Functional status of women with and without severe maternal morbidity: A prospective cohort study

Norhayati, Mohd Noor; Hussain, Nik Hazlina Nik; Aniza, Abd Aziz

doi:10.1016/j.wombi.2016.02.002

Cited by 20 publications

(34 citation statements)

References 23 publications

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“…Most likely, these factors had an impact on functionality. Another study, conducted in Malaysia using a different psychometric tool, showed that women who experienced SMM had lower functional ability 1 month postpartum, but the difference disappeared after 6 months . Unfortunately, we were unable to perform any subanalysis on women with chronic hypertension versus gestational hypertension and pre‐eclampsia.…”

Section: Discussionmentioning

confidence: 90%

“…Another study, conducted in Malaysia using a different psychometric tool, showed that women who experienced SMM had lower functional ability 1 month postpartum, but the difference disappeared after 6 months. 19 Unfortunately, we were unable to perform any subanalysis on women with chronic hypertension versus gestational hypertension and pre-eclampsia. The differences in WHODAS scores among these groups should be further explored and might provide an insight into the underlying mechanism of impaired functioning postpartum.…”

Section: Discussionmentioning

confidence: 99%

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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

Guida

Costa

Parpinelli

et al. 2018

Int J Gynecol Obstet

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ObjectiveTo assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36‐item tool (WHODAS‐36), considering different morbidities.MethodsSecondary 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, 1090. Cases of SMM were categorized and WHODAS‐36 score was assessed according to hypertension, hemorrhage, or other conditions.ResultsA 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).ConclusionsComplications 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.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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

Costa

Parpinelli

et al. 2018

Int J Gynecol Obstet

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“…A recent paper, fittingly entitled “Minor ailments in pregnancy are not a minor concern for pregnant women” has shown that nine out of 10 women disclosed at least one episode of ill health during pregnancy in Sri Lanka and that 60% of women could not do their day‐to‐day and work‐related activities because of ill health . There is also a greater awareness of the importance of assessing functioning and well‐being in relation to health conditions, including maternal complications . Health‐related functioning refers to all bodily functions (physical and cognitive), activities, and participation.…”

Section: Why a New Conceptual Framework?mentioning

confidence: 99%

A new conceptual framework for maternal morbidity

Filippi

Chou

Barreix

et al. 2018

Int J Gynecol Obstet

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BackgroundGlobally, there is greater awareness of the plight of women who have complications associated with pregnancy or childbirth and who may continue to experience long‐term problems. In addition, the health of women and their ability to perform economic and social functions are central to the Sustainable Development Goals.MethodsIn 2012, WHO began an initiative to standardize the definition, conceptualization, and assessment of maternal morbidity. The culmination of this work was a conceptual framework: the Maternal Morbidity Measurement (MMM) Framework.ResultsThe framework underscores the broad ramifications of maternal morbidity and highlights what types of measurement are needed to capture what matters to women, service providers, and policy makers. Using examples from the literature, we explain the framework's principles and its most important elements.ConclusionsWe express the need for comprehensive research and detailed longitudinal studies of women from early pregnancy to the extended postpartum period to understand how health and symptoms and signs of ill health change. With respect to interventions, there may be gaps in healthcare provision for women with chronic conditions and who are about to conceive. Women also require continuity of care at the primary care level beyond the customary 6 weeks postpartum.

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“…Being a mother is one of the most important roles in a woman's life [1]. The process of pregnancy, delivery and early motherhood can lead to many serious psychological and social challenges for a woman and her family [2].…”

Section: Introductionmentioning

confidence: 99%

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

et al. 2020

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Background: The role of the mother can be deeply satisfying, but it is associated with many challenges including challenges during the postpartum period that may impede the optimal development of the infant. Therefore, the aim of the present study was to investigate the effects of counseling using the Skills Training Approach (STA) on postpartum maternal functioning. Methods: This randomized controlled trial was performed on 68 postpartum women who referred to health centers of Tabriz-Iran in 2019. Participants were assigned to one of two groups-either counseling or control through the block randomization method. The intervention group received four counseling sessions using the Skills Training Approach (STA). Before and two weeks after the completion of the intervention, the Barkin Index of Maternal Functionning (BIMF) was completed by the participants. The independent t-test and ANCOVA (Analysis of Covariance) was used to analyze the data. Results: There was no statistically significant difference between the two groups in terms of sociodemographic characteristics and the baseline scores of the BIMF and its domains (p > 0.05). Before the intervention, the mean (SD) total score of the BIMF in the intervention group was 73.1 (8.5) and in the control group, it was 71.6 (4.8). Post-intervention, the mean (SD) of the total score of the BIMF in the intervention group was 95.8 (11.8) and in the control group, it was 70.3 (4.5). Based on the ANCOVA test and after adjusting the baseline score, the mean total score of the BIMF was significantly higher in the intervention group than in the control group (Mean Difference (MD): 22.9; 95% CI: 18.2 to 27.6; p < 0.001). The post-intervention scores of all domains of the BIMF including self-care (MD: 3.8), infant care (MD: 2.0), mother-child interaction (MD: 4.8), psychological wellbeing (MD: 8.4), social support (MD: 4.0), management (MD: 6.8), and adjustment to new motherhood (MD: 3.2) were significantly higher in the intervention group compared to the control group (P < 0.001). Conclusion: In this study, counseling, using STA, was effective in improving maternal functioning in all of the domains. This intervention, aimed at skill-building, should be strongly considered where improved postpartum functioning is the goal.

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Functional status of women with and without severe maternal morbidity: A prospective cohort study

Cited by 20 publications

References 23 publications

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

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

A new conceptual framework for maternal morbidity

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

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