Pelvic Girdle Pain Symptom Severity in Pregnant Women With Gestational Diabetes Mellitus

Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

Status: Enrolling

Conditions: Gestational Diabetes; Pregnant Women; Pelvic Girdle Pain

Treatments: Other: Evaluation of pain; Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests; Other: Evaluation of activity limitation

Study type: Observational

Funder types: Other

Identifiers

NCT05403437

35 09/03/2022

Details and patient eligibility

About

Pelvic girdle pain (PGP), which is a common musculoskeletal problem of pregnancy, and gestational diabetes mellitus (GDM), which is diagnosed at the end of the second trimester and at the beginning of the third trimester, occur in a parallel time period. The addition of hyperglycemia to the physiological changes in pregnancy stimulates a new series of cycles and contributes to inflammation, and it is predicted that the presence of GDM may trigger the pain intensity of PGP. Therefore, the aim of this study is to investigate the effect of GDM on PGP symptom severity (pain).

Enrollment: 63 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have been started.
• Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have not been started
• Pregnant women (with PGP) who were not diagnosed with GDM in the 2nd and 3rd trimesters

Exclusion criteria

• Pre-pregnancy Diabetes Mellitus
• Presence of an orthopedic or neurological problem that may cause musculoskeletal disorders and deviations from normal biomechanical alignment
• Presence of connective tissue disease
• Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity >4 according to VAS) before pregnancy
• History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months
• History of pelvic fracture

Trial design

63 participants in 3 patient groups

Group 1: Pregnant women with PGP and newly diagnosed with GDM

Description:

Pregnant women with PGP who were newly diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment for diabetes was not started

Treatment:

Other: Evaluation of activity limitation

Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests

Other: Evaluation of pain

Group 2: Pregnant women with PGP and diagnosed with GDM

Description:

Pregnant women with PGP who were diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment has been already started for diabetes

Treatment:

Other: Evaluation of activity limitation

Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests

Other: Evaluation of pain

Group 3: Pregnant women with PGP

Description:

Pregnant women with PGP who were not diagnosed with GDM according to routine control examinations

Treatment:

Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests

Other: Evaluation of pain