Evidence map›Paper›PMID 37771202›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Factors in early pregnancy predicting pregnancy-related pain in the second and third trimester.

Ruth K Ertmann, Dagny R Nicolaisdottir, Volkert Siersma, Gritt Overbeck, Sarah Strøyer de Voss, Frederikke Agerbo Modin, Melissa C Lutterodt

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Understanding and addressing female pelvic pain - a multifaceted challenge.Acta obstetricia et gynecologica Scandinavica · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ruth K ErtmannThe Research Unit for General Practice, Copenhagen, Denmark.ORCID 0000-0003-4629-3518
Dagny R NicolaisdottirThe Research Unit for General Practice, Copenhagen, Denmark.
Volkert SiersmaThe Research Unit for General Practice, Copenhagen, Denmark.
Gritt OverbeckThe Research Unit for General Practice, Copenhagen, Denmark.
Sarah Strøyer de VossThe Research Unit for General Practice, Copenhagen, Denmark.
Frederikke Agerbo ModinThe Research Unit for General Practice, Copenhagen, Denmark.
Melissa C LutterodtThe Research Unit for General Practice, Copenhagen, Denmark.
Danish College of General Practitioners · DK

Funding

A.P. Møllers Fund 21.12.2016 16-87Danisk Generel Practice Fund EMN-2017-00265Jacob and Orla Madsens Fund 11.05.2015 5421Lilly and Herbet Hansens Fund 07.05.2019 Jr.nr.082Novo Nordisk Fund NNF130C0002689Region Sealand 15-000342
6 · The paper itself

Abstract

introductionPain during pregnancy affects women's well-being, causes worry and is a risk factor for the child and the mother during labor. The aim was to investigate the relative importance of an extensive set of pregnancy-related physiological symptoms and psychosocial factors assessed in the first trimester compared with the occurrence of pregnancy-related pain symptoms later in the pregnancy. MATERIAL AND

methodsIncluded were all women who booked an appointment for a first prenatal visit in one of 125 randomly selected general practitioner practices in Eastern Denmark from April 2015 to August 2016. These women answered an electronic questionnaire containing questions on the occurrence of five pregnancy-related pain symptoms: back pain, leg cramps, pelvic cavity pain, pelvic girdle pain and uterine contractions. The questionnaire also included sociodemographic questions and questions on chronic diseases, physical symptoms, mental health symptoms, lifestyle and reproductive background. The questionnaire was repeated in each trimester. The relative importance of this set of factors from the first trimester on the five pregnancy-related pain symptoms compared with the second and third trimesters was assessed in a dominance analysis.

resultsA total of 1491 women were included. The most important factor for pregnancy-related pain in the second trimester and third trimester is the presence of the corresponding pain in the first trimester. Parity was associated with pelvic cavity pain and uterine contractions in the following pregnancies. For back pain and pelvic cavity pain, the odds increased as the women's estimated low self-assessed fitness decreased and had low WHO-5 wellbeing scores.

conclusionsWhen including physical risk factors, sociodemographic factors, psychological factors and clinical risk factors, women's experiences of pregnancy-related pain in the first trimester are the most important predictors for pain later in pregnancy. Beyond the expected positive effects of pregnancy-related pain, notably self-assessed fitness, age and parity were predictive for pain later in pregnancy.

Indexed as

Pregnancy ComplicationsChildFemaleHumansPelvic PainPregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondPregnancy Trimester, Thirdearly complicationsepidemiologypainpatient-reported measurespregnancy

Identifiers

PMID37771202
PMCPMC10541159
OpenAlexW4387157887

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.