Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument.
Objective. To evaluate the prevalence of nonsevere maternal morbidity (including overall health, domestic and sexual violence, functionality, and mental health) in women during antenatal care and further analyze factors associated with compromised mental functioning and clinical health by administra...
| Publicado en: | BioMed Research International pp. 1 - 10 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
7/17/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144613831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144613831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 7/17/2020 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 144613831 144613831 144613831 10.1155/2020/9740232 144613831 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument. aug: au: Pabon, Stephanie Parpinelli, Mary A. Narvaez, Martha B. Charles, Charles M'poca Guida, Jose P. Escobar, Maria F. Cecatti, Jose G. Costa, Maria L. affil: Department of Obstetrics and Gynecology, University of Campinas School of Medicine, Rua Alexander Fleming 101, Campinas, São Paulo 13083-891, Brazil sug: subj: Morbidity Epidemiology Prenatal Care Brazil Risk Assessment Health Status In Pregnancy Mental Health In Pregnancy Human Pregnancy Female Prevalence Functional Status Domestic Violence Epidemiology Sexual Abuse Epidemiology Questionnaires Interviews Brazil Cross Sectional Studies Gestational Age Data Analysis Software Descriptive Statistics Multiple Regression Adult Spouses Educational Status Exposure to Violence Epidemiology Substance Abuse, Perinatal Epidemiology Sexual Satisfaction Sexual Abstinence Epidemiology Anxiety Diagnosis Depression Diagnosis Obesity Complications Adult: 19-44 years Female ab: Objective. To evaluate the prevalence of nonsevere maternal morbidity (including overall health, domestic and sexual violence, functionality, and mental health) in women during antenatal care and further analyze factors associated with compromised mental functioning and clinical health by administration of the WHO's WOICE 2.0 instrument. Method. A cross-sectional study was conducted at a referral center in Brazil with an interview and questionnaire administered to pregnant women at 28 weeks of gestation and beyond. Data collection and management were supported by REDCAP software. A descriptive analysis was performed, and a multiple regression analysis also investigated factors associated with impairment in mental conditions, functionality, and clinical health. Results. 533 women at a mean age of 28.9 years (±6.7) were included, and the majority had a partner (77.1%) and secondary education (67.7%). Exposure to violence occurred in 6.8%, and 12.7% reported substance use. Sexual satisfaction was reported by the vast majority (91.7%), although almost one-fifth were sexually abstinent. Overall, women reported very good and good health (72%), despite being told that they had a medical condition (66%). There was an overall rate of anxiety in 29.9%, depression in 39.5%, and impaired functioning in 20.4%. The perception of an abnormal clinical condition was the only factor independently associated with impaired functioning and mental health in the multiple regression model. Obesity was independently associated with clinical impairment. Conclusion. During antenatal care, pregnant women in the study reported having a high rate of anxiety, depression, impaired functioning, and substance use. These issues can affect a woman's health and should be further addressed for specific interventions and improved quality of care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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