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ORIGINAL ARTICLE

Regression of pelvic girdle pain after delivery: follow-up of a randomised single blind controlled trial with different treatment modalities

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Pages 201-208 | Received 12 Mar 2007, Published online: 03 Aug 2009
 

Abstract

Objective. An earlier publication showed that acupuncture and stabilising exercises as an adjunct to standard treatment was effective for pelvic girdle pain during pregnancy, but the post-pregnancy effects of these treatment modalities are unknown. The aim of this follow-up study was to describe regression of pelvic girdle pain after delivery in these women. Design. A randomised, single blind, controlled trial. Setting. East Hospital and 27 maternity care centres in Göteborg, Sweden. Population. Some 386 pregnant women with pelvic girdle pain. Methods. Participants were randomly assigned to standard treatment plus acupuncture (n=125), standard treatment plus specific stabilising exercises (n=131) or to standard treatment alone (n=130). Main outcome measures. Primary outcome measures: pain intensity (Visual Analogue Scale). Secondary outcome measure: assessment of the severity of pelvic girdle pain by an independent examiner 12 weeks after delivery. Results. Approximately three-quarters of all the women were free of pain 3 weeks after delivery. There were no differences in recovery between the 3 treatment groups. According to the detailed physical examination, pelvic girdle pain had resolved in 99% of the women 12 weeks after delivery. Conclusions. This study shows that irrespective of treatment modality, regression of pelvic girdle pain occurs in the great majority of women within 12 weeks after delivery.

Abbreviations
P4-test=

posterior pelvic pain provocation test

Abbreviations
P4-test=

posterior pelvic pain provocation test

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