Özet:

OBJECTIVE: Bone-joint disorders are frequently encountered in mothers during pregnancy and postpartum period. Prevention, treatment and management of these complaints should be planned specifically for pregnant women. The aim of this study is to contribute to current data by making a prospective analysis of orthopedic disorders in mothers before and after birth. MATERIAL AND METHODS: In our study, 61 mothers who applied to the Orthopedics and Traumatology outpatient clinic of Afyonkarahisar Health Sciences University Medical Faculty Hospital were conducted a questionnaire about 10 different body regions related to orthopedic disorders during and after pregnancy.In the survey study, the mothers were asked about the pain of these 10 regions in 5 different periods: I. trimester, II. trimester, III. trimester, the moment of birth and the current time’s pain. RESULTS: 61 mothers participated in the study as mean age 28.23 ± 6.57 (19-56). Their average weight was 69.57 ± 14.68 (44-120). Their weight at birth was 75,607 ± 13.2 (49-126). The birth weight of the babies was 3.09 ± 0.62 (0.75-4.50). Parameters evaluated; were head and neck pain, chest-back pain, back pain, hip pain, knee pain, foot-ankle pain, shoulder pain, elbow pain, hand-wrist pain and additional complaints. Low back pain was found to be the most complained condition in all periods evaluated. Low back pain peaked in III. trimester. In the findings, the lower limit of the lower back pain was 3.542; the upper limit was 5.474 and the mean visual analog scalas core 4.51. Chest-back pain was found at the 2nd frequency. The least complaint was for the elbow and its surroundings. No statistically significant relationship was found between low back pain and body mass index. CONCLUSIONS: Pregnancy affects the musculoskeletal system as well as the cardiovascular, endocrine and renal systems in women. Hormonal changes affect body mass index, and the growth of the uterus causes static and dynamic changes in the axial skeleton due to the change of the center of gravity. We found that especially low back pain complaints were relatively higher during pregnancy and postpartum period than other complaints. Musculoskeletal system changes during pregnancy affect the quality of life of the mother. The diagnosis and treatment approach are different from normal as pregnant, fetus and pregnancy should be protected. We think that it is very important to protect the triplet mentioned in all the procedures applied to bring the quality of life to the desired level.

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