Risk factors for persistent pelvic girdle pain pregnancy-related (PPGP):
a Systematic Review and meta-analysis approach
Abstract
Our review want to identify most incident risk factors that determine
the persistence of PGP at 3-6 months after childbirth in women with PPGP
or PPGP and PLBP, because of about 1/3 does not recover after childbirth
and continues to experience symptoms after three months and in some
cases up to two years. The research was performed on the databases
ofMedline, Cochrane, Pedro, Scopus, Web of Science and Chinal from
December 2018 to January 2022 following the indications of the PRISMA
statement 2009 - and updated according to the PRISMA 2020- including
observational cohort studies and prospective questionnaires in English.
Two authors independently selected studies excluding specific,
traumatic, gynecological / urological cause PGP or isolated PLBP and
studies that did not include the primary outcome (presence / absence of
PGP); studies with an initial assessment in pregnancy / within one month
of delivery and with at least a follow-up at least 3 months after
delivery were included. Two independent authors then performed an
evaluation of the ROB using the QUIPS tool. Finally, in-depth
qualitative analysis was conducted, since due to high degree of
heterogeneity in the data collection of the included studies and lack of
raw data suitable for quantitative analysis, it was not possible to
carry out the originally assumed meta-analyzes for subgroups. High
levels of pain in pregnancy, high number of positive provocative tests,
history of LBP / LPP, high levels of disability in pregnancy, neurosis
and high levels of Fear Avoidance Belief are main predictors of PPGP.