Long-term effectiveness and costs of a brief self-management intervention in women with pregnancy-related low back pain after delivery.

Abstract:

BACKGROUND:Pregnancy-related low back pain is considered an important health problem and potentially leads to long-lasting pain and disability. Investigators draw particular attention to biomedical factors but there is growing evidence that psychosocial and social factors might be important. It prompted us to start a large cohort study (n = 7526) during pregnancy until one year after delivery and a nested randomized controlled intervention study in the Netherlands. METHODS:A randomized controlled trial (n = 126) nested within a cohort study, of brief self-management techniques versus usual care for treatment of women with persisting non-specific pregnancy-related low back pain three weeks after delivery. Women in the intervention group were referred to a participating physiotherapist. Women in the usual care group were free to choose physiotherapy, guidance by a general practitioner or no treatment. Follow up took place at 3 months, 6 months and one year after delivery.Outcomes included change in limitations in activities (RDQ), pain (VAS), severity of main complaints (MC), global feeling of recovery (GPE), impact on participation and autonomy (IPA), pain-related fear (TSK), SF-36, EuroQol and a cost diary. For the outcome measures, series of mixed models were considered. For the outcome variable global perceived effect (GPE) a logistic regression analysis is performed. RESULTS:Intention-to-treat outcomes showed a statistical significant better estimated regression coefficient RDQ -1.6 {-2.9;-0.5} associated with treatment, as well as better IPA subscale autonomy in self-care -1.0 {-1.9;-0.03} and TSK -2.4 {-3.8;-1.1} but were not clinical relevant over time. Average total costs in the intervention group were much lower than in usual care, primarily due to differences in utilization of sick leave but not statistically significant. CONCLUSION:Brief self-management techniques applied in the first 3 months after delivery may be a more viable first-line approach but further research is needed to draw inference on costs and to determine whether no care is a better option in the long term. TRIAL REGISTRATION:[ISRCTN08477490].

authors

Bastiaenen CH,de Bie RA,Vlaeyen JW,Goossens ME,Leffers P,Wolters PM,Bastiaanssen JM,Brandt PA,Essed GG

doi

10.1186/1471-2393-8-19

subject

Has Abstract

pub_date

2008-05-30 00:00:00

pages

19

issn

1471-2393

pii

1471-2393-8-19

journal_volume

8

pub_type

杂志文章,随机对照试验
  • A discriminant analysis prediction model of non-syndromic cleft lip with or without cleft palate based on risk factors.

    abstract:BACKGROUND:A risk prediction model of non-syndromic cleft lip with or without cleft palate (NSCL/P) was established by a discriminant analysis to predict the individual risk of NSCL/P in pregnant women. METHODS:A hospital-based case-control study was conducted with 113 cases of NSCL/P and 226 controls without NSCL/P. ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1116-4

    authors: Li H,Luo M,Luo J,Zheng J,Zeng R,Du Q,Fang J,Ouyang N

    更新日期:2016-11-23 00:00:00

  • Implementation of the Robson classification in clinical practice:Lithuania's experience.

    abstract:BACKGROUND:To determine the cesarean section (CS) rate in Lithuania, identify the groups of women that influence it using the Robson classification and to determine the impact of implementing the use of the Robson classification on the CS rate. METHODS:The Robson classification was introduced in Lithuanian hospitals p...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1625-9

    authors: Kacerauskiene J,Bartuseviciene E,Railaite DR,Minkauskiene M,Bartusevicius A,Kliucinskas M,Simoliuniene R,Nadisauskiene RJ

    更新日期:2017-12-20 00:00:00

  • Effects of demand-side financing on utilisation, experiences and outcomes of maternity care in low- and middle-income countries: a systematic review.

    abstract:BACKGROUND:Demand-side financing, where funds for specific services are channelled through, or to, prospective users, is now employed in health and education sectors in many low- and middle-income countries. This systematic review aimed to critically examine the evidence on application of this approach to promote mater...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2393-14-30

    authors: Murray SF,Hunter BM,Bisht R,Ensor T,Bick D

    更新日期:2014-01-17 00:00:00

  • Retrospective analysis of the diagnostic yield of newborn drug testing.

    abstract:BACKGROUND:The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy. METHODS:A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother's medical record was perfor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-250

    authors: Wood KE,Sinclair LL,Rysgaard CD,Strathmann FG,McMillin GA,Krasowski MD

    更新日期:2014-07-29 00:00:00

  • Accounts of severe acute obstetric complications in rural Bangladesh.

    abstract:BACKGROUND:As maternal deaths have decreased worldwide, increasing attention has been placed on the study of severe obstetric complications, such as hemorrhage, eclampsia, and obstructed labor, to identify where improvements can be made in maternal health. Though access to medical care is considered to be life-saving d...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-76

    authors: Sikder SS,Labrique AB,Ullah B,Ali H,Rashid M,Mehra S,Jahan N,Shamim AA,West KP,Christian P

    更新日期:2011-10-21 00:00:00

  • Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality.

    abstract:BACKGROUND:Maternal morbidity is a complex entity and its presentation and severity are on a spectrum. This paper describes the conceptualization and development of a definition for maternal morbidity, and the framework for its measurement: the maternal morbidity matrix, which is the foundation for measuring maternal m...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0789-4

    authors: Chou D,Tunçalp Ö,Firoz T,Barreix M,Filippi V,von Dadelszen P,van den Broek N,Cecatti JG,Say L,Maternal Morbidity Working Group.

    更新日期:2016-03-02 00:00:00

  • Maternal 27-hydroxycholesterol concentrations during the course of pregnancy and in pregnancy pathologies.

    abstract:BACKGROUND:The oxysterol 27-hydroxycholesterol (27-OHC) plays an important role in the regulation of cholesterol homeostasis. Pregnancy pathologies like preeclampsia (PE), HELLP-syndrome (HELLP), intrauterine growth restriction (IUGR) and intrahepatic cholestasis in pregnancy (ICP) are linked to disturbances in lipid m...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1287-7

    authors: Winkler BS,Pecks U,Najjari L,Kleine-Eggebrecht N,Maass N,Mohaupt M,Escher G

    更新日期:2017-04-04 00:00:00

  • Adverse events in women and children who have received intrapartum antibiotic prophylaxis treatment: a systematic review.

    abstract:BACKGROUND:Adverse events from intrapartum antibiotic prophylaxis (IAP) are poorly documented yet essential to inform clinical practice for neonatal group B Streptococcus (GBS) disease prevention. In this systematic review, we appraised and synthesised the evidence on the adverse events of IAP in the mother and/or her ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-017-1432-3

    authors: Seedat F,Stinton C,Patterson J,Geppert J,Tan B,Robinson ER,McCarthy ND,Uthman OA,Freeman K,Johnson SA,Fraser H,Brown CS,Clarke A,Taylor-Phillips S

    更新日期:2017-07-26 00:00:00

  • Differences in maternal characteristics and pregnancy outcomes between syphilitic women with and without partner coinfection.

    abstract:BACKGROUND:Partner infection is a significant factor in preventing mother-to-child syphilis transmission. We compared pregnancy outcomes between syphilis discordant and syphilis concordant couples. METHODS:We conducted a retrospective study among 3076 syphilis-positive women who received syphilis screening together wi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2569-z

    authors: Zhang XH,Chen YM,Sun Y,Qiu LQ,Chen DQ

    更新日期:2019-11-27 00:00:00

  • Pathways to emotional closeness in neonatal units - a cross-national qualitative study.

    abstract:BACKGROUND:Research shows evidence for the importance of physical and emotional closeness for the infant, the parent and the infant-parent dyad. Less is known about how, when and why parents experience emotional closeness to their infants in a neonatal unit (NU), which was the aim of this study. METHODS:A qualitative ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0955-3

    authors: Flacking R,Thomson G,Axelin A

    更新日期:2016-07-19 00:00:00

  • The association between attendance of midwives and workload of midwives with the mode of birth: secondary analyses in the German healthcare system.

    abstract:BACKGROUND:The continuous rise in caesarean rates across most European countries raises multiple concerns. One factor in this development might be the type of care women receive during childbirth. 'Supportive care during labour' by midwives could be an important factor for reducing fear, tension and pain and decreasing...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-300

    authors: Knape N,Mayer H,Schnepp W,zu Sayn-Wittgenstein F

    更新日期:2014-09-02 00:00:00

  • Factors associated with tocolytic hospitalizations in Taiwan: evidence from a population-based and longitudinal study from 1997 to 2004.

    abstract:BACKGROUND:The use of tocolytic hospitalization in antenatal care is controversial and worthy of more research. We investigated individual, institutional, and area factors that affect the use of tocolytic hospitalizations in Taiwan where fertility has rapidly declined. METHODS:Longitudinal data from the 1996 to 2004 N...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-9-59

    authors: Ma KZ,Norton EC,Tsai EM,Lee SY

    更新日期:2009-12-18 00:00:00

  • Women's experiences of personalised support for asthma care during pregnancy: A systematic review of the literature.

    abstract:BACKGROUND:Asthma and pregnancy are both sources of anxiety for women. Although there has been a focus on physiological management of asthma and pregnancy, there has been little research on the impact that personalised support can have on asthma care during pregnancy. This systematic review and narrative synthesis of t...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-017-1241-8

    authors: Williamson GR,O'Connor A,Kayleigh EJ

    更新日期:2017-02-20 00:00:00

  • Basic vaginal pH, bacterial vaginosis and aerobic vaginitis: prevalence in early pregnancy and risk of spontaneous preterm delivery, a prospective study in a low socioeconomic and multiethnic South American population.

    abstract:BACKGROUND:Bacterial vaginosis (BV) increases the risk of spontaneous preterm deliveries (PD) in developed countries. Its prevalence varies with ethnicity, socioeconomic conditions and gestational age. Aerobic vaginitis (AV) has also been implicated with spontaneous PD. The present study aimed to estimate the prevalenc...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-107

    authors: Krauss-Silva L,Almada-Horta A,Alves MB,Camacho KG,Moreira ME,Braga A

    更新日期:2014-03-19 00:00:00

  • Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors.

    abstract:BACKGROUND:There are fundamental and rapid changes in body shape during pregnancy, some of which persist for an extended time after delivery and may cause dissatisfaction with body shape. Therefore, we conducted this study to determine predictors of body dissatisfaction at six months postpartum based on demographic and...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03501-x

    authors: Tavakoli M,Hasanpoor-Azghady SB,Farahani LA

    更新日期:2021-01-05 00:00:00

  • Planned home compared with planned hospital births: mode of delivery and Perinatal mortality rates, an observational study.

    abstract:BACKGROUND:To compare the mode of delivery between planned home versus planned hospital births and to determine if differences in intervention rates could be interpreted as over- or undertreatment. METHODS:Intervention and perinatal mortality rates were obtained for 679,952 low-risk women from the Dutch Perinatal Regi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1348-y

    authors: van der Kooy J,Birnie E,Denktas S,Steegers EAP,Bonsel GJ

    更新日期:2017-06-08 00:00:00

  • Reshaping maternal services in Nigeria: any need for spiritual care?

    abstract:BACKGROUND:High maternal and perinatal mortalities occur from deliveries conducted in prayer houses in Nigeria. Although some regulatory efforts have been deployed to tackle this problem, less attention has been placed on the possible motivation for seeking prayer house intervention which could be hinged on the spiritu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-196

    authors: Adanikin AI,Onwudiegwu U,Akintayo AA

    更新日期:2014-06-06 00:00:00

  • Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study.

    abstract:BACKGROUND:Excess gestational weight gain has long- and short-term implications for women and children, and postpartum weight retention is associated with an increased risk of long-term obesity. Despite the existence of dietary and exercise guidelines, many women struggle to return to pre-pregnancy weight. Experiences ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-019-2508-z

    authors: Murray-Davis B,Grenier L,Atkinson SA,Mottola MF,Wahoush O,Thabane L,Xie F,Vickers-Manzin J,Moore C,Hutton EK

    更新日期:2019-10-21 00:00:00

  • Estudio Parto: postpartum diabetes prevention program for hispanic women with abnormal glucose tolerance in pregnancy: a randomised controlled trial - study protocol.

    abstract:BACKGROUND:Diabetes and obesity have reached epidemic proportions in the U.S. with rates consistently higher among Hispanics as compared to non-Hispanic whites. Among Hispanic women diagnosed with gestational diabetes mellitus (GDM), 50% will go on to develop type 2 diabetes within 5 years of the index pregnancy. Altho...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2393-14-100

    authors: Chasan-Taber L,Marcus BH,Rosal MC,Tucker KL,Hartman SJ,Pekow P,Braun B,Moore Simas TA,Solomon CG,Manson JE,Markenson G

    更新日期:2014-03-10 00:00:00

  • Risk factors for spontaneous miscarriage above 12 weeks or premature delivery in patients undergoing cervical polypectomy during pregnancy.

    abstract:BACKGROUND:It currently remains unknown whether the resection of cervical polyps during pregnancy leads to miscarriage and/or preterm birth. This study evaluated the risk of spontaneous PTB below 34 or 37 weeks and miscarriage above 12 weeks in patients undergoing cervical polypectomy during pregnancy. METHODS:This wa...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2710-z

    authors: Fukuta K,Yoneda S,Yoneda N,Shiozaki A,Nakashima A,Minamisaka T,Imura J,Saito S

    更新日期:2020-01-09 00:00:00

  • Effects of high volume saline enemas vs no enema during labour--The N-Ma Randomised Controlled Trial [ISRCTN43153145].

    abstract:BACKGROUND:Enemas are used during labour in obstetric settings with the belief that they reduce puerperal and neonatal infections, shorten labour duration, and make delivery cleaner for attending personnel. However, a systematic review of the literature found insufficient evidence to support the use of enemas. The obje...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-6-8

    authors: Cuervo LG,Bernal Mdel P,Mendoza N

    更新日期:2006-03-19 00:00:00

  • Obstetric hemorrhage and shock management: using the low technology Non-pneumatic Anti-Shock Garment in Nigerian and Egyptian tertiary care facilities.

    abstract:BACKGROUND:Obstetric hemorrhage is the leading cause of maternal mortality globally. The Non-pneumatic Anti-Shock Garment (NASG) is a low-technology, first-aid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1186/1471-2393-10-64

    authors: Miller S,Fathalla MM,Ojengbede OA,Camlin C,Mourad-Youssif M,Morhason-Bello IO,Galadanci H,Nsima D,Butrick E,Al Hussaini T,Turan J,Meyer C,Martin H,Mohammed AI

    更新日期:2010-10-18 00:00:00

  • Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial.

    abstract:BACKGROUND:Maternal obesity is associated with an increased risk of pregnancy complications, including gestational diabetes. Physical activity (PA) might improve glucose metabolism and reduce the incidence of gestational diabetes. The purpose of this study was to explore patterns of PA and factors associated with chang...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12884-015-0479-2

    authors: Hayes L,Mcparlin C,Kinnunen TI,Poston L,Robson SC,Bell R,UPBEAT Consortium.

    更新日期:2015-03-01 00:00:00

  • Barriers to maternal retention in HIV care in Ghana: key differences during pregnancy and the postpartum period.

    abstract:BACKGROUND:Maternal retention in HIV care is lower for women in the postpartum period than during pregnancy, but the reasons are poorly understood. We examined key differences in barriers to retention in HIV care during and after pregnancy. METHODS:We conducted semi-structured, in-depth interviews with 30 postpartum w...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03067-8

    authors: Sakyi KS,Lartey MY,Kennedy CE,Dension JA,Mullany LC,Owusu PG,Sacks E,Hurley EA,Surkan PJ

    更新日期:2020-07-17 00:00:00

  • Patterns of social inequalities across pregnancy and birth outcomes: a comparison of individual and neighborhood socioeconomic measures.

    abstract:BACKGROUND:This paper identifies patterns of health inequalities (consistency and magnitude) of socioeconomic disparities for multiple maternal and child health (MCH) outcomes that represent different health care needs of mothers and infants. METHODS:Using cross-sectional national data (unweighted sample = 6,421, weig...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-014-0393-z

    authors: Daoud N,O'Campo P,Minh A,Urquia ML,Dzakpasu S,Heaman M,Kaczorowski J,Levitt C,Smylie J,Chalmers B

    更新日期:2015-03-23 00:00:00

  • Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth.

    abstract:BACKGROUND:Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0990-0

    authors: Edqvist M,Blix E,Hegaard HK,Ólafsdottir OÁ,Hildingsson I,Ingversen K,Mollberg M,Lindgren H

    更新日期:2016-07-29 00:00:00

  • Evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy in Brazilian Portuguese.

    abstract:BACKGROUND:Estimates of unplanned pregnancy worldwide are of concern, especially in low and middle-income countries, including Brazil. Although the contraceptive prevalence rate is high in Brazil, almost half of all pregnancies are reported as unintended. The only source of nationally representative data about pregnanc...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1037-2

    authors: Borges AL,Barrett G,Dos Santos OA,Nascimento Nde C,Cavalhieri FB,Fujimori E

    更新日期:2016-08-24 00:00:00

  • Does cultural practice affects neonatal survival- a case control study among low birth weight babies in Aceh Province, Indonesia.

    abstract:BACKGROUND:Cultural practice have often overlooked when providing maternal and child health care services. Low birth weight is the second cause of neonatal mortality in the world but it is a major factor in a developing country such as Indonesia. The purpose of this study is to predict the neonatal mortality among low ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-342

    authors: Sutan R,Berkat S

    更新日期:2014-09-30 00:00:00

  • A modified surgical approach to women with obstetric anal sphincter tears by separate suturing of external and internal anal sphincter. A modified approach to obstetric anal sphincter injury.

    abstract:BACKGROUND:Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. METHODS:In a prospective study at Malmö University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a...

    journal_title:BMC pregnancy and childbirth

    pub_type: 临床试验,杂志文章

    doi:10.1186/1471-2393-10-51

    authors: Lindqvist PG,Jernetz M

    更新日期:2010-09-09 00:00:00

  • The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study.

    abstract:BACKGROUND:Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whethe...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2009-5

    authors: Woldetensay YK,Belachew T,Biesalski HK,Ghosh S,Lacruz ME,Scherbaum V,Kantelhardt EJ

    更新日期:2018-09-15 00:00:00