Journal of African Development

Background: Pregnancy induces major changes in the musculoskeletal system, especially in first-time mothers (early primiparous women). Hormonal, biomechanical, and lifestyle shifts often lead to joint laxity, back pain, or postural changes. In rural areas, these issues can go unrecognized due to lack of awareness, resources, or proper care.

OBJECTIVE: 1.To find the prevalence of delayed onset of musculoskeletal dysfunction in early primiparous women among in rural areas

2.To determine prevalence of delayed onset of musculoskeletal dysfunction in early primiparous women among in rural areas.

Methods: This observational survey-based study was conducted in Karad among 95 women fitting the inclusion criteria. A structured Google form was used to collect responses on musculoskeletal symptoms and care history. Statistical analysis was performed using data derived from these responses.

Results: 83.2% reported back pain after childbirth.

64.2% had joint or muscle pain persisting since delivery.

66.3% experienced musculoskeletal pain during pregnancy.

Only 58.9% received physiotherapy or exercise advice.

While 71.6% believed these issues impacted quality of life, just 23.2% reported daily activity limitations.

CONCLUSION: The prevalence of delayed onset musculoskeletal dysfunction was found to be significantly high among early primiparous women aged 35–45 years in rural areas of Karad. Commonly reported issues included back pain, joint pain, and decreased physical functioning post-childbirth. Early marriage and early pregnancy appeared to be key contributing factors. The study also found that a large number of women had not received physiotherapy advice during or after pregnancy. However, all participants found the awareness session helpful, indicating the importance of community-level health education and physiotherapy awareness in addressing these issues.