ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2018
The impact of hypertension, hemorrhage, and other maternal morbidities on functioning in the postpartum period as assessed by the WHODAS 2.0 36-item tool.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Functional status of women with and without potentially life-threatening maternal conditions after 6 months postpartum: A cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Women's outcome instrument for maternal health care (WOICE) of Iranian pregnant women after 35: A cross-sectional study.Journal of education and health promotion · 2026Article
- The direct and indirect factors of health related quality of life of postpartum women using structural equation modelling.Scientific reports · 2025Article
- Validation of the Japanese Version of Obstetric Quality of Recovery-11 Questionnaire and Its Association with Postpartum Depression and Functional Outcomes: A Prospective Observational Study.Journal of clinical medicine · 2025Article
- Beyond survival: The impact of birth complications on postpartum wellbeing for mothers, babies, and households in Kenya.PLOS global public health · 2025Article
- Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.Frontiers in global women's health · 2025Article
- Family concerns and relationship problems in anxious pregnant women and their associations with postnatal functional disability in Pakistan.Journal of psychosomatic research · 2024Article
- Nursing care for women with HELLP syndrome: a scoping review.Revista da Escola de Enfermagem da U S P · 2024Article
- A structural equation modelling of the direct and indirect factors associated with functional status over time as measured by WHODAS-32 items among postpartum women in Northwest Ethiopia.Archives of public health = Archives belges de sante publique · 2023Article
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- Prevalence of Preeclampsia in Brazil: An Integrative Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Review
- Article
- Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling.BMJ global health · 2022Article
- Postnatal infection surveillance by telephone in Dar es Salaam, Tanzania: An observational cohort study.PloS one · 2021Observational
- Measurement of maternal functioning during pregnancy and postpartum: findings from the cross-sectional WHO pilot study in Jamaica, Kenya, and Malawi.BMC pregnancy and childbirth · 2020Article
- Postpartum blood pressure patterns in severe preeclampsia and normotensive pregnant women following abdominal deliveries: a cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020Article
- Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018Article
- The prevalence of adverse postnatal outcomes for mother and infant in the Netherlands.PloS one · 2018Article
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Authors and funding
18 authors at 6 institutions in 5 countries.
Funding
Abstract
objectiveTo assess the scores of postpartum women using the WHO Disability Assessment Schedule 2.0 36-item tool (WHODAS-36), considering different morbidities.
methodsSecondary analysis of a retrospective cohort of women who delivered at a referral maternity in Brazil and were classified with and without severe maternal morbidity (SMM). WHODAS-36 was used to assess functioning in postpartum women. Percentile distribution of total WHODAS score was compared across three groups: Percentile (P)<10, 10<P<90, and P>90. Cases of SMM were categorized and WHODAS-36 score was assessed according to hypertension, hemorrhage, or other conditions.
resultsA total of 638 women were enrolled: 64 had mean scores below P<10 (1.09) and 66 were above P>90 (41.3). Of women scoring above P>90, those with morbidity had a higher mean score than those without (44.6% vs 36.8%, P=0.879). Women with higher WHODAS-36 scores presented more complications during pregnancy, especially hypertension (47.0% vs 37.5%, P=0.09). Mean scores among women with any complication were higher than those with no morbidity (19.0 vs 14.2, P=0.01). WHODAS-36 scores were higher among women with hypertensive complications (19.9 vs 16.0, P=0.004), but lower among those with hemorrhagic complications (13.8 vs 17.7, P=0.09).
conclusionsComplications during pregnancy, childbirth, and the puerperium increase long-term WHODAS-36 scores, demonstrating a persistent impact on functioning among women, up to 5 years postpartum.
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