Factors Affecting Low Back Pain during Breastfeeding of Thai Women

Breastfeeding has been receiving much attention of late. Prolonged sitting for breastfeeding often results in back pain of the mothers. This paper reports the findings of a study on the effect of some factors, especially lumbar support, on back pain of breastfeeding mothers. The results showed that the use of lumbar support can reduce back pain of breastfeeding mothers significantly. Back pain was found to increase with breastfeeding time and the rate of increase was lower when lumbar supports were used. When lumbar support thickness was increased gradually from zero (no support) to 11 cm., the degree of low back pain decreased; rapidly at first, then slowly, and leveled off when the thickness reached 9 cm. Younger mothers were less prone to back pain than older mothers. The implications of the findings are discussed.





References:
[1] Continuing Education Unit, Breastfeeding/ Data and Statistics/ U.S.
National Immunization Survey, (2010, 07, 17). Breastfeeding Among
U.S. Children Born 1999ÔÇö2006. Available: http://www.cdc.gov.
[2] UNICEF Thailand, Real lives/ Health, (2010, 08, 26).When breast is
best. Available: http://www.unicef.org/thailand/
[3] K. Grimmer and M. Williams," Gender-age environmental associates of
adolescent low back pain," Applied Ergonomics, vol. 31, pp. 343-360,
2000.
[4] Tyson A.C. Beach, Robert J. Parkinson, J. Peter Stothart,Jack P.
Callaghan, " Effects of prolonged sitting on the passive flexion stiffness
of the in vivo lumbar spine," Spine, vol. 5, pp. 145-154, 2005.
[5] C. Campbell, S.J. Muncer, " The causes of low back pain: a network
analysis," Social Science & Medicine, vol. 60, pp. 409-419, 2005.
[6] Andersson GBJ, " Epidemiologic aspects on low back pain in industry,"
Spine , vol. 6, pp. 53-60, 1981.
[7] Bendix, T., Poulsen, V., Klausen, K., Jensen, C. v., " What does a
backrest actually do to the lumbar spin?, " Ergonomic , vol.39,
[Online],Available : www.sciencedirect.com, [(1996) pp.533-542].
[8] Steven M. Carcone and P. J. Keir," Effects of backrest design on
biomechanics and comfort during seated work," Applied Ergonomics,
vol. 38, pp. 755-764, 2007.
[9] M. Lengsfeld, A. Frank, D. L. van Deursen and P. Griss," Lumbar spine
curvature during office chair sitting," Medical Engineering & Physics,
vol. 22, pp. 7665-669, 2000.
[10] Andersson GB, Murphy RW, Ortengren R, Nachemson AL, "The
influence of backrest inclination and lumbar support on lumbar
lordosis," Spine , vol. 4, pp. 52-58, 1979.
[11] Williams, M., Hawley, J., Mckenzie, R., van Williams, P., " A
comparison of the effects of two sitting postures on back and referred
pain.", Spine, vol.16, (Online),Available : www.sciencedirect.com,
[(1991) pp.1185-91].