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Carpal tunnel syndrome in pregnancy - you need to ask!
Singapore medical journal ; : 671-675, 2012.
Artículo en Inglés | WPRIM | ID: wpr-249642
ABSTRACT
<p><b>INTRODUCTION</b>Carpal tunnel syndrome (CTS) is a common pregnancy complication. However, it is often overlooked by medical practitioners and patients alike. This study aimed to describe CTS in relation to pregnancy and assess how significant the disease was among pregnant women.</p><p><b>METHODS</b>In a prospective cross-sectional study, 333 respondents were randomly selected from among pregnant women attending the primary care maternal health clinic in a university hospital. CTS was diagnosed clinically based on patient history and physical examination. The severity of CTS was assessed using the Boston Carpal Tunnel Questionnaire. Symptomatic respondents were asked whether they had mentioned their problems to doctors and received appropriate treatment.</p><p><b>RESULTS</b>82 (24.6%) pregnant women presented with symptoms of CTS, a majority of whom were ethnic Malays (Malay 87.8%; non-Malay 12.2%). The risk for developing CTS during the third trimester of pregnancy was found to be two-fold among Malay women compared to patients of other ethnicities (odds ratio 2.262; 95% confidence interval 1.10-4.46; p = 0.024). The commonest complaint was daytime numbness (76.8%). The severity of CTS among patients was predominantly mild (80.5%), and the symptoms were severe enough to affect hand function in approximately one-third (34.1%) of the group. However, only 25.6% of symptomatic patients mentioned their problems to their doctors, and of these, 9.5% received treatment.</p><p><b>CONCLUSION</b>CTS is prevalent in the third trimester of pregnancy, especially among Malay women, in whom the risk of developing the syndrome is two-fold. Yet, this troublesome complication of pregnancy appears to be under-recognised, with most patients not being treated appropriately.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Patología / Complicaciones del Embarazo / Trimestres del Embarazo / Índice de Severidad de la Enfermedad / Síndrome del Túnel Carpiano / Epidemiología / Estudios Transversales / Factores de Riesgo / Diagnóstico Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adolescente / Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: Singapore medical journal Año: 2012 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Patología / Complicaciones del Embarazo / Trimestres del Embarazo / Índice de Severidad de la Enfermedad / Síndrome del Túnel Carpiano / Epidemiología / Estudios Transversales / Factores de Riesgo / Diagnóstico Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adolescente / Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: Singapore medical journal Año: 2012 Tipo del documento: Artículo