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Type: Artigo de Periódico
Title: A Cohort Study Of Functioning And Disability Among Women After Severe Maternal Morbidity
Author: Silveira
C; Parpinelli
MA; Pacagnella
RC; Andreucci
CB; Ferreira
EC; Angelini
CR; Bussadori
JC; Santos
JP; Zanardi
DM; Cecchino
GN; Souza
RT; Costa
ML; Camargo
RS; Cecatti
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. (C) 2016 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics.
Subject: Daily Activities
Postpartum Period
Severe Maternal Morbidity
Citation: International Journal Of Gynecology & Obstetrics. ELSEVIER IRELAND LTD, n. 134, n. 1, p. 87 - 92.
Rights: fechado
Identifier DOI: 10.1016/j.ijgo.2015.10.027
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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