دورية أكاديمية
أعرض في EDS

Multidimensional assessment of women after severe maternal morbidity: the COMMAG cohort study.

التفاصيل البيبلوغرافية
العنوان: Multidimensional assessment of women after severe maternal morbidity: the COMMAG cohort study.
المؤلفون: Ferreira EC; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Costa ML; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Pacagnella RC; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Silveira C; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Andreucci CB; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Zanardi DMT; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Santos JP; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Angelini CR; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Souza RT; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Parpinelli MA; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil., Sousa MH; Department of Statistics, Faculdade de Medicina de Jundiai, Jundiai, Brazil., Cecatti JG; Department of Obstetrics and Gynecology, State University of Campinas, Campinas, Brazil cecatti@unicamp.br.
المصدر: BMJ open [BMJ Open] 2020 Dec 10; Vol. 10 (12), pp. e041138. Date of Electronic Publication: 2020 Dec 10.
نوع المنشور: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Pregnancy Complications*/epidemiology , Quality of Life*, Brazil/epidemiology ; Child ; Cohort Studies ; Female ; Humans ; Morbidity ; Pregnancy ; Retrospective Studies
مستخلص: Objectives: To perform a multidimensional assessment of women who experienced severe maternal morbidity (SMM) and its short-term and medium-term impact on the lives and health of women and their children.
Design: A retrospective cohort study.
Setting: A tertiary maternity hospital from the southeast region of Brazil.
Participants: The exposed population was selected from intensive care unit admissions if presenting any diagnostic criteria for SMM. Controls were randomly selected among women without SMM admitted to the same maternity and same time of childbirth.
Primary and Secondary Outcome Variables: Validated tools were applied, addressing post-traumatic stress disorder (PTSD) and quality of life (SF-36) by phone, and then general and reproductive health, functioning (WHO Disability Assessment Schedule), sexual function (Female Sexual Function Index (FSFI)), substance abuse (Alcohol, Smoking and Substance Involvement Screening Test 2.0) and growth/development (Denver Developmental Screening Test) of children born in the index pregnancy in a face-to-face interview.
Results: All instruments were applied to 638 women (315 had SMM; 323 were controls, with the assessment of 264 and 307 children, respectively). SF-36 score was significantly lower in the SMM group, while PTSD score was similar between groups. Women who had SMM became more frequently sterile, had more abnormal clinical conditions after the index pregnancy and a higher score for altered functioning, while proportions of FSFI score or any drug use were similar between groups. Furthermore, children from the SMM group were more likely to have weight (threefold) and height (1.5 fold) for age deficits and also impaired development (1.5-fold).
Conclusion: SMM impairs some aspects of the lives of women and their children. The focus should be directed towards monitoring these women and their children after birth, ensuring accessibility to health services and reducing short-term and medium-term repercussions on physical, reproductive and psychosocial health.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: developmental neurology & neurodisability; maternal medicine; perinatology; public health
تواريخ الأحداث: Date Created: 20201211 Date Completed: 20210514 Latest Revision: 20220531
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7733206
DOI: 10.1136/bmjopen-2020-041138
PMID: 33303455
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2020-041138