Hiba Ali, Mehwish Khalid, Muhammad Sohaib Azeem, Sumbal Saleem, Hafiz Muhammad Asim, Samreen Sadiq.
Prevalence of Persistent Sacroiliac Pain among Postpartum Women; a Cross-sectional Survey.
Healer J Physiotherap Rehab Jan ;3(7):710-6.

Background: The sacroiliac joint in pregnant and postpartum women is prone to dysfunction due to several biomechanical changes that occur during gestation. This comprises an increased angle of lordosis, weight gain and structural stress caused by the physiologic process of birthing. Objective: To evaluate the prevalence of persistent sacroiliac pain among postpartum women. Methods: A cross-sectional type of descriptive study was performed for a period of six months from April 2019 to October 2019. Permission from the Ethics Committee of the Lahore College of Physical Therapy, Lahore Medical and Dental College was obtained. The questionnaire was accompanied by an information sheet that explains the nature and purpose of the study. A non-probability random sampling technique was used to recruit the participants for the study. About 67 postpartum women following 4 to 6 months with a history of back pain participated in the study. The respondents were assured that their responses will be kept confidential. Exclusion criteria constituted those women who were pregnant, had chronic low back pain, had undergone surgery or had any recent history of inflammatory, infective, traumatic, neoplastic or degenerative disease. The data collection was completed over six months from April to October 2019. The clinical tests consisted of a posterior pelvic pain provocation, Faber, Gaenslen, compression and distraction tests. Data was analyzed by using SPSS version 21 and variables were presented in the form of percentages and frequency. The relationship between the variable was presented in the form of cross-tabulation. Results: A total of 43 postpartum women (64%), had reported persistent sacroiliac pain at the time of examination. Out of 67 participants, 27 postpartum women that experienced sacroiliac joint pain were multiparous women and 16 were primiparous women. The percentage of participants that underwent C-section delivery affected with sacroiliac pain in the postpartum period was 76% and those with normal delivery was 58%. Conclusion: The results of the present study concluded that 64% of women suffered from persistent sacroiliac pain in the postpartum period. Incidence was high among multiparous women. An increased percentage of sacroiliac pain was found in postpartum women who underwent C-section delivery.

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