Immediate and long-term relationship between severe maternal morbidity and health-related quality of life: a prospective double cohort comparison studyReportar como inadecuado




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BMC Public Health

, 16:818

Health behavior, health promotion and society

Abstract

BackgroundGiven the growing interest in severe maternal morbidity SMM, the need to assess its effects on quality of life is pressing. The objective of this study was to compare the quality of life scores between women with and without SMM at 1-month and 6-month postpartum in Kelantan, Malaysia.

MethodsA prospective double cohort study design was applied at two tertiary referral hospitals over a 6-month period. The study population included all postpartum women who delivered in 2014. Postpartum women with and without SMM were selected as the exposed and non-exposed groups, respectively. For each exposed case identified, a non-exposed case with a similar mode of delivery was selected. The main outcome measures used were scores from the Short Form-12 Health Survey SF-12.

ResultsThe study measured 145 exposed and 187 non-exposed women. The group-time interaction of the repeated measure analysis of variance RM ANOVA showed no significant difference in the mean overall SF-12 physical component summary score changes P = 0.534 between women with and without SMM. Similarly, the group-time interaction of the RM ANOVA showed no significant difference in the mean overall SF-12 mental component summary score changes P = 0.674 between women with and without SMM. However, women with SMM scored significantly lower on a general health perceptions subscale at 1-month P = 0.031, role limitations due to physical health subscale at 6-month P = 0.019, vitality subscale at 1-month P = 0.007 and 6-month P = 0.008, and role limitations due to emotional problems subscales at 6-month P = 0.008.

ConclusionsWomen with severe maternal morbidity demonstrated comparable quality of life during the 6-month postpartum period compared to women without severe maternal morbidity.

KeywordsShort Form-12 Health Survey Quality of life Severe maternal morbidity Prospective double cohort AbbreviationsBPBodily pain

CIConfidence interval

EMMEstimated marginal mean

GHGeneral health perceptions

MCSMental component summary

MHMental health

MOSMedical outcome study

PCSPhysical component summary

PFPhysical functioning

RERole limitations due to emotional problems

RMRinggit Malaysia

RM ANOVARepeated measure analysis of variance

RMSEARoot mean square error of approximation

RPRole limitations due to physical health

SDStandard deviation

SFSocial functioning

SF-12Short Form-12 Health Survey

SF-36Short Form-36 Health Survey

SMMSevere maternal morbidity

VTVitality

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Autor: Mohd Noor Norhayati - Nik Hussain Nik Hazlina - Abd Aziz Aniza

Fuente: https://link.springer.com/







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