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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

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.

Fig. 1
Distribution of postpartum symptoms on the whole 219 women
jkm-38-1-125f1.gif
Fig. 2
Difference of postpartum disease according to season
jkm-38-1-125f2.gif
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)
Multipara 103 (47.0)

Delivery Method Normal Delivery 142 (64.8)
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
No 29 (34.1) 12 (14.1) 22 (25.9) 22 (25.9)

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)
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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