Maternal Parity Effect on Spine Posture Changes and Back Pain during Pregnancy | ||
| The Medical Journal of Cairo University | ||
| Volume 93, Issue 09, September 2025, Pages 1069-1073 PDF (88.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2025.464223 | ||
| Author | ||
| AFAF M. BOTLA, Ph.D.*; REHAM E. MOHAMMED, Ph.D.*; HOSSAM AL-DIN H. KAMEL, M.D.** NADA F. ALY, M.Sc.*** | ||
| The Department of Physical Therapy for Woman Health*, Faculty of Physical Therapy, Cairo University, Department of Obstetrics & Gynecology**, Faculty of Medicine, Al-Azhar University and Bachelor of Physical Therapy***, Faculty of Physical Therapy, October 6 University | ||
| Abstract | ||
| Background: During pregnancy, many women experience low back pain. This condition, on average, affects 50-90% of women and is associated with postural balance instability, and high risk of falling. These effects are likely to be the ultimate result of several hormonal and biomechanical changes that oc-cur during pregnancy. Identifying the influence of parity on the occurrence and severity of low back pain is essential for understanding its impact on maternal health and developing preventive strategies. Aim of Study: This study was conducted to assess the low-er back pain intensity between primigravida and multigravida women during pregnancy. Patients and Methods: Forty females with low back pain participated in this study. Their ages ranged from 25 to 35 years and their body mass index ranged from 30 to 35kg/m2. they were selected from outpatient clinic of physical therapy in October 6 University (Obstetrics and Gynecology Depart-ment), from August 2024 to February 2025. Subjects were di-vided into two groups (A&B), twenty in each group. Group (A) primigravida female in 2nd and 3rd trimester while group (B) multigravida female in 2nd and 3rd trimesters, Low back pain intensity was evaluated using the Visual Analog Scale (VAS), a validated and widely used tool for pain measurement in clin-ical research. The VAS consists of a 10-centimeter horizontal line, with endpoints labeled as “no pain” (0cm) and “worst im-aginable pain” (10cm). Participants were instructed to mark a point on the line that best represented the average intensity of their low back pain. The distance in centimeters from the “no pain” end to the participant’s mark was measured and recorded as the VAS score, ranging from 0 to 10. The VAS assessment was conducted In a quiet and private setting, ensuring partici-pant comfort and minimal distractions. During the second and third trimesters, in line with the study’s aim to compare pain intensity across different stages of pregnancy. Participants were seated comfortably, and verbal instruc-tions were given using simple language to ensure understand-ing, In case of any difficulties (e.g., literacy issues), the scale was explained verbally, and the marking was assisted without influencing the participant’s choice. VAS scores were then used to compare pain intensity between primigravida and mul-tigravida groups. Results: There was no significant difference in VAS be-tween primigravida and multigravida in second and third tri-mesters. Conclusion: Our results suggest that there is no signifi-cant difference in VAS between primigravida and multigravida women. | ||
| Keywords | ||
| Low back pain; Second trimester; Third trimes-ter; Primigravida; Multigravida; VAS | ||
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