Carla Silveira1, Mary A Parpinelli2, Rodolfo C Pacagnella1, Carla B Andreucci3, Elton C Ferreira1, Carina R Angelini1, Jamile C Bussadori4, Juliana P Santos1, Dulce M Zanardi1, Gustavo N Cecchino1, Renato T Souza1, Maria L Costa1, Rodrigo S Camargo5, Jose G Cecatti1. 1. Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, Brazil. 2. Department of Obstetrics and Gynecology, University of Campinas (UNICAMP), School of Medical Sciences, Campinas, São Paulo, Brazil. Electronic address: parpinelli@caism.unicamp.br. 3. 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, Brazil. 4. Federal University of Sao Carlos (UFSCAR), School of Medicine, Sao Carlos, São Paulo, Brazil. 5. Department of Obstetrics and Gynecology, Medical School of Jundiaí, Jundiaí, São Paulo, Brazil.
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 1-5years after delivery.
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 1-5years after delivery.
Authors: José P Guida; Maria L Costa; Mary A Parpinelli; Rodolfo C Pacagnella; Elton C Ferreira; Jussara Mayrink; Carla Silveira; Renato T Souza; Maria H Sousa; Lale Say; Doris Chou; Veronique Filippi; Maria Barreix; Kelli Barbour; Affette McCaw-Binns; Peter von Dadelszen; José G Cecatti Journal: Int J Gynaecol Obstet Date: 2018-05 Impact factor: 3.561
Authors: Carla Silveira; Renato T Souza; Maria L Costa; Mary A Parpinelli; Rodolfo C Pacagnella; Elton C Ferreira; Jussara Mayrink; José P Guida; Maria H Sousa; Lale Say; Doris Chou; Veronique Filippi; Maria Barreix; Kelli Barbour; Tabassum Firoz; Peter von Dadelszen; José G Cecatti Journal: Int J Gynaecol Obstet Date: 2018-05 Impact factor: 3.561
Authors: Jussara Mayrink; Renato T Souza; Carla Silveira; José P Guida; Maria L Costa; Mary A Parpinelli; Rodolfo C Pacagnella; Elton C Ferreira; Maria H Sousa; Lale Say; Doris Chou; Veronique Filippi; Maria Barreix; Kelli Barbour; Peter von Dadelszen; José G Cecatti Journal: Int J Gynaecol Obstet Date: 2018-05 Impact factor: 3.561
Authors: Jussara Mayrink; Renato T Souza; Francisco E Feitosa; Edilberto A Rocha Filho; Débora F Leite; Janete Vettorazzi; Iracema M Calderon; Maria H Sousa; Maria L Costa; Philip N Baker; Jose G Cecatti Journal: Sci Rep Date: 2019-07-02 Impact factor: 4.379
Authors: Stephanie Pabon; Mary A Parpinelli; Martha B Narvaez; Charles M'poca Charles; Jose P Guida; Maria F Escobar; Jose G Cecatti; Maria L Costa Journal: Biomed Res Int Date: 2020-07-17 Impact factor: 3.411
Authors: Elton C Ferreira; Maria Laura Costa; Rodolfo C Pacagnella; Carla Silveira; Carla B Andreucci; Dulce Maria Toledo Zanardi; Juliana P Santos; Carina R Angelini; Renato T Souza; Mary A Parpinelli; Maria Helena Sousa; Jose Guilherme Cecatti Journal: BMJ Open Date: 2020-12-10 Impact factor: 2.692
Authors: Carina R Angelini; Rodolfo C Pacagnella; Mary A Parpinelli; Carla Silveira; Carla B Andreucci; Elton C Ferreira; Juliana P Santos; Dulce M Zanardi; Renato T Souza; Jose G Cecatti Journal: Clinics (Sao Paulo) Date: 2018-04-26 Impact factor: 2.365
Authors: Jenny A Cresswell; Kelli D Barbour; Doris Chou; Affette McCaw-Binns; Veronique Filippi; Jose Guilherme Cecatti; Maria Barreix; Max Petzold; Nenad Kostanjsek; Sara Cottler-Casanova; Lale Say Journal: BMC Pregnancy Childbirth Date: 2020-09-07 Impact factor: 3.007