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Adaptation to a changed body. Experiences of living with long-term pelvic girdle pain after childbirth
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
Home Care and Rehabilitation, The City of Gothenburg, Gothenburg, Sweden.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; ; Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
2018 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 25, p. 3054-3060Article in journal (Refereed) Published
Abstract [en]

Purpose: To explore how women experience living with long-term pregnancy-related pelvic girdle pain.

Materials and methods: Nine women with persistent pregnancy-related pelvic girdle pain of 2–13 years were recruited by means of purposive sampling from long-term follow-up studies. The women were 28–42 years of age and had given birth to 2–3 children. Audio-taped in-depth interview with open-ended questions were used with the guiding question 'How do you experience living with pregnancy-related pelvic girdle pain?'. The Empirical Phenomenological Psychological method was chosen for analysis.

Results: The pregnancy-related pelvic girdle pain syndrome has a profound impact on everyday life for many years after pregnancy. Three constituents were identified as central to the experience of living with pregnancy-related pelvic girdle pain: (1) the importance of the body for identity, (2) the understanding of pain, and (3) stages of change. The manner in which the women experienced their pain was interpreted in terms of two typologies: the ongoing struggle against the pain, and adaptation and acceptance.

Conclusion: The participants’ narratives highlighted that the pain led to severe functional limitations that threatened their capability to perform meaningful daily activities, and interfered with their sense of identity. It appears essential to meet with each patient individually and to manage long-term pregnancy-related pelvic girdle pain as a pain syndrome.

IMPLICATIONS FOR REHABILITATION

Chronic pregnancy-related pelvic girdle pain

  • Pregnancy-related pelvic girdle pain impairs women’s capacity to perform meaningful activities of daily life for many years after pregnancy.

  • The participants’ narratives highlighted that the pain interfered with their sense of identity.

  • It appears essential to meet with each patient individually and to manage long-term pregnancy-related pelvic girdle pain as a pain syndrome.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 40, no 25, p. 3054-3060
Keywords [en]
Chronic pregnancy-related pelvic girdle pain; interview; functioning; follow-up; identity
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-153354DOI: 10.1080/09638288.2017.1368724ISI: 000450685100010PubMedID: 28835130Scopus ID: 2-s2.0-85028573225OAI: oai:DiVA.org:liu-153354DiVA, id: diva2:1272564
Available from: 2018-12-19 Created: 2018-12-19 Last updated: 2019-01-09Bibliographically approved

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