Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum

AIM: To determine the association between mode of birth and physical and psychological health problems reported at 10 weeks postpartum. METHODS: A cross-sectional, self-report survey was completed by 2,699 Western Australian women at 10 weeks postpartum. Information on birth mode and physical and ps...

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Main Authors: Fenwick, J., Hauck, Yvonne, Schmeid, V., Dhaliwal, Satvinder, Butt, Janice
Format: Journal Article
Published: Springer Publishing Company 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/7359
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author Fenwick, J.
Hauck, Yvonne
Schmeid, V.
Dhaliwal, Satvinder
Butt, Janice
author_facet Fenwick, J.
Hauck, Yvonne
Schmeid, V.
Dhaliwal, Satvinder
Butt, Janice
author_sort Fenwick, J.
building Curtin Institutional Repository
collection Online Access
description AIM: To determine the association between mode of birth and physical and psychological health problems reported at 10 weeks postpartum. METHODS: A cross-sectional, self-report survey was completed by 2,699 Western Australian women at 10 weeks postpartum. Information on birth mode and physical and psychological health was sought. Descriptive statistics and frequency distributions were performed to describe the sample. Logistic regression was used to determine the association between mode of birth and the reported number of physical health problems (two or more and three or more) and two psychological health problems. RESULTS: The occurrence of physical health problems for all women were incontinence (11.5%), no bowel control (2.6%), backache (41%), heavy bleeding (14.1%), and excessive fatigue or tiredness (35.7%). A significant association was found between all cesarean sections (elective and emergency) and the number of physical health problems compared to spontaneous vaginal births. Women who had an emergency cesarean were most likely (OR = 3.15, CI = 2.40-4.13, p < 0.0005) to report two or more physical problems, whereas women who had an elective cesarean were more likely (OR = 2.75, CI = 2.08-3.63, p < 0.0005) to report three or more physical problems. Nearly 15% of women reported being unhappy for more than a few days. This was highest in women having an emergency cesarean (16.4%) and lowest in women giving birth spontaneously (13.5%). Some 6.4% of women stated they were constantly reliving negative thoughts of birth and/or labor. Women who had an emergency cesarean were more likely (OR = 3.10, CI = 1.96-4.89, p < 0.0005) to choose this item and they were also more likely (OR = 2.04, CI = 1.01-4.13, p < 0.047) to experience both psychological health items.CONCLUSION: Women's reports of health problems within the first 10 weeks postpartum are concerning and warrant ongoing attention. The prevalence of health problems was higher in women who had experienced a cesarean. This information on morbidity postbirth is essential for women and their care providers in making informed decisions around available birth options.
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spelling curtin-20.500.11937-73592017-09-13T16:02:17Z Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum Fenwick, J. Hauck, Yvonne Schmeid, V. Dhaliwal, Satvinder Butt, Janice mode of birth postpartum health emotional well-being morbidity cesarean section AIM: To determine the association between mode of birth and physical and psychological health problems reported at 10 weeks postpartum. METHODS: A cross-sectional, self-report survey was completed by 2,699 Western Australian women at 10 weeks postpartum. Information on birth mode and physical and psychological health was sought. Descriptive statistics and frequency distributions were performed to describe the sample. Logistic regression was used to determine the association between mode of birth and the reported number of physical health problems (two or more and three or more) and two psychological health problems. RESULTS: The occurrence of physical health problems for all women were incontinence (11.5%), no bowel control (2.6%), backache (41%), heavy bleeding (14.1%), and excessive fatigue or tiredness (35.7%). A significant association was found between all cesarean sections (elective and emergency) and the number of physical health problems compared to spontaneous vaginal births. Women who had an emergency cesarean were most likely (OR = 3.15, CI = 2.40-4.13, p < 0.0005) to report two or more physical problems, whereas women who had an elective cesarean were more likely (OR = 2.75, CI = 2.08-3.63, p < 0.0005) to report three or more physical problems. Nearly 15% of women reported being unhappy for more than a few days. This was highest in women having an emergency cesarean (16.4%) and lowest in women giving birth spontaneously (13.5%). Some 6.4% of women stated they were constantly reliving negative thoughts of birth and/or labor. Women who had an emergency cesarean were more likely (OR = 3.10, CI = 1.96-4.89, p < 0.0005) to choose this item and they were also more likely (OR = 2.04, CI = 1.01-4.13, p < 0.047) to experience both psychological health items.CONCLUSION: Women's reports of health problems within the first 10 weeks postpartum are concerning and warrant ongoing attention. The prevalence of health problems was higher in women who had experienced a cesarean. This information on morbidity postbirth is essential for women and their care providers in making informed decisions around available birth options. 2012 Journal Article http://hdl.handle.net/20.500.11937/7359 10.1891/2156-5287.2.2.115 Springer Publishing Company restricted
spellingShingle mode of birth
postpartum health
emotional well-being
morbidity
cesarean section
Fenwick, J.
Hauck, Yvonne
Schmeid, V.
Dhaliwal, Satvinder
Butt, Janice
Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title_full Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title_fullStr Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title_full_unstemmed Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title_short Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Probelms at 10 Weeks Postpartum
title_sort association between mode of birth and self-reported maternal physical and psychological health probelms at 10 weeks postpartum
topic mode of birth
postpartum health
emotional well-being
morbidity
cesarean section
url http://hdl.handle.net/20.500.11937/7359