A Pilot Cross-Sectional Study of Postpartum Wrist Pain in an Urban Chinese Population: Its Prevalence and Risk Factors
Publication in refereed journal


其它資訊
摘要Background:
Wrist pain after childbirth is commonly encountered in clinical practice. Little is known about the prevalence of this musculoskeletal disorder which is important to overall maternal health.
Objective:
To examine the prevalence of and risk factors for de novo wrist pain in women after childbirth.
Study Design:
A pilot cross-sectional survey.
Setting:
A telephone interview was conducted 2 months after childbirth among women who delivered at a tertiary hospital in Hong Kong.
Methods:
The prevalence of de novo wrist pain was recorded; its severity was rated using the numerical rating scale and Patient-Rated Wrist Evaluation (PRWE) with pain and functional subscale scores.
Results:
In total, 259 women aged 32.8 ± 4.0 years participated; 149 women (57.5%) developed wrist pain after childbirth and 125 (84%) had persistent wrist pain 2 months postpartum. The majority had moderate (43.5%) to severe (21%) wrist pain. Bilateral involvement was common (56.8%), with most of the pain (59.3%) located on the radial side of the wrist. Primiparity was associated with wrist pain development (odds ratio 2.62, 95% confidence interval 1.33 – 5.16, P = 0.01); pain intensity was negatively correlated with the baby’s birth weight (β = -1.059, P = 0.013). Mean PRWE pain and function scores were 22.8 ± 10.3 and 15.6 ± 10.7, respectively.
Limitations:
Cross-sectional survey is prone to volunteer bias, though recent literature indicates that the bias may not substantially affect the internal validity of the study.
Conclusion:
Wrist pain is prevalent after childbirth; future studies may consider looking into its exact pathology, long-term consequences, and overall effect on maternal health.
出版社接受日期25.01.2017
著者Sit RWS, Tam WH, Chan DCC, Yip BHK, Tam LWY, Chow LLY, Chung VCH, Chung RYN, Wong SYS
期刊名稱Pain Physician
出版年份2017
月份7
卷號20
期次5
出版社American Society of Interventional Pain Physicians
頁次E711 - E719
國際標準期刊號1533-3159
電子國際標準期刊號2150-1149
語言英式英語
關鍵詞Wrist pain, DeQuervain disease, postpartum, childbirth, mothers, prevalence, cross sectional study, survey

上次更新時間 2020-12-08 於 02:52