G. B, Low back pain postpartum. Spine. 1992;17:53-5. https://doi.org/10.1097/00007632-199201000-00008
  17. 전국한의과대학 재활의학교실. 한방재활의학과학. 서울:성원당. 1995:307-13.
  18. 박정율. 만성요통의 진단과 치료. 가정의학회지. 2001;22(9):1349-62.
  19. Breen TW et al. Factors associated with back pain after childbirth. Anesthesiology. 1994;81(1):29-34. https://doi.org/10.1097/00000542-199407000-00006
  20. Turgut F, Turgut M, Cetinsahin M. A. prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998; 80(1):45-8. https://doi.org/10.1016/S0301-2115(98)00080-3
  21. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancyrelated pelvic pain. Acta Obstet Gynecol Scand. 2001;80(6): 505-10. https://doi.org/10.1080/j.1600-0412.2001.080006505.x
  22. Gutke A, Ostgaard HC, Oberg B. Pelvic girdle pain and lumbar pain in pregnancy:a cohort study of the consequences in terms of health and functioning. Spine. 2006;31(5):149-55. https://doi.org/10.1097/01.brs.0000201259.63363.e1

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