RESUMO
Tras reseñar que la lumbalgia está considerada la complicación más frecuente durante el embarazo, se indica su fisiopatogenia, factores de riesgo y las características clínicas de la sintomatología dolorosa propia de este cuadro. En cuanto a su abordaje, se hace hincapié en que este debe ser multidisciplinar, adquiriendo una gran importancia las medidas preventivas, entre las que destaca una adecuada higiene postural. En su tratamiento, los métodos a emplear deben basarse en intervenciones conservadoras no quirúrgicas ni farmacológicas, de naturaleza no invasiva. Así, la fisioterapia, la manipulación osteopática, la intervención multimodal (ejercicio y educación), los ejercicios realizados en medio acuático, la acupuntura, etc., han demostrado su eficacia. Finalmente, se enfatiza en que dado el impacto significativo en su calidad de vida, los distintos profesionales de la salud deben ser proactivos y tratar esta dolencia lumbar en la gestante (AU)
After explaining that low back pain is considered the most common pregnancy complication, its pathogenesis, risk factors and the clinical characteristics of the very painful symptoms of this condition are described. As for its approach, it is stressed that it must be multidisciplinary, introducing very important preventive measures, including proper postural hygiene. For its treatment, the methods may be based on non-surgical or pharmacological interventions of a conservative non-invasive nature. Thus, physiotherapy, osteopathic manipulation, multimodal intervention (exercise and education), exercises performed in water environment, acupuncture, etc., have proven to be effective. Finally, it is emphasised that given the significant impact on their quality of life, different health professionals must be proactive and treat the lumbar disease in pregnant women (AU)
Assuntos
Humanos , Feminino , Gravidez , Adulto , Dor Lombar/complicações , Dor Lombar/epidemiologia , Dor Lombar/terapia , Fatores de Risco , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/fisiopatologia , Dor Lombar/fisiopatologia , Terapia Combinada/métodosRESUMO
After explaining that low back pain is considered the most common pregnancy complication, its pathogenesis, risk factors and the clinical characteristics of the very painful symptoms of this condition are described. As for its approach, it is stressed that it must be multidisciplinary, introducing very important preventive measures, including proper postural hygiene. For its treatment, the methods may be based on non-surgical or pharmacological interventions of a conservative non-invasive nature. Thus, physiotherapy, osteopathic manipulation, multimodal intervention (exercise and education), exercises performed in water environment, acupuncture, etc., have proven to be effective. Finally, it is emphasised that given the significant impact on their quality of life, different health professionals must be proactive and treat the lumbar disease in pregnant women.
Assuntos
Dor Lombar , Complicações na Gravidez , Terapia Combinada , Feminino , Humanos , Dor Lombar/diagnóstico , Dor Lombar/etiologia , Dor Lombar/fisiopatologia , Dor Lombar/terapia , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/etiologia , Complicações na Gravidez/fisiopatologia , Complicações na Gravidez/terapia , Fatores de RiscoRESUMO
Tras una referencia general a los traumatismos que acaecen durante el embarazo y, en particular, a los traumatismos pélvicos, se hace hincapié en los traumatismos que ocasionan fractura del anillo pélvico durante la gestación. Se señala que dichas fracturas se asocian con una alta tasa de mortalidad materna y una mayor tasa de mortalidad fetal. En cuanto a su tratamiento, en general, no cambia respecto a la paciente no gestante. Al estar asociadas con otras lesiones, su manejo requiere de un equipo multidisciplinar. En pocos casos, estas fracturas pélvicas requieren de cirugía durante la gestación, pero si precisaran de tratamiento quirúrgico, este se debe realizar. Finalmente, se indica que las fracturas de pelvis no son una contraindicación absoluta para tener un parto vaginal
This article describes injuries that occur during pregnancy in general and pelvic trauma in particular, emphasizing injuries causing pelvic ring fractures during pregnancy. These fractures are associated with a high rate of maternal mortality and increased fetal mortality. Treatment is usually the same as in non-pregnant patients. Because these lesions are associated with other injuries, their management requires a multidisciplinary approach. Surgery is only occasionally required during pregnancy, but must be performed when necessary. Finally, pelvic fractures are not an absolute contraindication to vaginal delivery
