PERIPARTUM PELVIC PAIN/PPPP

See below.

Sorry Daye, I was rushed.

I should have said what I was talking about.

PPPP = PeriPartum Pelvic Pain...

Does PPPP = "pelvic girdle relaxation" - I think the two may be related if
not identical...

IL Rist of the Norwegian Association of Women with Pelvic Girdle
Relaxation reported in 1991:

"Invalidity is a shocking experience.  You
cannot get out of your bed and you need nursing and help to everything
like making cooking.net">food and washing yourself.  You have constant, intense pains
day and night, year after year..." [Rist IL (The Norwegian Association of
Women with Pelvic Girdle Relaxation). A fight against pains and
ignorance. Scand J Rheumatology 1991; Suppl. 88:17]

Similarly, MC Jensen, a founding member of the Norwegian Association,
reported in an abstract that from week 17 of her pregnancy "it became
painful to walk"; after which "the pains increased."  After delivery she
remained in bed "with immense pains for 7 months." [Jensen MC. A
patient's story. Scand J Rheumatology 1991; Suppl. 88:17.])

According to Dutch researchers Mens et al. [1996],

"Maximal flexion of
spine and hips" during delivery might enhance the risk for peripartum
pelvic pain (PPPP). [Mens JMA, Vleeming A, Stoeckart R, Stam HJ, Snijders
CJ. Understanding peripartum pelvic pain: implications of a patient
survey. Spine 1996;21(11):1363-70.]

Unfortunately, Mens et al. don't state exactly what they mean by "maximal
flexion of spine and hips."

I suspect they may be referring to - and cautioning against - the
birth-canal-closing "Bradley Classic" delivery position where the woman sits
in maximal flexion - squarely (and only) on her buttocks/sacrum during
delivery? (Semisitting delivery is also recommended by ASPO/Lamaze.)

See The Bradley "Classic" and PPPPain and adjusting babies' skulls and
spines...

...in Bradley Method Students:  Check your workbook...
http://www.***.com/

Norwegian physiotherapist N Bj?rnstad similarly cautions against sitting
on the sacrum at delivery:

"Birth positions recommended are...various sitting positions where sacrum
will not be locked against the bed...avoid unnecessary stretching of the
pelvic ligaments and locking of the joints." [Bj?rnstad N. Obstetric
physiotherapy, observation and treatment (abstract). Scand J Rheumatology
1991; Suppl. 88:22-23. (N. Bj?rnstad, Bjerk?sen 5, 1310 Blommenholm,
Norway)]

It is possible that sitting on the sacrum before delivery - under the
influence of relaxin - causes PPPP before birth.

Just guessing of course...

Incredibly, in the same issue of Scand J Rheumatology cited above,
Australian
obstetrician
Alistair MacLennan ignored the possibility that "pelvic girdle relaxation"
is a "hidden problem" and made a
puzzling reference to "the apparently high incidence of the problem in
Scandinavian women compared to other nationalities."  (!)

Obstetrician MacLennan offered NO evidence that "other nationalities" had
even *looked* for the problem.

Jensen, the founding member of the Norwegian Association of Women with
Pelvic Girdle
Relaxation quoted above indicated in her abstract that it is indeed
necessary to look, writing,

"I was amazed and scared by the lack of
knowledge and understanding in the [Norwegian] public health system."

Perhaps the public health systems of other nations are similarly
afflicted...

Todd

Dr. Gastaldo

On Tue, 09 Nov 2004 12:44:20 GMT, "Todd Gastaldo"

It is okay.  I knew you would get back to me.  You did with detail.
Thank you!

I haven't read all the information as yet, but I will.  Thank you
again for posting what PPPP was.

--
Daye

You are quite welcome, Daye.

Some women are quite crippled apparently.

I looked a little further and found more detail, as in,

QUESTION for Mens et al. and Damen et al.

Are they the same: PeriPartum Pelvic Pain, Pregnancy-Related Pelvic Pain and
Posterior Pelvic Pain since Pregnancy?

See PTs: a legal OB felony (also: Bob Dubin and SLAPP/Rule 302)
http://health.groups.yahoo.com/group/chiro-list/message/2936

Todd