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, JP; Costa, ML; Parpinelli, MA; Pacagnella, RC; Ferreira, EC; Mayrink, J; Silveira, C; Souza, RT; Sousa, MH; Say, L; Chou, D; Filippi, V; Barreix, M; Barbour, K; McCaw-Binns, A; von Dadelszen, P; Cecatti, JG; Andreucci, CB; Angelini, CR; Ferraz, JP; Zanardi, DM; Camargo, RS; Cottler, S; Fawole, O; Firoz, T; Gadama, L; Ghérissi, A; Gyte, G; Hindin, M; Jayathilaka, A; Kalamar, A; Kone, Y; Kostanjsek, N; Lange, I; Magee, LA; Mathur, A; Morgan, M; Munjanja, S; Gichuhi, GN; Petzold, M; Sullivan, E; Taulo, F; Tunçalp, Ö; Vanderkruik, R

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, JP Costa, ML Parpinelli, MA Pacagnella, RC Ferreira, EC Mayrink, J Silveira, C Souza, RT Sousa, MH Say, L Chou, D Filippi, V Barreix, M Barbour, K McCaw-Binns, A von Dadelszen, P Cecatti, JG Andreucci, CB Angelini, CR Ferraz, JP Zanardi, DM Camargo, RS Cottler, S Fawole, O Firoz, T Gadama, L Ghérissi, A Gyte, G Hindin, M Jayathilaka, A Kalamar, A Kone, Y Kostanjsek, N Lange, I Magee, LA Mathur, A Morgan, M Munjanja, S Gichuhi, GN Petzold, M Sullivan, E

Taulo, F Tunçalp, Ö Vanderkruik, R

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Publication Type:: Journal Article
Citation:: International Journal of Gynecology and Obstetrics, 2018, 141 pp. 55 - 60
Issue Date:: 2018-05-01

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Field	Value	Language
dc.contributor.author	Guida, JP	en_US
dc.contributor.author	Costa, ML	en_US
dc.contributor.author	Parpinelli, MA	en_US
dc.contributor.author	Pacagnella, RC	en_US
dc.contributor.author	Ferreira, EC	en_US
dc.contributor.author	Mayrink, J	en_US
dc.contributor.author	Silveira, C	en_US
dc.contributor.author	Souza, RT	en_US
dc.contributor.author	Sousa, MH	en_US
dc.contributor.author	Say, L	en_US
dc.contributor.author	Chou, D	en_US
dc.contributor.author	Filippi, V	en_US
dc.contributor.author	Barreix, M	en_US
dc.contributor.author	Barbour, K	en_US
dc.contributor.author	McCaw-Binns, A	en_US
dc.contributor.author	von Dadelszen, P	en_US
dc.contributor.author	Cecatti, JG	en_US
dc.contributor.author	Andreucci, CB	en_US
dc.contributor.author	Angelini, CR	en_US
dc.contributor.author	Ferraz, JP	en_US
dc.contributor.author	Zanardi, DM	en_US
dc.contributor.author	Camargo, RS	en_US
dc.contributor.author	Cottler, S	en_US
dc.contributor.author	Fawole, O	en_US
dc.contributor.author	Firoz, T	en_US
dc.contributor.author	Gadama, L	en_US
dc.contributor.author	Ghérissi, A	en_US
dc.contributor.author	Gyte, G	en_US
dc.contributor.author	Hindin, M	en_US
dc.contributor.author	Jayathilaka, A	en_US
dc.contributor.author	Kalamar, A	en_US
dc.contributor.author	Kone, Y	en_US
dc.contributor.author	Kostanjsek, N	en_US
dc.contributor.author	Lange, I	en_US
dc.contributor.author	Magee, LA	en_US
dc.contributor.author	Mathur, A	en_US
dc.contributor.author	Morgan, M	en_US
dc.contributor.author	Munjanja, S	en_US
dc.contributor.author	Gichuhi, GN	en_US
dc.contributor.author	Petzold, M	en_US
dc.contributor.author	Sullivan, E https://orcid.org/0000-0002-8718-2753	en_US
dc.contributor.author	Taulo, F	en_US
dc.contributor.author	Tunçalp, Ö	en_US
dc.contributor.author	Vanderkruik, R	en_US
dc.date.issued	2018-05-01	en_US
dc.identifier.citation	International Journal of Gynecology and Obstetrics, 2018, 141 pp. 55 - 60	en_US
dc.identifier.issn	0020-7292	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129903
dc.description.abstract	© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objective: To assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36-item tool (WHODAS-36), considering different morbidities. Methods: Secondary 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, 10<P<90, and P>90. Cases of SMM were categorized and WHODAS-36 score was assessed according to hypertension, hemorrhage, or other conditions. Results: A 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). Conclusions: Complications 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.	en_US
dc.relation.ispartof	International Journal of Gynecology and Obstetrics	en_US
dc.relation.isbasedon	10.1002/ijgo.12467	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pregnancy Complications	en_US
dc.subject.mesh	Postpartum Hemorrhage	en_US
dc.subject.mesh	Hypertension	en_US
dc.subject.mesh	Delivery, Obstetric	en_US
dc.subject.mesh	Morbidity	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Postpartum Period	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Parturition	en_US
dc.subject.mesh	Brazil	en_US
dc.subject.mesh	Female	en_US
dc.title	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	en_US
dc.type	Journal Article
utslib.citation.volume	141	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	141	en_US

Abstract:

© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objective: To assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36-item tool (WHODAS-36), considering different morbidities. Methods: Secondary 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. Results: A 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). Conclusions: Complications 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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http://hdl.handle.net/10453/129903