Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2011 / Cilt: 17 - Sayı: 3

Farklı trimesterlerdeki gebelerde basınç ağrı eşiği ile ağrı toleransının kantitatif analizi ve ovaryan seks hormonları ile ilişkisi

A quantitative analysis of pressure pain threshold and pain tolerance in different trimesters of pregnancy and relation with ovarian sex hormones

Pages
137–141
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The causative effects of the decline in PT at the sacrum in the first trimester of pregnancy, needs to be studied further.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:OBJECTIVE: To define the Pressure Pain Threshold (PPT) and pain tolerance (PT) at different trigger points in different trimesters of healthy pregnants and non-pregnants STUDY DESIGN: A prospective, controlled study of ten women in the first, 16 women in the second and 16 women in the third trimester of pregnancy, and 10 non-pregnant women were enrolled as four groups.
📊
Key Findings & Data:RESULTS: PPT at the sternum was significantly lower in the third trimester pregnant group and PT at the sacrum was significantly higher in the non-pregnant group compared to the other groups.
💡
Conclusion & Impact:The causative effects of the decline in PT at the sacrum in the first trimester of pregnancy, needs to be studied further.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: To define the Pressure Pain Threshold (PPT) and pain tolerance (PT) at different trigger points in different trimesters of healthy pregnants and non-pregnants STUDY DESIGN: A prospective, controlled study of ten women in the first, 16 women in the second and 16 women in the third trimester of pregnancy, and 10 non-pregnant women were enrolled as four groups. Pain assessment was done using the dolorimeter over eight points on the body. Serum estradiol and progesterone levels were determined. RESULTS: PPT at the sternum was significantly lower in the third trimester pregnant group and PT at the sacrum was significantly higher in the non-pregnant group compared to the other groups. Maternal estradiol and progesterone levels were not correlated with PPT and PT at any point in four groups. CONCLUSION: Estradiol and progesterone may not effect pain sensitivity in pregnancy. The causative effects of the decline in PT at the sacrum in the first trimester of pregnancy, needs to be studied further.

Özet

AMAÇ: Farklı trimesterlerdeki gebeler ve gebe olmayan kadınlarda basınç ağrı eşiği (BAE) ile ağrı toleransının (AT) farklı tetik noktalarda tanımlanması GEREÇ VE YÖNTEM: Prospektif-kontrollü olarak ilk trimesterdeki 10, ikincideki 16 ve üçüncüdeki 16 gebe ile 10 gebe olmayan kadın 4 gruba ayrıldı. Ağrının değerlendirilmesi vücuttaki 8 noktadan dolorimetre ile uygulandı. Serum östradiol ve progesteron seviyeleri ölçüldü. BULGULAR: BAE üçüncü trimester grubunda sternumda anlamlı olarak düşüktü. Sakrumda AT gebe olmayan grupta diğer gruplara oranla daha yüksekti. Maternal östradiol ve progesteron seviyeleri hiçbir grupta BAE ve At ile korelasyon göstermedi. SONUÇLAR: Östradiol ve progesteron gebelikte ağrıya hassasiyeti metkilemeyebilir.İlk trimesterde sakrumdaki AT azalması konusunda neden olan etkinin ileri araştırma ile açıklanmasına ihtiyaç vardır.

🔖

Cite This Article

ÖZTÜRK, E., PİRBUDAK, L. Ç., UĞUR, M. G., KUL, S., BERBAĞCI, A., ERDALOĞLU, P., SARI, S. D., BALAT, Ö. (2011). Farklı trimesterlerdeki gebelerde basınç ağrı eşiği ile ağrı toleransının kantitatif analizi ve ovaryan seks hormonları ile ilişkisi. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 17 - Sayı: 3, 137–141. https://ajindex.com/articles/214851

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Wu WH, Meijer OG, Uegaki K et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J 2004;13:575-89
  2. Sydsjo A, Sydsjo G, Alexanderson K. Influence of pregnancy- related diagnoses on sick-leave data in women aged 16-44. J Womens Health Gend Based Med 2001;10:707-14
  3. Aloisi, A.M., Bonifazi, M. Sex hormones, central nervous system and pain. Horm Behav 2006;50:1-7
  4. Marcus DA. Interrelationships of neurochemicals, estrogen, and recurring headache. Pain 1995;62:129-39
  5. Dao, TT., LeResche, L. Gender differences in pain. J Orofac Pain 2000; 14:169-84
  6. Riley JL 3rd, Robinson ME, Wise EA, Price DD. A metaanalytic review of pain perception across the menstrual cycle. Pain 1999;81:225-35
  7. Fillingim RB, Maixner W, Girdler S, et al. Ischemic but not thermal pain sensitivity varies across the menstrual cycle,. Psychosom Med 1997; 59:512-20
  8. Ohel I, Walfisch A, Shitenberg D, et al. A rise in pain threshold during labor: a prospective clinical trial. Pain 2007;132 (Suppl 1):104-8
  9. Dunbar AH, Price DD, Newton RA. An assessment of pain responses to thermal stimuli during stages of pregnancy. Pain 1988;35:265-9
  10. Cogan R, Spinatto JA. Pain and discomfort thresholds in late pregnancy. Pain 1986;27:63-8
  11. Whipple B, Josimovich JB, Komisaruk BR. Sensory thresholds during the antepartum, intrapartum, and postpartum periods. Int J Nursing Stud 1990;27:213-21
  12. Amodei N, Nelson-Gray RO. Reactions of dysmenorrheic and nondysmenorrheic women to experimentally induced pain throughout the menstrual cycle. J Behav Med 1989; 12:373-85
  13. Rolke R, Baron R, Maier C, et al. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain 2006;123:231-43
  14. Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 2010;10:60- 71
  15. Ostgaard HC, Andersson GB, Schultz AB, Miller JA. Influence of some biomechanical factors on low-back pain in pregnancy. Spine 1993;18:61-5
  16. MacLennan AH, Nicolson R, Green RC, Bath M. Serum relaxin and pelvic pain of pregnancy. Lancet 1986;2 (8501):243-5
  17. Björklund K, Naessén T, Nordström ML, Bergström S. Pregnancy-related back and pelvic pain and changes in bone density. Acta Obstet Gynecol Scand 1999;78:681-5
  18. Bajaj P, Bajaj P, Madsen H, Møller M, Arendt-Nielsen L. Antenatal women with or without pelvic pain can be characterized by gen