Self-reported pregnancy-related health problems and self-rated health status in Rwandan women postpartum: a population-based cross-sectional study

BMC Pregnancy and Childbirth

Research Article

Ingrid Mogren¹  Kristina Edvardsson²  Jean Paul S. Semasaka³  Gunilla Krantz⁴  Manasse Nzayirambaho⁵  Cyprien Munyanshongore⁵ 

[1] Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden;Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden;Judith Lumley Centre, La Trobe University, Melbourne, Australia;Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden;University of Rwanda College of Medicine and Health Sciences School of Public Health, Kigali, Rwanda;Department of Community Medicine and Public Health, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;University of Rwanda College of Medicine and Health Sciences School of Public Health, Kigali, Rwanda;

关键词: Self-rated health status;    Pregnancy;    Rwanda;    Reproductive history;    Cross-sectional study;    Pregnancy-related complications;   

DOI  :  10.1186/s12884-016-1138-y

 received in 2016-02-18, accepted in 2016-10-30,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundSelf-rated health status (SRH) can be used as a predictor of morbidity and mortality. Postpartum self-rated health has been used to estimate maternal morbidity and postpartum problems. Reproductive history factors are associated with poor self-rated health postpartum. This study investigated prevalence of self-reported health problems during first, second, and third trimesters of pregnancy, delivery, and postpartum. In addition, this study investigated SRH in Rwandan women up to 13 months from partus.MethodsThis population-based, cross-sectional study collected data in 2014 using structured interviews (N = 921). Univariable analysis was used to identify variables that were associated with poor self-rated health status (poor-SRH). Logistic regression analyses were performed to identify factors associated with poor-SRH at one day, one week, and one month postpartum and at the time of the interview.ResultsMean time between latest delivery and the time of interview was 7.1 months. Prevalence of anaemia, hypertension, diabetes mellitus during pregnancy, and severe bleeding during pregnancy and labour were 15.0, 4.9, 2.4, and 3.7 %, respectively. The prevalence of poor-SRH was 32.2 % at one day postpartum, 7.8 % at one month, and 11.7 % at time of the interview. Hypertension during pregnancy and significant postpartum haemorrhage were associated with poor-SRH at one day and one week postpartum. Severe bleeding during pregnancy and labour were associated with poor-SRH at one week and one month postpartum. Infection and anaemia during pregnancy were associated with poor-SRH at one month postpartum and at the time of interview. The Kaplan-Meier curves illustrate restitution of health for most women during the study period.ConclusionsThis population-based study reports a high prevalence of poor SRH status among Rwandan women in the early postpartum period. Identified factors associated with poor-SRH were severe bleeding, hypertension, infection, and anaemia during pregnancy and postpartum haemorrhage. These factors may be prevented or reduced by providing more frequent and specific attention during pregnancy and by providing timely measures that address complications during delivery, including adequate postpartum care.

【 授权许可】

CC BY   
© The Author(s). 2016