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The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool
OBJECTIVE: To assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36‐item tool (WHODAS‐36), considering different morbidities. METHODS: Secondary analysis of a retrospective cohort of women who delivered at a referral maternity in Brazil and were classified with an...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001578/ https://www.ncbi.nlm.nih.gov/pubmed/29851117 http://dx.doi.org/10.1002/ijgo.12467 |
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author | Guida, José P. Costa, Maria L. Parpinelli, Mary A. Pacagnella, Rodolfo C. Ferreira, Elton C. Mayrink, Jussara Silveira, Carla Souza, Renato T. Sousa, Maria H. Say, Lale Chou, Doris Filippi, Veronique Barreix, Maria Barbour, Kelli McCaw‐Binns, Affette von Dadelszen, Peter Cecatti, José G. |
author_facet | Guida, José P. Costa, Maria L. Parpinelli, Mary A. Pacagnella, Rodolfo C. Ferreira, Elton C. Mayrink, Jussara Silveira, Carla Souza, Renato T. Sousa, Maria H. Say, Lale Chou, Doris Filippi, Veronique Barreix, Maria Barbour, Kelli McCaw‐Binns, Affette von Dadelszen, Peter Cecatti, José G. |
author_sort | Guida, José P. |
collection | PubMed |
description | OBJECTIVE: To assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36‐item tool (WHODAS‐36), considering different morbidities. METHODS: Secondary analysis of a retrospective cohort of women who delivered at a referral maternity in Brazil and were classified with and without severe maternal morbidity (SMM). WHODAS‐36 was used to assess functioning in postpartum women. Percentile distribution of total WHODAS score was compared across three groups: Percentile (P)<10, 10<P<90, and P>90. Cases of SMM were categorized and WHODAS‐36 score was assessed according to hypertension, hemorrhage, or other conditions. RESULTS: A total of 638 women were enrolled: 64 had mean scores below P<10 (1.09) and 66 were above P>90 (41.3). Of women scoring above P>90, those with morbidity had a higher mean score than those without (44.6% vs 36.8%, P=0.879). Women with higher WHODAS‐36 scores presented more complications during pregnancy, especially hypertension (47.0% vs 37.5%, P=0.09). Mean scores among women with any complication were higher than those with no morbidity (19.0 vs 14.2, P=0.01). WHODAS‐36 scores were higher among women with hypertensive complications (19.9 vs 16.0, P=0.004), but lower among those with hemorrhagic complications (13.8 vs 17.7, P=0.09). CONCLUSIONS: Complications during pregnancy, childbirth, and the puerperium increase long‐term WHODAS‐36 scores, demonstrating a persistent impact on functioning among women, up to 5 years postpartum. |
format | Online Article Text |
id | pubmed-6001578 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-60015782018-06-21 The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool Guida, José P. Costa, Maria L. Parpinelli, Mary A. Pacagnella, Rodolfo C. Ferreira, Elton C. Mayrink, Jussara Silveira, Carla Souza, Renato T. Sousa, Maria H. Say, Lale Chou, Doris Filippi, Veronique Barreix, Maria Barbour, Kelli McCaw‐Binns, Affette von Dadelszen, Peter Cecatti, José G. Int J Gynaecol Obstet Clinical Articles OBJECTIVE: To assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36‐item tool (WHODAS‐36), considering different morbidities. METHODS: Secondary analysis of a retrospective cohort of women who delivered at a referral maternity in Brazil and were classified with and without severe maternal morbidity (SMM). WHODAS‐36 was used to assess functioning in postpartum women. Percentile distribution of total WHODAS score was compared across three groups: Percentile (P)<10, 10<P<90, and P>90. Cases of SMM were categorized and WHODAS‐36 score was assessed according to hypertension, hemorrhage, or other conditions. RESULTS: A total of 638 women were enrolled: 64 had mean scores below P<10 (1.09) and 66 were above P>90 (41.3). Of women scoring above P>90, those with morbidity had a higher mean score than those without (44.6% vs 36.8%, P=0.879). Women with higher WHODAS‐36 scores presented more complications during pregnancy, especially hypertension (47.0% vs 37.5%, P=0.09). Mean scores among women with any complication were higher than those with no morbidity (19.0 vs 14.2, P=0.01). WHODAS‐36 scores were higher among women with hypertensive complications (19.9 vs 16.0, P=0.004), but lower among those with hemorrhagic complications (13.8 vs 17.7, P=0.09). CONCLUSIONS: Complications during pregnancy, childbirth, and the puerperium increase long‐term WHODAS‐36 scores, demonstrating a persistent impact on functioning among women, up to 5 years postpartum. John Wiley and Sons Inc. 2018-05-23 2018-05 /pmc/articles/PMC6001578/ /pubmed/29851117 http://dx.doi.org/10.1002/ijgo.12467 Text en © 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License, which permits unrestricted use, distribution and reproduction in any medium, provided that the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or the article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s URL. |
spellingShingle | Clinical Articles Guida, José P. Costa, Maria L. Parpinelli, Mary A. Pacagnella, Rodolfo C. Ferreira, Elton C. Mayrink, Jussara Silveira, Carla Souza, Renato T. Sousa, Maria H. Say, Lale Chou, Doris Filippi, Veronique Barreix, Maria Barbour, Kelli McCaw‐Binns, Affette von Dadelszen, Peter Cecatti, José G. The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title | The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title_full | The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title_fullStr | The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title_full_unstemmed | The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title_short | The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36‐item tool |
title_sort | impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the whodas 2.0 36‐item tool |
topic | Clinical Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001578/ https://www.ncbi.nlm.nih.gov/pubmed/29851117 http://dx.doi.org/10.1002/ijgo.12467 |
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