Background There are many unexplored issues related to the presence of fibromyalgia syndrome (FS) in pregnancy such as prevalence of FS, most common symptoms, the impact of FS on physical functioning, psychological status, and treatment of a fibromyalgic pregnant
Objectives To investigate the frequency and most common symptoms of FS among pregnant woman and determine the impacts of FS on physical functioning and psychological status in those patients.
Methods A total of 360 pregnants in the third trimester of pregnancy were included in the study. The pregnants were split into two groups in terms of having or not having FS. Group 1 was consisted of 136 pregnant women with FS. 224 pregnant women without FS were formed control group (group 2). The presence of fibromyalgia was investigated via 2010 ACR classification criteria. Widespread pain index and symptom severity scores of the patients were recorded. The impact of FS on physical functions was evaluated using fibromyalgia impact questionnaire. Psychological status of the patients were evaluated using state-trait anxiety inventory, the Wijma delivery expectancy/experience questionnaire and Beck depression inventory.
Results 136 of 360 pregnants (37.7%) had FS. Mean ages of the 136 pregnants with FS was 27 years and of the 224 without FS was 26.5 years (p>0.05). Low back pain is the most common complaint and fatique is the most common symptom in pregnants group with FS. Compared with the pregnants group without FS, pregnants group with FS had higher values of pain severity and higher levels of physical disability (p<0.001). Pregnants group with FS had also higher values of anxiety, fear of childbirth and depression (p<0.001, for all values). Symptom severity score and physical impairment score were found to be significantly correlated with increased levels of pain, depression, anxiety, fear of childbirth, fatique, increased scores of waking unrefreshed, cognitive symptoms and increased rate of low back pain (p<0.001 for all values).
Conclusions FS is common among pregnant women and the existence of FS in pregnancy is a severe factor for maternal stres, anxiety and depression. If we desire a healthy pregnancy and a good child outcome, we need to get therapeutic measures for fibromyalgia syndrome.
Disclosure of Interest None declared
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