J 2016

Predictive value of self-rated health in pregnancy for childbirth complications, adverse birth outcomes, and maternal health

ŠTĚPANÍKOVÁ, Irena, Lubomír KUKLA and Jan ŠVANCARA

Basic information

Original name

Predictive value of self-rated health in pregnancy for childbirth complications, adverse birth outcomes, and maternal health

Authors

ŠTĚPANÍKOVÁ, Irena (203 Czech Republic, guarantor, belonging to the institution), Lubomír KUKLA (203 Czech Republic, belonging to the institution) and Jan ŠVANCARA (203 Czech Republic, belonging to the institution)

Edition

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, CLARE, ELSEVIER IRELAND LTD, 2016, 0020-7292

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.174

RIV identification code

RIV/00216224:14310/16:00093484

Organization unit

Faculty of Science

UT WoS

000384789700012

Keywords in English

Birth outcomes; Childbirth complications; Maternal health; Pregnancy; Self-rated health

Tags

Tags

International impact, Reviewed
Změněno: 16/3/2017 10:57, Mgr. Michaela Hylsová, Ph.D.

Abstract

V originále

Objective: To investigate whether self-rated health (SRH) in pregnancy can predict childbirth complications, adverse birth outcomes, and maternal health problems up to 3 years after delivery. Methods: A retrospective analysis was performed of data obtained in a prospective longitudinal population-based birth cohort study. Pregnant women resident in the Brno or Znojmo regions in the Czech Republic were included if they were expected to deliver between March 1991 and June 1992. SRH data were collected between 1991 and 1995 via pen-and-paper questionnaires administered in mid-pregnancy, and at 6 months, 18 months, and 3 years after delivery. Medical records were reviewed for pregnancy complications, childbirth complications, and birth outcomes. Multivariate regression analysis was performed. Results: Overall, 4811 women were included. Better SRH in pregnancy predicted fewer childbirth complications (b =-0.03; P=0.036); lower odds of cesarean delivery (odds ratio 0.81; P = 0.003); and fewer maternal health problems at 6 months (b=-0.32; P<0.001), 18 months (b =-028; P<0.001), and 3 years after delivery (b =-030; P<0.001). The effects of SRH were independent of diagnosed complications and self-reported health problems in pregnancy. Conclusion: SRH in pregnancy has predictive value for subsequent health outcomes, and might be an additional tool for assessment of pregnant women's health.

Links

EF15_003/0000469, research and development project
Name: Cetocoen Plus
LM2015051, research and development project
Name: Centrum pro výzkum toxických látek v prostředí (Acronym: RECETOX RI)
Investor: Ministry of Education, Youth and Sports of the CR
MUNI/M/1075/2013, interní kód MU
Name: CELSPAC: Central European Longitudinal Study of Pregnacy and Childhood (Acronym: CELSPAC)
Investor: Masaryk University, INTERDISCIPLINARY - Interdisciplinary research projects