Combined oral contraceptives do not increase the risk of back and pelvic pain during pregnancy or after delivery

Objectives. To elucidate whether the duration of previous use of combined o ral contraceptives (COC) is associated with disabling back or pelvic pain d uring pregnancy and pain persisting eight months after delivery. Methods. Questionnaires were distributed to a group of women at 36 weeks of pregnancy and eight months after their delivery. There were no exclusion c riteria. Disabling pain was defined as moderate or severe pain restricting physical activity. Multiple logistic regression analysis of disabling pain during pregnancy and persistent pain after delivery comprised the duration of COC use adjusted for age, pain in a previous pregnancy and a history of back pain when not pregnant. Results. The study comprised 161 women. Pain during pregnancy was classifie d as disabling in 57 of the women (35%), pain in a previous pregnancy being a risk factor; odds ratio (OR) 5.0 (95% CI 2.1; 12.1), whereas no associat ion was found with the duration of COC use. Persistent pain eight months af ter delivery was reported by 41 women (26%), risk factors being a history o f back pain when not pregnant; OR 7.5 (2.8; 19.5), disabling pain in the re cent pregnancy; OR 5.0 (1.9; 13.4), and short use of COG; 0-<1 year; OR 4.2 (1.3; 12.9), 1-<5 years; OR 4.6 (1.5; 14.4) (reference=>10 years). Conclusion. The results indicate that non- or short term users of COC have an increased risk of persistent gain after delivery compared to long term u sers. No association was found between the duration of COC use and back or pelvic pain during pregnancy.