PDF(Pubmed)
Abstract：
Pain during pregnancy affects women\'s well-being, causes worry and is a risk factor for the child and the mother during labor. The aim was to investigate the relative importance of an extensive set of pregnancy-related physiological symptoms and psychosocial factors assessed in the first trimester compared with the occurrence of pregnancy-related pain symptoms later in the pregnancy.
Included were all women who booked an appointment for a first prenatal visit in one of 125 randomly selected general practitioner practices in Eastern Denmark from April 2015 to August 2016. These women answered an electronic questionnaire containing questions on the occurrence of five pregnancy-related pain symptoms: back pain, leg cramps, pelvic cavity pain, pelvic girdle pain and uterine contractions. The questionnaire also included sociodemographic questions and questions on chronic diseases, physical symptoms, mental health symptoms, lifestyle and reproductive background. The questionnaire was repeated in each trimester. The relative importance of this set of factors from the first trimester on the five pregnancy-related pain symptoms compared with the second and third trimesters was assessed in a dominance analysis.
A total of 1491 women were included. The most important factor for pregnancy-related pain in the second trimester and third trimester is the presence of the corresponding pain in the first trimester. Parity was associated with pelvic cavity pain and uterine contractions in the following pregnancies. For back pain and pelvic cavity pain, the odds increased as the women\'s estimated low self-assessed fitness decreased and had low WHO-5 wellbeing scores.
When including physical risk factors, sociodemographic factors, psychological factors and clinical risk factors, women\'s experiences of pregnancy-related pain in the first trimester are the most important predictors for pain later in pregnancy. Beyond the expected positive effects of pregnancy-related pain, notably self-assessed fitness, age and parity were predictive for pain later in pregnancy.
Included were all women who booked an appointment for a first prenatal visit in one of 125 randomly selected general practitioner practices in Eastern Denmark from April 2015 to August 2016. These women answered an electronic questionnaire containing questions on the occurrence of five pregnancy-related pain symptoms: back pain, leg cramps, pelvic cavity pain, pelvic girdle pain and uterine contractions. The questionnaire also included sociodemographic questions and questions on chronic diseases, physical symptoms, mental health symptoms, lifestyle and reproductive background. The questionnaire was repeated in each trimester. The relative importance of this set of factors from the first trimester on the five pregnancy-related pain symptoms compared with the second and third trimesters was assessed in a dominance analysis.
A total of 1491 women were included. The most important factor for pregnancy-related pain in the second trimester and third trimester is the presence of the corresponding pain in the first trimester. Parity was associated with pelvic cavity pain and uterine contractions in the following pregnancies. For back pain and pelvic cavity pain, the odds increased as the women\'s estimated low self-assessed fitness decreased and had low WHO-5 wellbeing scores.
When including physical risk factors, sociodemographic factors, psychological factors and clinical risk factors, women\'s experiences of pregnancy-related pain in the first trimester are the most important predictors for pain later in pregnancy. Beyond the expected positive effects of pregnancy-related pain, notably self-assessed fitness, age and parity were predictive for pain later in pregnancy.
摘要：
背景：怀孕期间的疼痛会影响女性的幸福感，引起担忧，是分娩期间孩子和母亲的危险因素。目的是调查在妊娠早期评估的一系列与妊娠相关的生理症状和社会心理因素的相对重要性，与妊娠后期与妊娠相关的疼痛症状的发生相比。
方法：包括2015年4月至2016年8月在丹麦东部随机选择的125名全科医生之一中预约首次产前检查的所有女性。这些妇女回答了电子问卷，其中包含有关五种与妊娠相关的疼痛症状的发生的问题：背痛，腿部抽筋,盆腔疼痛,骨盆带疼痛和子宫收缩。问卷还包括社会人口统计学问题和关于慢性病的问题，身体症状,心理健康症状,生活方式和生殖背景。在每三个月重复问卷。在优势分析中，评估了前三个月的这组因素对五个与妊娠相关的疼痛症状与第二和第三个三个月的相对重要性。
结果：共纳入1491名妇女。妊娠中期和晚期妊娠相关疼痛的最重要因素是妊娠早期存在相应的疼痛。在随后的妊娠中，均等与盆腔疼痛和子宫收缩有关。对于背痛和盆腔疼痛，随着女性自我评估的健康状况降低和WHO-5健康评分较低,这种可能性增加.
结论：当包括身体危险因素时，社会人口因素，心理因素和临床危险因素，女性妊娠早期疼痛的经历是妊娠后期疼痛的最重要预测因素。除了妊娠相关疼痛的预期积极影响，特别是自我评估的健身，年龄和胎次是妊娠后期疼痛的预测因素.
方法：包括2015年4月至2016年8月在丹麦东部随机选择的125名全科医生之一中预约首次产前检查的所有女性。这些妇女回答了电子问卷，其中包含有关五种与妊娠相关的疼痛症状的发生的问题：背痛，腿部抽筋,盆腔疼痛,骨盆带疼痛和子宫收缩。问卷还包括社会人口统计学问题和关于慢性病的问题，身体症状,心理健康症状,生活方式和生殖背景。在每三个月重复问卷。在优势分析中，评估了前三个月的这组因素对五个与妊娠相关的疼痛症状与第二和第三个三个月的相对重要性。
结果：共纳入1491名妇女。妊娠中期和晚期妊娠相关疼痛的最重要因素是妊娠早期存在相应的疼痛。在随后的妊娠中，均等与盆腔疼痛和子宫收缩有关。对于背痛和盆腔疼痛，随着女性自我评估的健康状况降低和WHO-5健康评分较低,这种可能性增加.
结论：当包括身体危险因素时，社会人口因素，心理因素和临床危险因素，女性妊娠早期疼痛的经历是妊娠后期疼痛的最重要预测因素。除了妊娠相关疼痛的预期积极影响，特别是自我评估的健身，年龄和胎次是妊娠后期疼痛的预测因素.
