Epidemiol Health System J. 2023;10(4): 180-186.
doi: 10.34172/ehsj.25211
  Abstract View: 414
  PDF Download: 191

Original Article

Investigation of the Prevalence of Back Pain and Related Risk Factors in Different Trimesters of Pregnancy in Pregnant Women Referring to Selected Health Centers in Shahrekord, Iran, During 2022-2023

Ziba Raisi Dehkordi 1 ORCID logo, Hadis Sourinejad 2 ORCID logo, Elham Adibmoghaddam 3* ORCID logo, Simindokht Babaiefar 1 ORCID logo, Fatemeh Hajivalizadeh 4 ORCID logo

1 Department of Midwifery, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Student Research Committee, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
3 Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran
4 Musculoskeletal Disease Department, Center for Non-Communicable Diseases Prevention and Control, Ministry of Health of Iran, Ministry of Health and Medical Education, Tehran, Iran
*Corresponding Author: Elham Adibmoghaddam, Email: adibme921@gmail.com


Background and aims: Back pain is one of the most common and often neglected problems in pregnancy. This study aimed to investigate the prevalence of back pain and its associated risk factors during the trimesters of pregnancy in pregnant women referring to selected healthcare centers in Shahrekord from 2022 to 2023.

Methods: This cross-sectional study was conducted on 521 eligible pregnant women referring to selected holistic healthcare centers in Shahrekord, Iran, during 2022-2023. Data were collected using a demographic characteristics checklist completed as a self-report, and the presence of back pain was evaluated based on the perception and feeling that the mother herself had of any pain in the lower back area. The data were analyzed using SPSS (version 26), and P<0.05 was considered the significance level.

Results: The prevalence of back pain in pregnant women was 62.7% in general, with a significant difference among trimesters of pregnancy (P<0.001). Among the investigated risk factors, there was a significant association between employment (P=0.01), type of delivery (P=0.002), type of anesthesia (P<0.001), history of back pain before pregnancy (P<0.001), and standing break of more than three hours (P<0.001) and the prevalence of back pain. In addition, increasing gestational age (P<0.001, odds ratio=1.308, 95% confidence interval=1.255–1.363) was a significant predictor of back pain in pregnancy.

Conclusion: The results revealed that more than half of women experience back pain during pregnancy, and the most powerful factor in the prevalence of this disorder is increasing gestational age. Considering the high prevalence and effects of pain on the quality of life of pregnant women, it is important for service providers to identify and develop policies and design effective interventions to prevent or solve this problem.

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Submitted: 07 Jul 2023
Revision: 17 Dec 2023
Accepted: 18 Dec 2023
ePublished: 29 Dec 2023
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