Pregnancy, Hip Pain, and Total Hip Replacement

?Young women who are 15 to 45 years of age and undergo total hip replacements are at increased risk for revision compared with women >75 years of age.?Among women of childbearing age with a total hip replacement, 12% to 17% will later have at least 1 pregnancy.?Young women who undergo total hip replacement do not have an increased risk of pregnancy complications.?Of the 60% of women who experienced pain with a total hip replacement during pregnancy, 21% had persisting pain, and 4% reported the pain as severe.?Women who have a total hip replacement and later experience pregnancy and childbirth have no increased risk of pregnancy complications or increased revision rates; there was no effect of the mode of delivery on revision rates or complications including fracture, dislocation, or loosening, according to the limited studies available.

Automated summary

Young women aged 15 to 45 who undergo total hip replacements have a higher risk of revision compared to those over 75 years old. 12% to 17% of women of childbearing age who have had a total hip replacement will later experience at least 1 pregnancy. Young women who have a total hip replacement do not have an increased risk of pregnancy complications. Among women who experienced pain with a total hip replacement during pregnancy, 60% still felt pain after delivery, with 21% experiencing persistent pain and 4% reporting severe pain. Limited studies suggest that women who have a total hip replacement and subsequently experience pregnancy and childbirth do not have an increased risk of pregnancy complications or revision rates.