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Women's experience of low back and/or pelvic pain (LBPP) during pregnancy

Authors: Close Ciara, Sinclair Marlene, Liddle Dianne, Mc Cullough Julie, Hughes CiaraJournal: MidwiferyPublished: June 1, 2016DOI: 10.1016/j.midw.2016.03.013
Q1 JournalSJR: 1h-index: 87SCImago
Limited EvidenceQualitativen=14 participants

In Plain Language: pregnancy, explained

to explore the experiences of women suffering low back and/or pelvic pain during pregnancy. a qualitative design using focus groups. Each group was recorded with a digital audio recorder and analysed using the Newell and Burnard framework for thematic analysis. an urban maternity hospital. a self-selecting sample of 14 women who had taken part in a pilot randomised controlled trial investigating reflexology for pregnancyrelated low back and / or pelvic pain. the group discussions were guided by a pre-determined schedule of questions designed to investigate women's experiences of pregnancyrelated low back and / or pelvic pain. Three main themes emerged: low back and/ or pelvic pain affected women physically and emotionally during pregnancy. Their attitudes towards, and knowledge about the conditions differed. Women used a range of self-help strategies for their symptoms and there was a general sense of dissatisfaction with routine advice and treatment, a finding supported by a growing body of research. given that pregnancy-related low back and/ pelvic pain occur across the world, and affects the majority of pregnant women, heath care providers need to ensure that standard care provided is meeting women's needs. Health care professionals may require specific training in order to effectively provide individualised and evidence-based advice and support to pregnant women experiencing this pain.

Key Findings: what this qualitative study found about pregnancy

  • ✓Low back and/or pelvic pain during pregnancy affected women both physically and emotionally, with varying levels of knowledge and understanding about these conditions.
  • ✓Women employed a range of self-help strategies to manage their pregnancy-related pain symptoms.
  • ✓Women reported general dissatisfaction with routine clinical advice and treatment for pregnancy-related low back and/or pelvic pain.

What This Means for You

This small qualitative study suggests that many pregnant women with back and pelvic pain feel their concerns aren't adequately addressed by standard care, though this research doesn't directly evaluate reflexology's effectiveness.

What This Means for Practitioners

Understanding that pregnant clients with low back and pelvic pain often feel unheard and unsupported by conventional care may help reflexologists provide more empathetic and individualized attention to their needs.

Study Design: how this qualitative study was run

Sample Size
14 participants
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Pregnancy: common questions

What does this study say about pregnancy?

This small qualitative study suggests that many pregnant women with back and pelvic pain feel their concerns aren't adequately addressed by standard care, though this research doesn't directly evaluate reflexology's effectiveness.

What did this study find?

Low back and/or pelvic pain during pregnancy affected women both physically and emotionally, with varying levels of knowledge and understanding about these conditions. Women employed a range of self-help strategies to manage their pregnancy-related pain symptoms. Women reported general dissatisfaction with routine clinical advice and treatment for pregnancy-related low back and/or pelvic pain.

How strong is this evidence?

This is a qualitative study and we rate its evidence limited. It covers 14 participants. It was published in Midwifery, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

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