GEBELİKLE İLİŞKİLİ BEL AĞRISI

Yıl 2019, Cilt: 2 Sayı: 3, 13 - 25, 07.01.2020

Rojjin Mamuk , Nevin Hotun Şahin

Öz

Bel ağrısı, gebe kadınlarda sık görülen, yaşam kalitesini olumsuz yönde etkileyen ve kronikleşebilen bir sağlık problemdir. Yapılan çalışmalar gebelikle ilişkili bel ağrısına dair farklı insidans hızları ve etyolojik faktörlerin varlığına işaret etmektedir. Fizyoterapinin altın standardı oluşturduğu tedavide, stabilizasyon kayışları, akupunktur, masaj ve relaksasyon yöntemleri kullanılmaktadır. Bununla birlikte koruyucu yaklaşımların gebelikle ilişkili bel ağrısını önleyebileceği gibi tedavi sürecini de olumlu yönde etkilediği bildirilmektedir. Koruyucu yaklaşımlar ise prekonsepsiyonel dönemden başlayarak risk gruplarının belirlenmesi, yapılacak egzersiz programları ile gebelik ve doğum sürecine bel bölgesinin hazırlanması ayrıca kadınların konuya yönelik bilinçlendirilmesine dayanmaktadır. Doğum sonrası dönemde ise bel ağrısı devam edenlerin ileri tanı ve tedavi yöntemlerine yönlendirilerek ağrının kronikleşmesi önlenmelidir. Buradan yola çıkarak bu derlemede, antenatal ve postnatal izlemlerde kadınlarla sürekli temas halinde olan birinci basamakta görevli sağlık profesyonellerinde konuya yönelik farkındalık oluşturmak amaçlanmıştır.

Anahtar Kelimeler

Gebelik, bel ağrısı, ağrı kontrolü, ebelik, hemşirelik

LOW BACK PAIN ASSOCIATED WITH PREGNANCY

Öz

Low back pain is a common health problem of pregnant women that affects quality of life negatively and that may become chronic. Studies indicate the presence of different incidence rates and etiologic factors for low back pain associated with pregnancy. Physiotherapy is a gold standard for the treatment, and besides, stabilization belts, acupuncture, massage, relaxation methods are also used. However, it has been reported that preventive approaches can prevent the development of pregnancy-related low back pain and also affect the treatment process positively. Preventive approaches are based on the determination of risk groups starting from the preconceptional period, preparation of the exercise programs to be performed, preparation of the waist region for the pregnancy and delivery period, and raising awareness of women about the issue. In the postpartum period, it should be tried to prevent chronic pain by directing those who continue to have low back pain to advanced diagnosis and treatment methods. From this point of view, it has been aimed in this compilation to raise awareness of the primary health care professionals who are constantly in contact with women during antenatal and postnatal follow-up about this issue.

Anahtar Kelimeler

Pregnancy, low back pain, pain management, midwifery, nursing

Kaynakça

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