Physical and psychosocial morbidity in pregnancy and lactation-associated osteoporosis: a comprehensive mixed-methods study
Authors' conclusion
PLO has severe consequences on both affected women and their partners, highlighting the need for increased awareness, earlier diagnosis, improved management and holistic support.
Study context
- Population
- Women with pregnancy and lactation-associated osteoporosis (PLO) and healthy women; partners of women with PLO
- Participants
- 20 vs 20
- Comparison
- Women with PLO vs healthy women
- PLOn = 20
- Controlsn = 20
- Outcome
- SF-36 physical
Methodological detailsmatched for age and time postpartum, semi-structured interviews, qualitative interviews of partners
- Matched for age and time postpartum
- Semi-structured interviews
- Qualitative interviews of partners
Main finding
As reported in the abstract
PLO
75
Controls
100
P = 0.001
Observational data: associations, not effects.
Further findings
| Outcome | PLO | Controls | P value |
|---|---|---|---|
| Qualeffo-41 physical | 16 | 2 | P < 0.001 |
| SF-36 emotional wellbeing | 64 | 88 | P = 0.007 |
| Qualeffo-41 mental | 42 | 39 | P = 0.06 |
| PHQ-4 | 3.5 | 0 | P < 0.01 |
| SF-36 social | 75 | 100 | P = 0.06 |
| Quallefo-41 social | 38 | 0 | P < 0.001 |
Qualitative interview themes (women with PLO)
- Loss of physical autonomy, chronic pain, delayed return to work, loss of motherhood experience, anxiety and depression, altered body image, poor healthcare support, emotional resilience, relationship strain, social isolation, online peer support, and impact of COVID-19
Partners' experiences
- Emotional stress and difficulty balancing work and family responsibilities while adjusting to a 'new normal'
Original publication
Physical and psychosocial morbidity in pregnancy and lactation-associated osteoporosis: a comprehensive mixed-methods study. Osteoporos Int. Published 6 November 2026. doi:10. 1007/ s00198-026-08256-3
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