Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
Vol. 31, No. 1, 2019, pp. 71-76
Bioline Code: mm19012
Full paper language: English
Document type: Research Article
Document available free of charge
Malawi Medical Journal, Vol. 31, No. 1, 2019, pp. 71-76
© Copyright 2019 - The College of Medicine and the Medical Association of Malawi
Low back pain during pregnancy: Prevalence, risk factors and association with daily activities among pregnant women in urban Blantyre, Malawi|
Manyozo, Steven D.; Nesto, Tarimo; Bonongwe, Phylos & Muula, Adamson S.
Low back pain (LBP) is a significant musculoskeletal problem during pregnancy with potential to negatively affect the woman’s quality of
life. Data on LBP among pregnant women in Malawi is almost non-existent. We investigated the prevalence and risk factors of LBP and its
association with functional activities in pregnant women in Malawi.
We conducted a cross-sectional study in Blantyre, Malawi, from December 2017 to January 2018. Participants were drawn from low-risk
antenatal clinics in selected local health facilities. Written informed consent was sourced from study participants, permission was granted at
each study site and the study received ethics approval from the College of Medicine Research Ethics Committee (COMREC). Descriptive
statistics were used to summarize the data. Categorical variables were summarized as frequencies and percentages. The association between
occurrence of LBP and selected factors was assessed using the Chi-Square test (X2) (α=5%) followed by a multiple logistic regression. Odds
ratios (OR) and their 95% confidence intervals were calculated.
We interviewed 404 pregnant women; the mean age of respondents was 25.83 years old (SD: ±5.91). Prevalence of LBP in pregnancy was
62% (n=249); 172 (69%) of these reported LBP for the first time during the current pregnancy. Gestational age was significantly associated
with presence of LBP (P= 0.03). LBP was associated with the women’s sleep patterns, mobility, lifting techniques and sexual activities.
However, a reasonable high proportion of those with LBP (34%) did not seek care for their low back pain.
LBP is highly prevalent and an important clinical condition among pregnant women in Blantyre, Malawi. Given the significant effect of LBP
on quality of life, health workers need to be proactive in identifying LBP and provide the appropriate management.
Low back pain; Prevalence; Pregnancy; Activity limitations; Malawi
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