A cohort study of functioning and disability among women after severe maternal morbidity
| Autor: | Carina R. Angelini, Rodrigo Pauperio Soares de Camargo, Carla Betina Andreucci, Jamile Claro de Castro Bussadori, Juliana P. Santos, Dulce M. Zanardi, Carla Silveira, Renato T. Souza, Maria Laura Costa, Mary Angela Parpinelli, Rodolfo C. Pacagnella, José Guilherme Cecatti, Gustavo N. Cecchino, Elton C. Ferreira |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Activities of daily living Maternal morbidity World Health Organization Severity of Illness Index Disability assessment Tertiary Care Centers Disability Evaluation Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Surveys and Questionnaires Activities of Daily Living Humans Medicine Childbirth 030212 general & internal medicine Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Postpartum Period Obstetrics and Gynecology Retrospective cohort study General Medicine Pregnancy Complications Parity Socioeconomic Factors Physical therapy Regression Analysis Female Morbidity business Brazil Postpartum period Cohort study |
| Zdroj: | International Journal of Gynecology & Obstetrics. 134:87-92 |
| ISSN: | 0020-7292 |
| DOI: | 10.1016/j.ijgo.2015.10.027 |
| Popis: | To assess functioning and disability related to severe maternal morbidity (SMM) via the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0).In a retrospective cohort study, women with or without a history of SMM who delivered at a tertiary public hospital in Brazil between July 2008 and June 2012, completed the WHODAS 2.0 questionnaire by individual interview between August 2012 and November 2013. General WHODAS scores were evaluated by maternal and neonatal characteristics, and specific domain scores according to SMM event.Overall, 638 women were enrolled (315 with SMM and 323 without SMM). The mean general WHODAS score was higher among women with SMM (19.04±16.18) than among women without SMM (15.77±14.46; P=0.015). Domain scores were also higher in the SMM group for mobility (16.00±20.22 vs 11.63±17.51; P=0.003), household activities (26.79±30.16 vs 20.09±26.08; P=0.005), participation (23.55±21.72 vs 17.27±19.17; P0.001), and work/school activities for women currently studying or working (20.52±26.64 vs 11.66±19.67; P=0.001). Excluding SMM, a parity of two or more was the only factor significantly associated with higher scores overall (P=0.013) and for domain 4 (getting along with people; P=0.017).By comparison with women without childbirth complications, SMM impaired self-reported functioning among women 1-5years after delivery. |
| Databáze: | OpenAIRE |
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