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Master Thesis

Petits maux de la grossesse : étude de la lombalgie

Abstract : Low back pain is frequent during pregnancy. Indeed, approximately 45% of women suffer from it. In addition, the pain will continue during the post-partum period for 25% of women. Often considered part of "small evils of pregnancy,"recalling the "mal joli*" of the past, low back pain appears all in all as a minor symptom for most consultants. Various etiologies are known, and some are psychosocial related. The objective of this study is to investigate how low back pain affliction is dealt with. Initially, prevention methods of the spinal affectation were evaluated. Then we analyzed the rate and quality of low back pain care for pregnant women. Finally, an evaluation of the effectiveness of proposed solutions is presented. A prospective study was conducted from 196 questionnaires distributed to pregnant women in 3 maternity wards in Paris of different types (Type 1, 2 and 3) and status (private, public). This study showed that women suffering from low back pain during pregnancy did not benefit from treatment addressing the pain regardless of their maternity ward. Indeed, no significant differences emerged in comparing the rates of treatment in the maternity wards. However, comparing the results according to maternity wards status, we found that the proportion of women reporting their affliction and receiving treatment was significantly higher in the private maternity ward. The presence of simple and effective tools to prevent the manifestation of these low back pains was identified. Patients followed in type 1 maternity ward had a prevention rate significantly higher than those in type 2 (X ² = 6.45, significant at 5%, α = 5%) and 3 (X ² = 9.9% significant at 1%). This finding was similar when comparing public and private maternity wards. The study revealed that use of methods known as "classical" to compensate for low back pain was less frequent than use of complementary and alternative medicine (37% vs. 63%). Moreover, alternative medicine proved to be more effective than conventional medicine. The latter was responsible for a decrease of in 37.7% of cases only. Based on our results and complementary readings on the subject, we believe, prevention of low back pains should be systematic through preparation sessions at birth, prenatal consultations and maintenance of the 4th month consultation. Midwifes would play a key factor in those activities. In addition, information on existing therapeutic alternative is capital to achieve comprehensive and effective monitoring of pregnant women and should, therefore, be provided to patients and caregivers
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  • HAL Id : dumas-00558463, version 1

Citation

Maryse Batonat. Petits maux de la grossesse : étude de la lombalgie. Gynécologie et obstétrique. 2010. ⟨dumas-00558463⟩

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