Osteoporosis & bone health

Physical and psychosocial morbidity in pregnancy and lactation-associated osteoporosis: a comprehensive mixed-methods study

Osteoporos IntPublished mixed-methods, single-centre, case-control 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

OutcomePLOControlsP value
Qualeffo-41 physical162P < 0.001
SF-36 emotional wellbeing6488P = 0.007
Qualeffo-41 mental4239P = 0.06
PHQ-43.50P < 0.01
SF-36 social75100P = 0.06
Quallefo-41 social380P < 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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