Cargando…

Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study

Maternal complications are common during and following childbirth. However, little information is available on the psychological, social and economic consequences of maternal complications on women's lives, especially in a rural setting. A prospective cohort study was conducted in southern Raja...

Descripción completa

Detalles Bibliográficos
Autores principales: Iyengar, Kirti, Yadav, Ranjana, Sen, Swapnaleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Centre for Diarrhoeal Disease Research, Bangladesh 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3397333/
https://www.ncbi.nlm.nih.gov/pubmed/22838164
_version_ 1782238167960649728
author Iyengar, Kirti
Yadav, Ranjana
Sen, Swapnaleen
author_facet Iyengar, Kirti
Yadav, Ranjana
Sen, Swapnaleen
author_sort Iyengar, Kirti
collection PubMed
description Maternal complications are common during and following childbirth. However, little information is available on the psychological, social and economic consequences of maternal complications on women's lives, especially in a rural setting. A prospective cohort study was conducted in southern Rajasthan, India, among rural women who had a severe or less-severe, or no complication at the time of delivery or in the immediate postpartum period. In total, 1,542 women, representing 93% of all women who delivered in the field area over a 15-month period and were examined in the first week postpartum by nurse-midwives, were followed up to 12 months to record maternal and child survival. Of them, a subset of 430 women was followed up at 6-8 weeks and 12 months to capture data on the physical, psychological, social, or economic consequences. Women with severe maternal complications around the time of delivery and in the immediate postpartum period experienced an increased risk of mortality and morbidity in the first postpartum year: 2.8% of the women with severe complications died within one year compared to none with uncomplicated delivery. Women with severe complications also had higher rates of perinatal mortality [adjusted odds ratio (AOR)=3.98, confidence interval (CI) 1.96-8.1, p=0.000] and mortality of babies aged eight days to 12 months (AOR=3.14, CI 1.4-7.06, p=0.004). Compared to women in the uncomplicated group, women with severe complications were at a higher risk of depression at eight weeks and 12 months with perceived physical symptoms, had a greater difficulty in completing daily household work, and had important financial repercussions. The results suggest that women with severe complications at the time of delivery need to be provided regular follow-up services for their physical and psychological problems till about 12 months after childbirth. They also might benefit from financial support during several months in the postpartum period to prevent severe economic consequences. Further research is needed to identify an effective package of services for women in the first year after delivery.
format Online
Article
Text
id pubmed-3397333
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher International Centre for Diarrhoeal Disease Research, Bangladesh
record_format MEDLINE/PubMed
spelling pubmed-33973332012-07-16 Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study Iyengar, Kirti Yadav, Ranjana Sen, Swapnaleen J Health Popul Nutr Original Papers Maternal complications are common during and following childbirth. However, little information is available on the psychological, social and economic consequences of maternal complications on women's lives, especially in a rural setting. A prospective cohort study was conducted in southern Rajasthan, India, among rural women who had a severe or less-severe, or no complication at the time of delivery or in the immediate postpartum period. In total, 1,542 women, representing 93% of all women who delivered in the field area over a 15-month period and were examined in the first week postpartum by nurse-midwives, were followed up to 12 months to record maternal and child survival. Of them, a subset of 430 women was followed up at 6-8 weeks and 12 months to capture data on the physical, psychological, social, or economic consequences. Women with severe maternal complications around the time of delivery and in the immediate postpartum period experienced an increased risk of mortality and morbidity in the first postpartum year: 2.8% of the women with severe complications died within one year compared to none with uncomplicated delivery. Women with severe complications also had higher rates of perinatal mortality [adjusted odds ratio (AOR)=3.98, confidence interval (CI) 1.96-8.1, p=0.000] and mortality of babies aged eight days to 12 months (AOR=3.14, CI 1.4-7.06, p=0.004). Compared to women in the uncomplicated group, women with severe complications were at a higher risk of depression at eight weeks and 12 months with perceived physical symptoms, had a greater difficulty in completing daily household work, and had important financial repercussions. The results suggest that women with severe complications at the time of delivery need to be provided regular follow-up services for their physical and psychological problems till about 12 months after childbirth. They also might benefit from financial support during several months in the postpartum period to prevent severe economic consequences. Further research is needed to identify an effective package of services for women in the first year after delivery. International Centre for Diarrhoeal Disease Research, Bangladesh 2012-06 /pmc/articles/PMC3397333/ /pubmed/22838164 Text en © INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Iyengar, Kirti
Yadav, Ranjana
Sen, Swapnaleen
Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title_full Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title_fullStr Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title_full_unstemmed Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title_short Consequences of Maternal Complications in Women's Lives in the First Postpartum Year: A Prospective Cohort Study
title_sort consequences of maternal complications in women's lives in the first postpartum year: a prospective cohort study
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3397333/
https://www.ncbi.nlm.nih.gov/pubmed/22838164
work_keys_str_mv AT iyengarkirti consequencesofmaternalcomplicationsinwomenslivesinthefirstpostpartumyearaprospectivecohortstudy
AT yadavranjana consequencesofmaternalcomplicationsinwomenslivesinthefirstpostpartumyearaprospectivecohortstudy
AT senswapnaleen consequencesofmaternalcomplicationsinwomenslivesinthefirstpostpartumyearaprospectivecohortstudy