Health after childbirth: Patterns of reported postpartum morbidity from Lebanon

Kabakian‐Khasholian, Tamar; Shayboub, Rawan; Ataya, Alexandra

doi:10.1016/j.wombi.2013.02.002

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…It is to be noted that, in this sample, women have reported more physical and psychological health problems in the period 4-6 months postpartum than in the period 2-4 months postpartum [22]. This finding is supported by previous studies [5,6,8] with 41%-67% of women reporting suffering from pain during intercourse by 3 months postpartum [3,6,23].…”

Section: The Burden Of Painful Intercourse In the Postpartum Periodsupporting

confidence: 87%

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Kabakian‐Khasholian

Ataya

Shayboub

et al. 2015

Sexual & Reproductive Healthcare

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Section: The Burden Of Painful Intercourse In the Postpartum Periodsupporting

confidence: 87%

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Kabakian‐Khasholian

Ataya

Shayboub

et al. 2015

Sexual & Reproductive Healthcare

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“…These findings are consistent with the literature that have identified these factors to be important determinants of poor-SRH during the early postpartum period [27, 29, 30]. …”

Section: Discussionsupporting

confidence: 93%

“…The most plausible explanation of the increase of poor-SRH from one month postpartum to the time of interview is that women may have developed new health problems during their postpartum year. It is difficult to compare findings of this study with previous studies that have estimated poor health status at different times postpartum, as they have reported prevalences in the range of 4 % to 15 % between one and two years postpartum [18, 27, 28]. Nevertheless, we consider our poor-SRH prevalence at one day as comparatively high in the light of these previous studies.…”

Section: Discussioncontrasting

confidence: 58%

Self-reported pregnancy-related health problems and self-rated health status in Rwandan women postpartum: a population-based cross-sectional study

Semasaka

Krantz

Nzayirambaho

et al. 2016

BMC Pregnancy Childbirth

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BackgroundSelf-rated health status (SRH) can be used as a predictor of morbidity and mortality. Postpartum self-rated health has been used to estimate maternal morbidity and postpartum problems. Reproductive history factors are associated with poor self-rated health postpartum. This study investigated prevalence of self-reported health problems during first, second, and third trimesters of pregnancy, delivery, and postpartum. In addition, this study investigated SRH in Rwandan women up to 13 months from partus.MethodsThis population-based, cross-sectional study collected data in 2014 using structured interviews (N = 921). Univariable analysis was used to identify variables that were associated with poor self-rated health status (poor-SRH). Logistic regression analyses were performed to identify factors associated with poor-SRH at one day, one week, and one month postpartum and at the time of the interview.ResultsMean time between latest delivery and the time of interview was 7.1 months. Prevalence of anaemia, hypertension, diabetes mellitus during pregnancy, and severe bleeding during pregnancy and labour were 15.0, 4.9, 2.4, and 3.7 %, respectively. The prevalence of poor-SRH was 32.2 % at one day postpartum, 7.8 % at one month, and 11.7 % at time of the interview. Hypertension during pregnancy and significant postpartum haemorrhage were associated with poor-SRH at one day and one week postpartum. Severe bleeding during pregnancy and labour were associated with poor-SRH at one week and one month postpartum. Infection and anaemia during pregnancy were associated with poor-SRH at one month postpartum and at the time of interview. The Kaplan-Meier curves illustrate restitution of health for most women during the study period.ConclusionsThis population-based study reports a high prevalence of poor SRH status among Rwandan women in the early postpartum period. Identified factors associated with poor-SRH were severe bleeding, hypertension, infection, and anaemia during pregnancy and postpartum haemorrhage. These factors may be prevented or reduced by providing more frequent and specific attention during pregnancy and by providing timely measures that address complications during delivery, including adequate postpartum care.

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“…Additionally, women in the Middle East may tend to delay seeking formal healthcare and instead opt for self-prescribed medications and home treatments due to gendered socio-cultural roles, financial concerns, and perceptions about quality of care and health needs (Majaj, Nassar, & De Allergi, 2013). Women in the region may also prioritize seeking healthcare for physical symptoms over psychological symptoms (Kabakian-Khasholian, Shayboub, & Ataya, 2014). As in many other regions around the globe, in the Middle East, transgender people experience high levels of social stigma due to gender presentation and sexual behavior (Mumtaz et al, 2010; Kaplan et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Suicide risk factors among trans feminine individuals in Lebanon

Kaplan

Nehme²,

Aunon³

et al. 2016

International Journal of Transgenderism

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Transgender women are disproportionately affected by high rates of depression and suicide attempts. It is therefore important to identify factors that influence suicidal risk, particularly in the Middle East where little research has examined the mental health of transgender women. We examined risk factors associated with suicide attempts among 54 trans feminine individuals in Beirut, Lebanon. Data were collected using interviewer-administered questionnaires and analyzed using bivariate statistics. Twenty-five (46%) participants reported having ever attempted suicide. Among them, only one participant received some kind of counseling in response to the attempted suicide. Low general social support, low social integration, and low support from peers were significantly associated with a history of attempted suicide, as were being more open about transgender identity in public and any hormone use (past or current). These findings suggest that progression in gender transition can have unintended consequences related to mental health and suicide risk, while social support systems can mitigate the impact of mental health problems. Some of these findings mirror other contexts around the globe and can inform mental health services for trans feminine individuals in Lebanon, the greater Middle East region, and other international settings.

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Health after childbirth: Patterns of reported postpartum morbidity from Lebanon

Cited by 17 publications

References 19 publications

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Self-reported pregnancy-related health problems and self-rated health status in Rwandan women postpartum: a population-based cross-sectional study

Suicide risk factors among trans feminine individuals in Lebanon

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