Pelvic girdle pain during pregnancy and puerperium

J Obstet Gynaecol. 2011 Oct;31(7):572-80. doi: 10.3109/01443615.2011.598970.

Abstract

Pelvic girdle pain (PGP) is a term used specifically to pregnancy-related pain in the lumbosacral, sacroiliac and symphysis pubis joints. Pregnancy-induced hormonal and physical changes increase the risk of musculoskeletal problems in pregnancy. The severity of these conditions varies from mild self-limiting pain to a severe disabling condition. PGP is common in pregnancy and while most can be managed as outpatients, a few patients require inpatient admission for further investigations and management. Prompt identification of these conditions is essential to avoid serious disability. Lack of awareness and failure of recognition not only results in women feeling isolated, but may also result in long-term morbidity. In this review, we explore the aetiology, presentation, risk factors, risk of recurrence, differential diagnosis and multidisciplinary management of these conditions. We also enclose obstetric guidelines to increase the awareness of the health professionals.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Female
  • Humans
  • Osteonecrosis / complications
  • Osteonecrosis / diagnosis
  • Osteonecrosis / therapy
  • Osteoporosis / complications
  • Osteoporosis / diagnosis
  • Osteoporosis / therapy
  • Pelvic Girdle Pain* / diagnosis
  • Pelvic Girdle Pain* / etiology
  • Pelvic Girdle Pain* / therapy
  • Pregnancy
  • Pregnancy Complications* / diagnosis
  • Pregnancy Complications* / therapy
  • Pregnancy Outcome
  • Pubic Symphysis Diastasis / therapy
  • Puerperal Disorders*
  • Recurrence