Carpal tunnel syndrome in pregnancy - you need to ask!

Jamari Sapuan, Kai Feng Yam, Mohamad Faiz Noorman, Prisca Kim De Cruz, Wan Nurhalimatun Wan Abdul Razab, Zatel Iman Rozali, Mohamed Faizal Sikkandar, Rajesh Singh

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction 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. Methods 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. Resu lts 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 onethird (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. Conclusion 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.

Original languageEnglish
Pages (from-to)671-675
Number of pages5
JournalSingapore Medical Journal
Volume53
Issue number10
Publication statusPublished - Oct 2012

Fingerprint

Carpal Tunnel Syndrome
Pregnancy
Pregnant Women
Pregnancy Complications
Third Pregnancy Trimester
Hypesthesia
Wrist
Physical Examination
Primary Health Care
Hand
Cross-Sectional Studies
Odds Ratio
Confidence Intervals
Therapeutics

Keywords

  • Caesarean section
  • Maternal morbidity
  • Perinatal morbidity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sapuan, J., Yam, K. F., Noorman, M. F., De Cruz, P. K., Abdul Razab, W. N. W., Rozali, Z. I., ... Singh, R. (2012). Carpal tunnel syndrome in pregnancy - you need to ask! Singapore Medical Journal, 53(10), 671-675.

Carpal tunnel syndrome in pregnancy - you need to ask! / Sapuan, Jamari; Yam, Kai Feng; Noorman, Mohamad Faiz; De Cruz, Prisca Kim; Abdul Razab, Wan Nurhalimatun Wan; Rozali, Zatel Iman; Sikkandar, Mohamed Faizal; Singh, Rajesh.

In: Singapore Medical Journal, Vol. 53, No. 10, 10.2012, p. 671-675.

Research output: Contribution to journalArticle

Sapuan, J, Yam, KF, Noorman, MF, De Cruz, PK, Abdul Razab, WNW, Rozali, ZI, Sikkandar, MF & Singh, R 2012, 'Carpal tunnel syndrome in pregnancy - you need to ask!', Singapore Medical Journal, vol. 53, no. 10, pp. 671-675.
Sapuan J, Yam KF, Noorman MF, De Cruz PK, Abdul Razab WNW, Rozali ZI et al. Carpal tunnel syndrome in pregnancy - you need to ask! Singapore Medical Journal. 2012 Oct;53(10):671-675.
Sapuan, Jamari ; Yam, Kai Feng ; Noorman, Mohamad Faiz ; De Cruz, Prisca Kim ; Abdul Razab, Wan Nurhalimatun Wan ; Rozali, Zatel Iman ; Sikkandar, Mohamed Faizal ; Singh, Rajesh. / Carpal tunnel syndrome in pregnancy - you need to ask!. In: Singapore Medical Journal. 2012 ; Vol. 53, No. 10. pp. 671-675.
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abstract = "Introduction 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. Methods 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. Resu lts 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 onethird (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. Conclusion 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.",
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KW - Caesarean section

KW - Maternal morbidity

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