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Low back pain in pregnancy - do Austrian women know about the osteopathic approach?

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2006/01, Pages: 116, type of study: cross sectional study

Free full text   (https://www.osteopathicresearch.com/s/orw/item/2985)

Keywords:

low back pain [413]
pelvic pain [58]
pregnancy [142]
women [333]
female [379]
WSO [433]
cross sectional study [597]

Abstract:

BACKGROUND: My intention was to evaluate the prevalence of pregnancy related pain in the musculoskeletal system in Austria and the knowledge about osteopathic treatment during pregnancy. If there is data which accounts for a need, an advertising campaign should be undertaken. METHODS: A self administered questionnaire was distributed among pregnant women in obstetric primary care units of three Austrian hospitals granting a broad spectrum of social strata. RESULTS: Pain in the musculoskeletal system is mentioned by 73.3% (95%CI: 65.1%- 80.1%) of the pregnant women. 68% of the pregnant women have pain in the lumbar spine, in the pelvis or in both (95%CI: 60 - 75%), 50% only in the lumbar spine (95%CI: 42 - 59%) and 46% only in the pelvis (95%CI: 38 - 54%). These results are largely independent from the hospital and thus from living conditions, from age , trimenon and parity. Two thirds of these women have pain several times a day and 6.1% permanently. A significantly higher prevalence of longer periods of back pain (several times a day or permanent pain) can be observed in multiparous women. No significant dependencies of pain frequencies on trimenon, social structure and age could be observed.. No more than approximately 36% of the women already have sought therapeutic aid against pain, 70% of the women consider to have other or additional therapies to reduce pain and additional 5% would accept therapies during pregnancy, if necessary. In case of pain, massage, remedial gymnastics and acupuncture are popular strategies. In total, only a third of the women state to have knowledge about osteopathic treatment and less than half of the woman think to have the possibility of osteopathic treatment. The most important information source about osteopathic treatment are relatives and friends. Midwives and physiotherapists contribute to a much smaller extent to knowledge about osteopathic treatment and information contribution of medical doctors is negligible. Data from a private clinic indicate that recommendations by physiotherapists, midwives and medical doctors are essential for an increase of the knowledge and acceptance of osteopathic treatment by the pregnant women. CONCLUSION: Since prevalence of pregnancy related pain, which can be treated efficiently with osteopathic methods, and the risk of persisting back pain post partum is high, an information campaign should be started to enhance the knowledge about possibilities of osteopathic treatment for pregnant women but even more important for their health care providers. Publications of study results in international scientific magazines, should be intensified in order to encourage prenatal care providers to recommend osteopathic treatment.


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