Featured Research

from universities, journals, and other organizations

Vaginal delivery is the safest option for women with pelvic girdle pain, study suggests

Date:
January 17, 2013
Source:
Norwegian Institute of Public Health
Summary:
Caesarean section increases the risk of persistent pelvic girdle pain after delivery compared with vaginal delivery, according to a new study.

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.

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.

The researchers included 10,400 women in the Norwegian Mother and Child Cohort Study who had reported pelvic girdle syndrome in pregnancy week 30. They used questionnaire data from weeks 17 and 30 of gestation and six months after delivery. The data files were linked to the Medical Birth Registry of Norway. The study was conducted in close collaboration with senior researcher Malin Eberhard-Gran and researchers from the Oslo University Hospital.


Story Source:

The above story is based on materials provided by Norwegian Institute of Public Health. Note: Materials may be edited for content and length.


Journal Reference:

  1. Elisabeth K. Bjelland, Britt Stuge, Siri Vangen, Babill Stray-Pedersen, Malin Eberhard-Gran. Mode of delivery and persistence of pelvic girdle syndrome 6 months postpartum. American Journal of Obstetrics and Gynecology, 2012; DOI: 10.1016/j.ajog.2012.12.002

Cite This Page:

Norwegian Institute of Public Health. "Vaginal delivery is the safest option for women with pelvic girdle pain, study suggests." ScienceDaily. ScienceDaily, 17 January 2013. <www.sciencedaily.com/releases/2013/01/130117084740.htm>.
Norwegian Institute of Public Health. (2013, January 17). Vaginal delivery is the safest option for women with pelvic girdle pain, study suggests. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/2013/01/130117084740.htm
Norwegian Institute of Public Health. "Vaginal delivery is the safest option for women with pelvic girdle pain, study suggests." ScienceDaily. www.sciencedaily.com/releases/2013/01/130117084740.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Newsy (Sep. 30, 2014) The CDC says a new case of Ebola has not been reported in Nigeria for more than 21 days, leading to hopes the outbreak might be nearing its end. Video provided by Newsy
Powered by NewsLook.com
UN Ebola Mission Head: Immediate Action Is Crucial

UN Ebola Mission Head: Immediate Action Is Crucial

AFP (Sep. 30, 2014) The newly appointed head of the United Nations Mission for Ebola Emergency Response (UNMEER), Anthony Banbury, outlines operations to tackle the virus. Duration: 00:39 Video provided by AFP
Powered by NewsLook.com
CDC Confirms First Case of Ebola in US

CDC Confirms First Case of Ebola in US

AP (Sep. 30, 2014) The CDC has confirmed the first diagnosed case of Ebola in the United States. The patient is being treated at a Dallas hospital after traveling earlier this month from Liberia. (Sept. 30) Video provided by AP
Powered by NewsLook.com
New Breast Cancer Drug Extends Lives In Clinical Trial

New Breast Cancer Drug Extends Lives In Clinical Trial

Newsy (Sep. 30, 2014) In a clinical trial, breast cancer patients lived an average of 15 months longer when they received new drug Perjeta along with Herceptin. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins