Evidence and individualization: Important elements in treatment for women with postpartum pelvic girdle pain

Abstract

The aim of our study was to elucidate patients' experiences of a treatment program for postpartum pelvic girdle pain. The written information given by 47 women regarding their experiences with the treatment program was analyzed by qualitative content analysis. Three categories were identified from the patients' experiences: 1) “Treatment means involvement”; 2) “The interchange of knowledge and experience”; and 3) “Perceived change and meaning.” The treatment required the participants' involvement, individual adaptation, and focusing on the importance of building their capacity to master daily activities. The therapists were skilled, interested in each patient, and listened attentively. The program was evidence based and put into practice on a personalized basis. The dialogs of the therapist and patient were experienced as meaningful, creating insight, knowledge, and hope. The treatment facilitated a feeling of being in charge of their own bodies. The dialog and the individualized guidance seemed to be experienced as positive for the women's coping of their daily life. By being active agents in managing their pelvic girdle pain and therapy, they learned to set proximal goals. Perceived hope and self-efficacy appeared to be essential for developing a capacity for self-management and an enhanced ability to benefit from appropriate learning experiences.

Acknowledgment

We thank the informants participating in the study and the Norwegian Foundation for Health and Rehabilitation for support.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.