OBJECTIVE: To examine changes in health status among women with gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH). METHODS: We examined perceived health status changes from the prepregnancy, as recalled at 12-20 weeks gestation, to the postpartum period in women with GDM (n = 64) vs. unaffected gravidas (n = 1233) and women diagnosed with PIH (n = 148) vs. unaffected gravidas. We used patient survey and medical record data from a prospective cohort study. Health status measures included the Short Form-36 scales for physical function, vitality, and self-rated health and the Center for Epidemiologic Studies-Depression Scale (CES-D). Multivariate logistic regression models controlled for age, parity, race, education, prepregnancy body mass index (BMI) and exercise levels, food insufficiency, and GDM or PIH during a prior pregnancy. RESULTS: Women with PIH more often reported a significant decline in vitality (odds ratio [OR] 1.51, 95% confidence interval [CI] 1.02-2.23) and self-rated health (OR 2.12, 95% CI 1.19- 3.77) and an increase in depressive symptoms from prepregnancy to postpartum compared with unaffected women (OR 1.84, 95% CI 1.11-3.05). Decline in self-rated health was partially mediated by cesarean birth and preterm delivery. Similar proportions of women with GDM and unaffected women reported declines in health status measures. CONCLUSIONS: Women with PIH, but not GDM, more often experience significant declines in health status from prepregnancy to postpartum than unaffected women.
OBJECTIVE: To examine changes in health status among women with gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH). METHODS: We examined perceived health status changes from the prepregnancy, as recalled at 12-20 weeks gestation, to the postpartum period in women with GDM (n = 64) vs. unaffected gravidas (n = 1233) and women diagnosed with PIH (n = 148) vs. unaffected gravidas. We used patient survey and medical record data from a prospective cohort study. Health status measures included the Short Form-36 scales for physical function, vitality, and self-rated health and the Center for Epidemiologic Studies-Depression Scale (CES-D). Multivariate logistic regression models controlled for age, parity, race, education, prepregnancy body mass index (BMI) and exercise levels, food insufficiency, and GDM or PIH during a prior pregnancy. RESULTS:Women with PIH more often reported a significant decline in vitality (odds ratio [OR] 1.51, 95% confidence interval [CI] 1.02-2.23) and self-rated health (OR 2.12, 95% CI 1.19- 3.77) and an increase in depressive symptoms from prepregnancy to postpartum compared with unaffected women (OR 1.84, 95% CI 1.11-3.05). Decline in self-rated health was partially mediated by cesarean birth and preterm delivery. Similar proportions of women with GDM and unaffected women reported declines in health status measures. CONCLUSIONS:Women with PIH, but not GDM, more often experience significant declines in health status from prepregnancy to postpartum than unaffected women.
Authors: Karen A Ertel; Marushka Silveira; Penelope Pekow; Barry Braun; JoAnn E Manson; Caren G Solomon; Glenn Markenson; Lisa Chasan-Taber Journal: Arch Womens Ment Health Date: 2013-09-21 Impact factor: 3.633
Authors: Jodie G Katon; Joan Russo; Amelia R Gavin; Jennifer L Melville; Wayne J Katon Journal: J Womens Health (Larchmt) Date: 2011-06-13 Impact factor: 2.681
Authors: Catherine Kim; Laura N McEwen; Edith C Kieffer; William H Herman; John D Piette Journal: Diabetes Educ Date: 2008 Jul-Aug Impact factor: 2.140
Authors: Catherine Kim; Laura N McEwen; Aruna V Sarma; John D Piette; William H Herman Journal: J Womens Health (Larchmt) Date: 2008-06 Impact factor: 2.681