Evidence map›Paper›PMID 30991911›Full record

Observational studyWomen's health (London, England)

Trajectories of lower back, upper back, and pelvic girdle pain during pregnancy and early postpartum in primiparous women.

Guinn Dunn, Marlene J Egger, Janet M Shaw, Jingye Yang, Tyler Bardsley, Emily Powers, Ingrid E Nygaard

2 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05751460 completednot on this map

Translation and Validation of Pelvic Girdle Questionnaire in Urdu Language

Typeobservational_patient_registrySponsorRiphah International UniversityRan2021 to 2022Enrolled125ConditionsPelvic Girdle PainArmsStraight leg raise
NCT05834166 nacompletednot on this map

Effects of Upper Back Strengthening and Postural Correction on Pain, Functional Status and Sleep Quality in Females With Costal Rib Pain in 3rd Trimester of Pregnancy

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled22ConditionsChest PainArmsUpper back strengthening and Postural correction
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Back and pelvic girdle pain from prepregnancy to postpartum: a new pain tracking method considering pain intensity and chronological patterns.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Guinn Dunn1 University of Utah School of Medicine, Salt Lake City, UT, USA.
Marlene J Egger2 Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Janet M Shaw3 Department of Health, Kinesiology, and Recreation, University of Utah College of Health, Salt Lake City, UT, USA.
Jingye Yang2 Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Tyler Bardsley4 Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Emily Powers5 Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Ingrid E Nygaard6 Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0001-5568-660X
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
The cultural context of postpartum pelvic floor support following vaginal delivery: a comparative ethnographic analysis of Mexican-American and Euro-American womenP01HD080629 · NICHD · UNIVERSITY OF UTAH · PI NYGAARD, INGRID E · 2015 to 2019
$5.9M
NCATS NIH HHS UL1 TR002538NICHD NIH HHS P01 HD080629
6 · The paper itself

Abstract

objectiveMost studies about truncal pain during and after pregnancy focus on low back pain, few prospectively define change in pain, and even fewer evaluate pain in all three major truncal areas: upper back, lower back, and pelvic girdle. Thus, the objective of this prospective cohort study was to describe, in primiparous women delivered vaginally, prevalence rates and severities of upper back, lower back, and pelvic girdle pain during pregnancy and 6-10 weeks postpartum and to describe the trajectory of pain constellations between time points. STUDY

designParticipants completed questionnaires at each time point. Pain intensity was rated on a visual analogue scale ranging from 0 to 100.

resultsOf the 288 participants, 94% reported truncal pain during pregnancy, while 75% did so postpartum. Prevalence rates of upper back, lower back, and pelvic girdle pain with or without other types of pain during pregnancy were 42%, 77%, and 74% and postpartum were 43%, 52%, and 41%, respectively. Pain severity was highest for women endorsing pain in three locations (median 55-60). Of women with the most common pain constellation during pregnancy, lower back and pelvic girdle (32%), 18% had persistent low back and pelvic girdle pain postpartum, 20% had no pain, and the remainder had pain in a different location. Of women with pain in all three locations during pregnancy (27%), 34% had persistent pain in three locations postpartum, 13% had no pain, and the remainder had pain in at least one location.

conclusionMore women experience pain in a constellation of locations than in a single location. Severity increases as number of pain sites increase. Women with pain in three sites during pregnancy are least likely to have pain resolve. Interventions should focus on the entire trunk and not simply one site of pain.

Indexed as

AdultBack PainComorbidityFemaleHumansLow Back PainParityPelvic Girdle PainPostpartum PeriodPregnancyPregnancy ComplicationsProspective StudiesSocioeconomic FactorsWomen's Healthback painpelvic painpostpartumpregnancy

Identifiers

PMID30991911
PMCPMC6472169
OpenAlexW2937888199

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.