The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section

Background: We planned a study to investigate the effect of spinal anesthesia in producing low back pain (LBP) in women following Cesarean section. Methods: During a prospective cohort study, 100 women who underwent spinal anesthesia and Cesarean operation were compared with 100 women who underwent...

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Main Authors: Homayoun Tabesh, Seyed Bahram Seif, Farnaz Farrokhnia, Majid Rezvani, Ariyan Tabesh
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2017-04-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/7313
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author Homayoun Tabesh
Seyed Bahram Seif
Farnaz Farrokhnia
Majid Rezvani
Ariyan Tabesh
author_facet Homayoun Tabesh
Seyed Bahram Seif
Farnaz Farrokhnia
Majid Rezvani
Ariyan Tabesh
author_sort Homayoun Tabesh
collection DOAJ
description Background: We planned a study to investigate the effect of spinal anesthesia in producing low back pain (LBP) in women following Cesarean section. Methods: During a prospective cohort study, 100 women who underwent spinal anesthesia and Cesarean operation were compared with 100 women who underwent general anesthesia and Cesarean operation during a 3-months follow-up as developing later low back pain. Findings: During 3-months follow-up, 25 and 43 patients in general and spinal anesthesia groups developed low back pain, respectively, which was statistically different according to chi-square test (P = 0.007). So, the prevalence of low back pain was 1.99 times more in spinal anesthesia group. It is important to note that the infant's weight had strong effect in producing low back pain; as increasing every 1 kg in weight increased the chance of low back pain for 2.1 times. Conclusion: There incidence low back pain was higher in women who underwent Cesarean operation under spinal anesthesia; this high incidence not only depended on the type of anesthesia, but on other factors such as the infant's birth weight. Thus, when planning Cesarean operation, it is necessary to consider the underlying factors in mother and child which can be effective in producing later low back pain and then accept the type of anesthesia.
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spelling doaj.art-1b7995ec85c14efcb4387f5082b34a8d2023-09-02T15:28:58ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2017-04-013541732372431The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean SectionHomayoun Tabesh0Seyed Bahram Seif1Farnaz Farrokhnia2Majid Rezvani3Ariyan Tabesh4Associate Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranAssistant Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, University of Washington, Seattle, USABackground: We planned a study to investigate the effect of spinal anesthesia in producing low back pain (LBP) in women following Cesarean section. Methods: During a prospective cohort study, 100 women who underwent spinal anesthesia and Cesarean operation were compared with 100 women who underwent general anesthesia and Cesarean operation during a 3-months follow-up as developing later low back pain. Findings: During 3-months follow-up, 25 and 43 patients in general and spinal anesthesia groups developed low back pain, respectively, which was statistically different according to chi-square test (P = 0.007). So, the prevalence of low back pain was 1.99 times more in spinal anesthesia group. It is important to note that the infant's weight had strong effect in producing low back pain; as increasing every 1 kg in weight increased the chance of low back pain for 2.1 times. Conclusion: There incidence low back pain was higher in women who underwent Cesarean operation under spinal anesthesia; this high incidence not only depended on the type of anesthesia, but on other factors such as the infant's birth weight. Thus, when planning Cesarean operation, it is necessary to consider the underlying factors in mother and child which can be effective in producing later low back pain and then accept the type of anesthesia.http://jims.mui.ac.ir/index.php/jims/article/view/7313Low back painCesarean sectionSpinal anesthesia
spellingShingle Homayoun Tabesh
Seyed Bahram Seif
Farnaz Farrokhnia
Majid Rezvani
Ariyan Tabesh
The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
مجله دانشکده پزشکی اصفهان
Low back pain
Cesarean section
Spinal anesthesia
title The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
title_full The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
title_fullStr The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
title_full_unstemmed The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
title_short The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section
title_sort effect of spinal anesthesia as a risk factor for low back pain in women after cesarean section
topic Low back pain
Cesarean section
Spinal anesthesia
url http://jims.mui.ac.ir/index.php/jims/article/view/7313
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