Infant's sex, birth control policy and postpartum well-being: a prospective cohort study in Shanghai, China

Hua, Jing; Zhu, Li; Du, Wenchong; Du, Li; Luo, Ting; Wu, Zhongwei

doi:10.1136/bmjopen-2016-012207

Cited by 13 publications

(12 citation statements)

References 34 publications

(39 reference statements)

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“…Although WHODAS does not measure well‐being, the scores are strongly influenced by this concept, which itself depends on society, culture, and an individual's references. For instance, in Shanghai, China, a recently published study shows that maternal satisfaction and postpartum well‐being were correlated with giving birth to male infants, and the preference for male children has been well described in Chinese culture . Cultural diversity determines conceptual diversity of well‐being and this may influence WHODAS score as well.…”

Section: Discussionmentioning

confidence: 99%

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Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women

Mayrink

Souza

Silveira

et al. 2018

Int J Gynecol Obstet

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ObjectivesTo compare scores on the 36‐item WHO Disability Assessment Schedule 2.0 tool (WHODAS‐36) for postpartum women across a continuum of morbidity and to validate the 12‐item version (WHODAS‐12).MethodsThis is a secondary analysis of the Brazilian retrospective cohort study on long‐term repercussions of severe maternal morbidity. We determined mean, median, and percentile values for WHODAS‐36 total score and for each domain, and percentile values for WHODAS‐12 total score in postpartum women divided into three groups: “no,” “nonsevere,” and “severe” morbidities.ResultsThe WHODAS‐36 mean total scores were 11.58, 18.31, and 19.19, respectively for no, nonsevere, and severe morbidity. There was a dose‐dependent effect on scores for each domain of WHODAS‐36 according to the presence and severity of morbidity. The diagnostic validity of WHODAS‐12 was determined by comparing it with WHODAS‐36 as a “gold standard.” The best cut‐off point for diagnosing dysfunctionality was the 95th percentile.ConclusionThe upward trend of WHODAS‐36 total mean value scores of women with no morbidity compared with those with morbidity along a severity continuum may reflect the impact of morbidity on postpartum functioning.

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Section: Discussionmentioning

confidence: 99%

“…China, a recently published study shows that maternal satisfaction and postpartum well-being were correlated with giving birth to male infants, and the preference for male children has been well described in Chinese culture. 24 Cultural diversity determines conceptual diversity of well-being and this may influence WHODAS score as well.…”

Section: Discussionmentioning

confidence: 99%

Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women

Mayrink

Souza

Silveira

et al. 2018

Int J Gynecol Obstet

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“…A self-reported questionnaire was developed to measure women’s demographic and clinical characteristics at baseline [ 27 ]. The satisfaction with childbirth experiences in prenatal and perinatal care was assessed using a self-reported follow-up questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…The satisfaction with childbirth experiences in prenatal and perinatal care was assessed using a self-reported follow-up questionnaire. The follow-up questionnaire also inquired about the women’s mode of delivery, time of gestation at delivery, whether breastfeeding was commenced within 24 h, and presence of newborn malformations [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China’s one-child policy

Hua

Zhu

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe Midwife-led maternity services have been implemented in China in response to the high rates of primiparous women and Caesarean Sections (CS) which may be related to China’s one-child policy. However, few studies in China have been reported on the effectiveness of Midwife-led Care at Delivery (MCD) and the Continuity of Midwife-led Care (CMC) on postpartum wellbeing and other clinical outcomes. Therefore, evidence-based clinical validation is needed to develop an optimal maternity service for childbearing women in China.MethodsA concurrent cohort study design was conducted with 1730 pregnant women recruited from 9 hospitals in Shanghai. Among the 1730 participants at baseline, 1568 participants completed the follow-up questionnaire, with a follow-up rate of 90.6%.ResultsCompared with the routine Obstetrician-led Maternity Care (OMC), Midwife-led Care at Delivery (MCD) was associated with CS rate (OR were 0.16; 95%CI: 0.11 to 0.25) and a higher total score of postpartum wellbeing (βwere 2.70; 95%CI: 0.70 to 4.70) when adjusting for the baseline differences and other confounders during delivery or postpartum period. Moreover, continuity of Midwife-led Care (CMC) was associated with CS rate (OR were 0.30; 95%CI: 0.23 to 0.41), as well as increased rate of breastfeeding within the first 24 h (OR were 2.49; 95% CI: 1.47 to 4.23), higher postpartum satisfaction (β = 4.52; 95% CI: 1.60 to 12.68), lower anxiety (βwere 0.66; 95% CI: 0.16 to 1.17), increased self-control (βwere 0.39; 95% CI: 0.02 to 0.76) and a higher total score of postpartum wellbeing (βwere 3.14; 95% CI: 1.54 to 4.75).ConclusionCMC is the optimal service for low-risk primiparous women under China’s one-child policy, and is worthwhile for a general implementation across China.

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“…A higher score re ects a higher level of general well-being. The Chinese version of the GWBS has been widely applied in China and has proven to be useful to measure individuals' subjective well-being [25,26]. The Cronbach's alpha in this study was 0.881.…”

Section: Subjective Well-beingmentioning

confidence: 70%

Work Engagement and Associated Factors Among Dental Nurses in China

Wang

Gao

Xun

2021

Preprint

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Aim: To identify the level of work engagement among dental nurses in China and explore the correlation between work engagement and psychological characteristics.Background: Work engagement is affected by many factors, level of work engagement among dental nurses is unknown.Methods: A cross-sectional questionnaire survey was conducted among 215 dental nurses. The Utrecht Work Engagement Scale (UWES-9), Chinese Nurse Stressors Scale (CNSS), Work-related Acceptance and Action Questionnaire (WAAQ), Multi-Dimensional Scale of Perceived Social Support (MSPSS), and General Well-Being Schedule (GWBS) were applied to measure Chinese nurses’ work engagement, job stress, psychological flexibility, perceived social support and subjective well-being respectively. Univariate analysis was used to identify the relationships of work engagement with demographic and psychological characteristics. Hierarchical regression analysis was applied to test the variance in work engagement accounted for by factors related to work engagement in the univariate analysis.Results: The level of work engagement in Chinese dental nurses was moderate or above. Work engagement was positively associated with perceived social support, psychological flexibility and subjective well-being but negatively correlated with job stress. The hierarchical regression analysis showed that job stress, psychological flexibility and subjective well-being were significantly correlated with work engagement, which explained 36.2% of the variance in work engagement.Conclusions: Dental nurses in China had an acceptable level of work engagement in terms of vigour, dedication and absorption. Increased job stress would result in lower work engagement. Nurses who had higher levels of psychological flexibility and subjective well-being also had higher work engagement. We should emphasize the job stress of nurses, strengthen support for organizational culture, create a good work environment and interpersonal relationships, relieve nurses’ job stress, improve nurses’ levels of subjective well-being, and thus improve nurses’ work engagement levels.

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Infant's sex, birth control policy and postpartum well-being: a prospective cohort study in Shanghai, China

Cited by 13 publications

References 34 publications

Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women

Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women

Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China’s one-child policy

Work Engagement and Associated Factors Among Dental Nurses in China

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