Dor lombopélvica em gestantes previamente submetidas à cirurgia bariátrica

Abstract

Introduction: Lumbopelvic pain is common during pregnancy and can be worsened by factors such as overweight, physical inactivity, and hormonal changes. Bariatric surgery, indicated for weight loss in individuals with obesity, has proven effective in improving metabolic and musculoskeletal conditions. However, few studies have examined lumbopelvic pain in pregnant women who have undergone this procedure. Objective: To assess the impact of pregnancy related lumbopelvic pain in women previously submitted to bariatric surgery. Methods: This was a cross-sectional study involving 22 pregnant women receiving care at the Maternity School of the Federal University of Rio de Janeiro (UFRJ). Sociodemographic and clinical questionnaires were applied, in addition to the Pelvic Girdle Questionnaire – Brazil (PGQ Brazil). Data analysis was performed using R and RStudio software. Results: Lumbopelvic pain was present in 90.9% of the participants. Most were in the second or third trimester of pregnancy, were classified as overweight or obese (90.9%), had inadequate gestational weight gain (63.6%), and did not engage in regular physical activity (90.9%). Among those reporting pain, 45% had low functional impairment and 55% moderate impairment. Half of the participants became pregnant more than five years after the surgery. Conclusion: The study demonstrated that lumbopelvic pain has a relevant functional impact on pregnant women who previously underwent bariatric surgery, with most reporting mild to moderate limitations in daily activities. Despite the benefits of surgery, key contributing factors persist and are associated with the high prevalence of pain. Therefore, it is concluded that bariatric surgery alone does not prevent lumbopelvic pain during pregnancy.