Perinatal activities and symptoms frequency and severity
The first aim is to present descript ive non-medical data on perinatal variables. The second is to investigate the frequency and severity of symptoms during and after pregnancy.
This retrospective cohort study used a self-designed questionnaire consisting of 52 items among 489 puerperae
Main outcome measures:
Perinatal data and symptoms during pregnancy at 6 months postpartum.
In preparation for their pregnancy, 52% were referred to a physiotherapist. Before pregnancy, 18% smoked, 61% of whom quit smoking during pregnancy. In relation to the place of birth, 88% stayed 5 to 7 days in hospital. During the first stage of labour, 59% used tools like bath or ball. The supine position was the most popular posture during labour. The prevalence of breast-feeding was 80%. Urgency, mood disorders and backache were the most frequent symptoms during pregnancy. Painful breasts, mood disorders, backache and urinary incontinence were the most frequent symptoms after pregnancy. Pelvic girdle pain was the most distressing symptom before and after birth. Urinary incontinence, backache and mood disorders still showed high frequencies at 4 to 6 months postpartum (13%, 22% and 19% respectively).
This study draws attention to non-medical perinatal data like pregnancy preparation, smoking habits, place of birth, time spent in the maternity hospital, posture and tools used during labour and breast-feeding. Urgency, mood disorders and backache were the most frequent symptoms during pregnancy. Painful breasts, mood disorders and backache were the most frequent symptoms after pregnancy.
Andersson. L., Sundstrom-Poromaa. 1., Bixo. M., Wulff. M., Bondestam. K.,Astrom.M., et al., (2003). Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. American Journal of Obstetrics and Gynaecolbgy. 189:148-54.
Brown. S. & Lumley. J., (1998). Maternal health after childbirth: Results of an Austra lian population based study. British Journal of Obstetrics and Gynaecology. 105:156-61.
Cammu. H., Martens. G., Land.uyt. ..15 C.9en . K. & Defoor!. P., (2006).'Perinatale activiteiten in Vlaanderen 2006'. [Perinatal activities in Flanders. 20th ed. SPE, Brussels.
Chalmers. B., Dzakpasu. S., Heaman. M. & Kaczorowski.
J.,(2008). The Canadian maternity experiences survey: an overview of findings . Journa l of Obstetrics and Gynaecology Canada. 30:217-28.
Chiarelli. P. & Campbei i.E.,(1997). Incontinence during pregnancy: prevalence and opportunities for continence promotion. American University of Science & Technology NZJ Obstetrica Gynaecologic a 37:66-73 .
Cluett. E. R., Nikodem. V. C., McCandlish. R. E. & Burns. E.E.,
(2004). Immersion in water in pregnancy, labour and birth.
Cochrane Databa se Systematic Review (2).
Colman. G. J. & Joyce. T., (2003). Trends in smoking before, during and after pregnancy in ten states. American Journal of Preventure Medicine. 24:29-35.
Davison. J. M., Edema in pregnancy. Kidney International
;166:326-30 . Feinstein. A. R. & Cicchetti. D. V., (1990). High agreement but low kappa: the problems of two paradoxes. Clin Epidemiol 1990;43:543-549.
Gupta.J. K. & Nikodem. C., (2000). Maternal posture in labour. European Journal of Obstetrica Gynecologica Reprod Bioi. 92:273-277.
Gupta. J. K., & Hofmeyr. G. J., (2004). Position for women during second stage of labour. Cochrane Database Systematic Review (1):CD002006.
Jacknowitz. A., (2007). Increasing breastfeeding rates: do changing demographics explain them? Women's Health Issues 17:84-92.
Josefsson. A., Bug. G.,Nordin. C. & Sydsjo., (2001). Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstetrica Gynecologica Scandinavia. ;80:25 1-5.
Koh. K. S., Walters. A .W & Wood. C (1973). A survey of
symptoms occurring in pregnancy. Australian Family
Kristiansson P., Svardsudd . K. & Von Schoultz. B., ( 1996). Back pain during pregnancy: A prospective study. Spine 21:702- 709.
Kvalvik. L. G., Skjaerven. R & Haug. K., (2008). Smoking during pregnancy from 1999to 2004 : a study from the Medical Birth Registry of Norway. Acta Obstetrica
Gyneeotogica Roske. K., Lingnau. M. L., Hannover. W. & Haas. J.P.,erar.---Scandinavica. ;87:280-5.
Landis. J. R. & Koch. G. G., (1977). The measurement of observer agreement for categorical data . Biometrics 33:159• 174.
Morkved. S., (2007). Evidence for pelvic floor physical therapy
--'-'---for urinary incontinence during pregnancy and after childbirth.
In: B0 K, Berghmans B, M0rkved S, Van Kampen M (eds.).
(2008). Prevalence of smoking in women before and during pregnancy: population-based data. Dtsch Med Wochenschr. 133:764 8
Thompson . J.F., Roberts. C.L., Currie., M & Ellwood .
D.A.,(2002). Prevalence and persistence of he(![th R"ro',_b,"le'"-'m.!..!.l<.s _after childbirth: associations with parity and method of birth.
Evidence-based physical therapy for the pelvic floor.
edinburgh: Churchill Livingstone Elsevier, pp. 317-36.
Odlind.V., Haglund. B., Pakkanenand. M. & Oheiblad.; P.,(2003/- - Deliveries, mothers and newborn infants in Sweden. Acta Obstetrica Gynecologica Scandinavica. 82:516•528.
stgaard H C,Strom G Z & Hansson E R (1997). Back pain in relation to pregnancy : A 6-year follow-up. Spine 22:2945- 2950.
Wu . J., Viguera. A., Riley. L.,Cohen. L. & Eiker.J., (2002). Mood disturbance in pregnancy and the mode of delivery. American Journal of Obstetrica Gynecologica. 187:864 7.
Robinson. HS., Eskild. A ., Heiberg., E. & Eberhard-Gran. M.,
(2006). Pelvic girdle pain in pregnancy : the impact on function. Acta Obstetrica Gynecologica Scandinavica . 85: 160•4.
Van De Pol. G., Van Brummen. H. J, Bruinse. H. W. & Heintz.
A.P. , et al, (2005). Relation between pregnancy-related low
back pain, pelvic floor activity and pelvic floor dysfunction. lnt- -
Urogynecol J Pelvic Floor Dysfunction 16:468-74.
Whitford. H. M., Alde r. B. & Jones. M., (2007). A cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland. Midwifery 23:204-17 .
Wiegers T A , Keirse, VanDerZee J & Berghs (1996). Outcome
of planned home and planned hospital births in low risk pregnancies: prospective study in midwifery practises in the Netherlands. British Medical Journal. 313:1309-13.
Zib M, Lim L,William A & Walters WA (1999). Symptoms during normal pregnancy: a prospective controlled study. American University of science & Technology NZJ Obstetrica Gynaecologica 39:401•10.
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