Reliability of a Perinatal Outcomes Measure: The Optimality Index–US

Seng, Julia S.; Mugisha, Emeline; Miller, Josef M.

doi:10.1016/j.jmwh.2007.09.006

Cited by 13 publications

(11 citation statements)

References 14 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This methodology may be more likely to yield a reliable response to the questioning than may be possible in the prenatal care setting. Chart review processes in the parent study also were developed to a point of excellent reliability (≥90% inter‐rater agreement), and ongoing audits indicate that quality of abstraction remains high 68 …”

Section: Discussionmentioning

confidence: 99%

Mental Health, Demographic, and Risk Behavior Profiles of Pregnant Survivors of Childhood and Adult Abuse

Seng¹,

Sperlich²,

Low³

2008

J Midwife Womens Health

Self Cite

View full text Add to dashboard Cite

Our objective was to address the gap in knowledge about the extent to which perinatal mental health and risk behaviors are associated with childhood and adult experiences of abuse that arises because of barriers to screening and disclosure about past and current abuse. Survey data from an ongoing study of the effects of posttraumatic stress on childbearing were used to describe four groups of nulliparous women: those with no abuse history, adult abuse only, childhood abuse only, and abuse that occurred during both periods. The rates of abuse history disclosure were higher in the research context than in the clinical settings. Mental health morbidity and risk behaviors occurred in a dose-response pattern with cumulative abuse exposure. Rates of current posttraumatic stress disorder ranged from 4.1% among those never abused to 11.4% (adult only), 16.0% (childhood only), and 39.2% (both periods). Women abused during both periods also were more likely to be using tobacco (21.5%) and drugs (16.5%) during pregnancy. We conclude that mental health and behavioral risk sequelae affect a significant portion of both childhood and adult abuse survivors in prenatal care. The integration into the maternity setting of existing evidence-based interventions for the mental health and behavioral sequelae of abuse is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Mental Health, Demographic, and Risk Behavior Profiles of Pregnant Survivors of Childhood and Adult Abuse

Seng¹,

Sperlich²,

Low³

2008

J Midwife Womens Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…34 Thus, individual items would be given the same score (0 vs 1) if the form were completed again (prior to any actual change occurring). 34 Thus, individual items would be given the same score (0 vs 1) if the form were completed again (prior to any actual change occurring).…”

Section: Resultsmentioning

confidence: 99%

The Perinatal Self-Care Index

Roller

2012

Journal of Perinatal &Amp; Neonatal Nursing

View full text Add to dashboard Cite

Every ninth woman presenting for prenatal care reports having experienced childhood sexual abuse. Many develop mental health disorders, including posttraumatic stress disorder (PTSD). In response to PTSD, pregnant women survivors of childhood sexual abuse engage in negative perinatal self-care behaviors that can lead to adverse perinatal outcomes. Currently, promotion of perinatal self-care does not consider childhood sexual abuse or PTSD. This study aimed to develop a Perinatal Self-Care Index, determine sensitivity of the index to differences in behaviors of childhood sexual abuse survivors (PTSD-affected and PTSD-resilient), and validate usefulness in relation to birth weight. Secondary analysis was conducted using data from a prospective cohort study of the effects of PTSD on pregnancy outcomes. The index explained 6.5% of variance in birth weight. Prediction improved to 9.4% once PTSD and socioeconomic status were considered. The index is sensitive to differences in PTSD-affected versus PTSD-resilient survivors of childhood sexual abuse and a useful predictor of birth weight in this analysis.

show abstract

“…Reliability was established early in the project by training, creating decision tools, and revising the form until inter-rater agreement reached 92.7% (Seng, Mugisha, & Miller, 2008). A five percent audit over the life of the project resulted in 94.4% agreement, which is considered excellent reliability (Waltz, Strickland, & Lenz, 1991).…”

Section: Methodsmentioning

confidence: 99%

Comprehensive Care and Pregnancy: The Unmet Care Needs of Pregnant Women with a History of Rape

Munro

Rietz

Seng

2012

Issues in Mental Health Nursing

Self Cite

View full text Add to dashboard Cite

This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors’ health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet needs in pregnancy related to all five post-assault comprehensive care components: (1) physical care, (2) pregnancy prevention, (3) sexually transmitted infection screening, (4) psychological care, and (5) legal care. Rape history and its current impact on the survivor predicted somatic disorders, substance use, unwanted pregnancy, infections, posttraumatic stress disorder, and recent abuse.

show abstract

Reliability of a Perinatal Outcomes Measure: The Optimality Index–US

Cited by 13 publications

References 14 publications

Mental Health, Demographic, and Risk Behavior Profiles of Pregnant Survivors of Childhood and Adult Abuse

Mental Health, Demographic, and Risk Behavior Profiles of Pregnant Survivors of Childhood and Adult Abuse

The Perinatal Self-Care Index

Comprehensive Care and Pregnancy: The Unmet Care Needs of Pregnant Women with a History of Rape

Contact Info

Product

Resources

About