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Shoulder stiffness, back pain, and wrist pain: Are older primiparas more vulnerable?
Author(s) -
Iwata Hiroko,
Mori Emi,
Maehara Kunie,
Sakajo Akiko,
Aoki Kyoko,
Tamakoshi Koji
Publication year - 2018
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12654
Subject(s) - medicine , wrist , physical therapy , wrist pain , parity (physics) , surgery , physics , particle physics
Aim To describe changes in prevalence of shoulder stiffness, back pain, and wrist pain during the first 6 months postpartum, and to examine the association of these symptoms with maternal age and parity. Methods Participants were recruited from 13 Japanese hospitals between 2012 and 2013. A total of 2709 (response rate 71.9%) women provided longitudinal data, using self‐report questionnaires at 5 time points: during their hospital stay, and at 1, 2, 4, and 6 months postpartum. Shoulder stiffness, back pain, and wrist pain were measured, using checklists with yes‐no responses. The effects of age and parity were assessed in 4 groups of younger (<35 years) and older (≥35 years) mothers: 983 younger primiparas, 481 older primiparas, 649 younger multiparas, and 596 older multiparas. Chi‐square tests and Cochran's Q tests were used to assess effects of group and time. Results Prevalence of shoulder stiffness, back pain, and wrist pain during the hospital stay significantly increased up to 1 month postpartum for older primiparas, who were also the most vulnerable to back pain and wrist pain at 1 month postpartum. Conclusion Special attention should be given to older primiparas in assessing and providing nursing care for physical symptoms, especially during the first month postpartum.

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