Study of the correlation between postpartum joint symptoms and maternity season within 15 days after giving birth

Jin Suk Koo; Yun Young Kim; Bu Il Seo; Koo, Jin Suk; Kim, Yun Young; Seo, Bu Il

doi:10.13048/jkm.17011

JKM > Volume 38(1); 2017 > Article

Koo, Kim, and Seo: Study of the correlation between postpartum joint symptoms and maternity season within 15 days after giving birth

Case Report

The Journal of Korean Medicine 2017; 38(1): 125-133.

Published online: March 31, 2017

DOI: https://doi.org/10.13048/jkm.17011

Study of the correlation between postpartum joint symptoms and maternity season within 15 days after giving birth

Jin Suk Koo¹, Yun Young Kim², Bu Il Seo³^{, *}

¹Dept. of Bioresource Sciences, Andong National Univ. Andong, Republic of Korea

²Dept. of Nursing, Andong National Univ. Andong, Republic of Korea

³Dept. of Korean Medicine, Daegu Hanny Univ. Daegu, Republic of Korea

Correspondence to： 서부일(Bu Il Seo) 대구한의대학교 한의과대학 Tel：+82-53-819-1876, Fax：+82-53-819-1850, E-mail: seojangsan@naver.com

Received March 6, 2017 Revised March 20, 2017 Accepted March 20, 2017

Abstract

Objectives

The purpose of this study is to investigate the correlation between postpartium joint diseases and maternal season. So it can prevent postpartum joint diseases and provide fundamental data about postpartum health care.

Methods

The subject of the present study was 219 women (142 women who completed vaginal delivery and 77 women who delivered by cesarean section) who completed labor between November 1, 2013 and November 31, 2016, at the clinic of OB&GYN. They have been taking good care of their health at postpartum clinic in Andong Woori Women Hospital. We investigated the various symptoms and situation which occurred from the moment of hospital to postnatal admission health care period and oriental doctor examined the patients. We classified the symptoms by the age of patients, the method of delivery, the term of pregnancy, the body weight of infant, the weight change of mother and the way of feeding. Through data analysis, we investigated the correlation between maternal season and postpartum joint diseases.

Results

Postpartum joint diseases were the most common among all symptoms after childbirth. Postpartum joint diseases were classified into shoulder area pain and low back pain. In low back pain, there was no significant difference between maternal season and postpartum joint diseases. In shoulder, wrist and finger pain, pain was the most severe at winter delivery. It was the most painful in winter, followed by autumn, spring and summer.

Conclusion

There was a close correlation between postpartum joint disease manifestations and maternal season.

Keywords: Postpartum Joint Disease, Maternal Season, Winter Delivery

Fig. 1

Distribution of postpartum symptoms on the whole 219 women

Fig. 2

Difference of postpartum disease according to season

Table 1

General Characteristics of the Subjects (N=219)

Characteristics	Categories	n(%) or M(SD)
Age(year)		32.57 ± 4.133

Weight	Antenatal	55.02 ± 7.967

	Postpartum	63.69 ± 8.571

Delivery Frequency	Primipara	116 (53.0)
Delivery Frequency	Multipara	103 (47.0)

Delivery Method	Normal Delivery	142 (64.8)
Delivery Method	Cesarean Delivery	77 (35.2)

Feeding Type	Breast Feeding	151 (68.9)
	Formula Feeding	57 (26.0)
	Mixed Feeding	11 (5.0)

Season	Spirng	53 (24.2)
	Summer	30 (13.7)
	Autumn	66 (30.1)
	Winter	70 (32.0)

Table 2

Difference of Postpartum Disease according to Season (N=219)

		Season				χ²	P

		Spring	Summer	Autumn	Winter
Arthralgia	Yes	24 (17.9)	18 (13.4)	44 (32.8)	48 (35.8)	8.104	.044
Arthralgia	No	29 (34.1)	12 (14.1)	22 (25.9)	22 (25.9)	8.104	.044

Low	Yes	36 (28.3)	18 (14.2)	36 (28.3)	37 (29.1)	3.275	.351
Back Pain	No	17 (18.5)	12 (13.0)	30 (32.6)	33 (26.9)	3.275	.351

Table 3

The Effect of Season on Postpartum Disease (N=219)

	Season

	Spring	Summer	Autumn	Winter

	OR	OR (95%CI)	OR (95%CI)	OR (95%CI)
Arthralgia

Crude	Ref	1.812(0.730–4.498)	2.417* (1.148–5.089)	2.636** (1.258–5.524)
Model 1	Ref	1.811(0.730–4.496)	2.441* (1.156–5.153)	2.632**(1.256–5.516)
Model 2	Ref	1.872(0.747–4.692)	2.464*(1.165–5.209)	2.688**(1.276–5.664)

Model 1. Delivery Frequency

Model 2. Delivery Frequency, Delivery Methode

** p<.01,

* p<.05

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