Passagier mit Nebenwirkungen – Beckenbeschwerden während und nach der Schwangerschaft

Dicker Bauch, strahlende Augen – doch wenn Schmerzen im Beckengürtel auftreten, vergeht vielen Schwangeren das Glücksgefühl. Häufig werden die Beschwerden durch das Sakroiliakalgelenk oder die Symphyse ausgelöst. Mithilfe welcher Schmerzprovokationstests man die Ursache ermittelt und welche Maßnahmen den Frauen vor und nach der Geburt helfen, zeigt dieser Artikel.

• Literaturverzeichnis

• 1 Gutke A, Boissonnault J, Brook G. et al. The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. J WomensHealth (Larchmt) 2018; 27: 510-517 doi:10.1089/jwh.2017.6342
• 2 Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev 2015; 9: CD001139 doi:10.1002/14651858.CD001139.pub4
• 3 Olsson C. Lumbopelvic pain during and after pregnancy: Aspects of catastrophizing, fear-avoidance beliefs, physical ability and health-related quality of life. Doktorarbeit am Institutionen för neurobiologi, vårdvetenskap och samhälle/Department of Neurobiology, Care Sciences and Society 2010
• 4 Vleeming A, Albert HB, Ostgaard HC. et al. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008; 17: 794-819 doi:10.1007/s00586-008-0602-4
• 5 Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 2010; 10: 60-71
• 6 Röst CC, Jacqueline J, Kaiser A. et al. Prognosis of women with pelvic pain during pregnancy: a long-term follow-up study. Acta Obstet Gynecol Scand 2006; 85: 771-777
• 7 Hilde G, Gutke A, Slade SC. et al. Physical therapy interventions for pelvic girdle pain (PGP) after pregnancy. Cochrane Database of Systematic Reviews 2016; 11: CD012441 doi:10.1002/14651858.CD012441
• 8 Verstraete EH, Vanderstraeten G, Parewijck W. Pelvic Girdle Pain during or after Pregnancy: a review of recent evidence and a clinical care path proposal. Facts Views Vis Obgyn 2013; 5: 33-43
• 9 Gutke A, Josefsson A, Oberg B. Pelvic Girdle Pain and Lumbar Pain in relation to pregnancy. Spine (Phila Pa 1976) 2007; 32: 1430-1436
• 10 Pelvic Obstetric & Gynaecological Physiotherapy (POGP) Pregnancy-related Pelvic Girdle Pain. Guidance for Health Professionals; 2015
• 11 Bergström C, Persson M, Mogren I. Pregnancy-related low back pain and pelvic girdle pain approximately 14 months after pregnancy - pain status, self-rated health and family situation. BMC Pregnancy Childbirth 2014; 14: 48 doi:10.1186/1471-2393-14-48
• 12 May S, Aina A. Centralization and directional preference: a systematic review. Man Ther 2012; 17: 497-506 doi:10.1016/j.math.2012.05.003
• 13 Feidhmeannacht na Seirbhíse Sláinte Health Serice Executive, Therapy Professions committee, Institute of Obstrectricians & Gynaecologists Royal College of Physicians of Ireland Management of pelvic girdle pain in pregnancy and post-partum. Clinical practice guideline; 2012
• 14 Clinton SC, Newell A, Downey PA. Pelvic Girdle Pain in the Antepartum Population Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Section on Women’s Health and the Orthopaedic Section of the American Physical Therapy Association. Journal of Women’s Health Physical Therapy 2017; 41: 102-125
• 15 Beales D, O’Sullivan P. Sacroiliac joint – pelvis series. intouch 2013; 3: 24-26
• 16 Bialosky JE, Beneciuk JM, Bishop MD. et al. Unraveling the mechanisms of manual therapy: modeling an approach. J Orthop Sports Phys Ther 2018; 48: 8-18 doi:10.2519/jospt.2018.7476