Impact of Delivery Mode on Coccydynia, Pelvic Girdle Pain and Rectus Diastasis in Postpartum Females: a Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 73
- 试验地点
- 1
- 主要终点
- Visual Analog Scale
研究概览
简要总结
This comparative observational study investigates the impact of delivery mode vaginal delivery versus cesarean section on the prevalence and severity of three postpartum musculoskeletal complications: coccydynia, pelvic girdle pain (PGP), and rectus diastasis (RD). Conducted on postpartum females aged 20-40 years within 6 weeks to 6 months after childbirth, the study aims to highlight musculoskeletal outcomes often overlooked in standard postpartum care.
详细描述
A total of 73 participants were selected through non-probability sampling from rehabilitation centers and home-based postpartum populations in Lahore. Pain intensity and musculoskeletal impairments were assessed using validated tools: the Visual Analog Scale (VAS) for coccydynia, Pelvic Girdle Questionnaire (PGQ) for PGP, and finger-width palpation technique for RD. The data collection involved both self-reported questionnaires and clinical assessments by trained professionals. The goal is to identify how delivery mode influences musculoskeletal health and to support the development of more tailored physiotherapy interventions and postpartum care strategies.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Postpartum females aged 20-40 years
- •Females who delivered via vaginal delivery or cesarean section
- •6 weeks to 6 months postpartum period
- •Willingness to participate and provide informed consent
排除标准
- •Females with a history of pelvic or spinal surgery prior to pregnancy
- •Known cases of pre-existing musculoskeletal disorders (e.g., scoliosis, chronic back pain)
- •Multiple pregnancies (twins or more) in the current or previous delivery
- •Postpartum complications unrelated to delivery mode (e.g., sepsis, trauma)
结局指标
主要结局
Visual Analog Scale
时间窗: 6 Month
A 10 cm horizontal line marked from 0 (no pain) to 10 (worst imaginable pain). Scoring: The participant marks a point on the line that best represents their pain intensity. The score is measured in centimeters from the "no pain" end. Higher scores indicate more severe pain.
Pelvic Girdle Questionnaire (PGQ)
时间窗: 6 Months
Contains 25 items divided into two domains: activity limitations (20 items) and symptoms (5 items). Scoring: Each item is rated on a 4-point scale (0 = not at all, 1 = to a small extent, 2 = to some extent, 3 = to a great extent). Scores are summed, converted into a percentage of the maximum possible score. Higher percentages reflect greater pelvic girdle pain and disability.
次要结局
未报告次要终点
研究者
Muhammad Naveed Babur
Principal Investigator
Superior University