Produção Nacional
Revisado por pares
A cohort study of functioning and disability among women after severe maternal morbidity
2016; Elsevier BV; Volume: 134; Issue: 1 Linguagem: Inglês
10.1016/j.ijgo.2015.10.027
ISSN1879-3479
AutoresCarla Silveira, Mary Ângela Parpinelli, Rodolfo C. Pacagnella, Carla Betina Andreucci, Elton C. Ferreira, Carina R. Angelini, Jamile Claro de Castro Bussadori, Juliana Pereira dos Santos, Dulce M. Zanardi, Gustavo Nardini Cecchino, Renato T. Souza, Maria Laura Costa, Rodrigo S. Camargo, José Guilherme Cecatti,
Tópico(s)Maternal and Perinatal Health Interventions
ResumoInternational Journal of Gynecology & ObstetricsVolume 134, Issue 1 p. 87-92 Clinical articles A cohort study of functioning and disability among women after severe maternal morbidity Carla Silveira, Carla Silveira Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorMary A. Parpinelli, Corresponding Author Mary A. Parpinelli parpinelli@caism.unicamp.br Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilCorresponding author at: Department of Obstetrics and Gynecology, University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, São Paulo, Brazil. Tel./fax: + 55 19 35219304.Search for more papers by this authorRodolfo C. Pacagnella, Rodolfo C. Pacagnella Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorCarla B. Andreucci, Carla B. Andreucci Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, Brazil Federal University of Sao Carlos (UFSCAR), School of Medicine, Sao Carlos, São Paulo, BrazilSearch for more papers by this authorElton C. Ferreira, Elton C. Ferreira Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorCarina R. Angelini, Carina R. Angelini Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorJamile C. Bussadori, Jamile C. Bussadori Federal University of Sao Carlos (UFSCAR), School of Medicine, Sao Carlos, São Paulo, BrazilSearch for more papers by this authorJuliana P. Santos, Juliana P. Santos Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorDulce M. Zanardi, Dulce M. Zanardi Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorGustavo N. Cecchino, Gustavo N. Cecchino Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorRenato T. Souza, Renato T. Souza Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorMaria L. Costa, Maria L. Costa Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorRodrigo S. Camargo, Rodrigo S. Camargo Department of Obstetrics and Gynecology, Medical School of Jundiaí, Jundiaí, São Paulo, BrazilSearch for more papers by this authorJose G. Cecatti, Jose G. Cecatti Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this author Carla Silveira, Carla Silveira Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorMary A. Parpinelli, Corresponding Author Mary A. Parpinelli parpinelli@caism.unicamp.br Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilCorresponding author at: Department of Obstetrics and Gynecology, University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, São Paulo, Brazil. Tel./fax: + 55 19 35219304.Search for more papers by this authorRodolfo C. Pacagnella, Rodolfo C. Pacagnella Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorCarla B. Andreucci, Carla B. Andreucci Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, Brazil Federal University of Sao Carlos (UFSCAR), School of Medicine, Sao Carlos, São Paulo, BrazilSearch for more papers by this authorElton C. Ferreira, Elton C. Ferreira Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorCarina R. Angelini, Carina R. Angelini Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorJamile C. Bussadori, Jamile C. Bussadori Federal University of Sao Carlos (UFSCAR), School of Medicine, Sao Carlos, São Paulo, BrazilSearch for more papers by this authorJuliana P. Santos, Juliana P. Santos Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorDulce M. Zanardi, Dulce M. Zanardi Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorGustavo N. Cecchino, Gustavo N. Cecchino Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorRenato T. Souza, Renato T. Souza Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorMaria L. Costa, Maria L. Costa Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this authorRodrigo S. Camargo, Rodrigo S. Camargo Department of Obstetrics and Gynecology, Medical School of Jundiaí, Jundiaí, São Paulo, BrazilSearch for more papers by this authorJose G. Cecatti, Jose G. Cecatti Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, BrazilSearch for more papers by this author First published: 21 March 2016 https://doi.org/10.1016/j.ijgo.2015.10.027Citations: 17Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objective To assess functioning and disability related to severe maternal morbidity (SMM) via the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Methods In a retrospective cohort study, women with or without a history of SMM who delivered at a tertiary public hospital in Brazil between July 2008 and June 2012, completed the WHODAS 2.0 questionnaire by individual interview between August 2012 and November 2013. General WHODAS scores were evaluated by maternal and neonatal characteristics, and specific domain scores according to SMM event. Results Overall, 638 women were enrolled (315 with SMM and 323 without SMM). The mean general WHODAS score was higher among women with SMM (19.04 ± 16.18) than among women without SMM (15.77 ± 14.46; P = 0.015). Domain scores were also higher in the SMM group for mobility (16.00 ± 20.22 vs 11.63 ± 17.51; P = 0.003), household activities (26.79 ± 30.16 vs 20.09 ± 26.08; P = 0.005), participation (23.55 ± 21.72 vs 17.27 ± 19.17; P < 0.001), and work/school activities for women currently studying or working (20.52 ± 26.64 vs 11.66 ± 19.67; P = 0.001). Excluding SMM, a parity of two or more was the only factor significantly associated with higher scores overall (P = 0.013) and for domain 4 (getting along with people; P = 0.017). Conclusion By comparison with women without childbirth complications, SMM impaired self-reported functioning among women 1–5 years after delivery. Citing Literature Volume134, Issue1July 2016Pages 87-92 RelatedInformation
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