Document Detail

Risk factors for poor self-rated health in women at 2 months and 1 year after childbirth.
MedLine Citation:
PMID:  17439384     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate risk factors for poor self-rated health (SRH) in primiparous and multiparous women 2 months and 1 year after childbirth in a nationwide Swedish sample. METHODS: Women were recruited at their first booking visit at 593 (97%) antenatal clinics in Sweden during 3 weeks evenly spread over 1 year (1999-2000). Data were collected by questionnaires in early pregnancy, 2 months and 1 year after childbirth, and from the Medical Birth Register. In total, 2424 women filled in all the questionnaires, including a global question on SRH. The representativity of the sample was assessed by comparison with the total Swedish birth cohort of 1999. Data were analyzed by logistic regression analysis. RESULTS: Physical problems, such as tiredness, musculoskeletal symptoms, and abdominal pain, and emotional problems, such as depressive symptoms, increased the risk of poor SRH in both primiparas and multiparas at one or both time points. Infant-related risk factors in both groups were negative experience of breastfeeding (2 months) and infant sleeping problems (1 year), and prematurity was a risk factor in primiparas at 2 months. Insufficient social support increased the risk in multiparas. In primiparas, outcome of labor, such as negative birth experience after operative delivery, was associated with poor SRH at 1 year and perineal pain at 2 months. CONCLUSIONS: A new mother's SRH is associated with her life situation. Ongoing physical and emotional problems, lack of support, and infant factors seem more important than sociodemographic background. Mode of delivery and childbirth experience may have a longterm effect on SRH.
Erica Schytt; Ulla Waldenström
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  16     ISSN:  1540-9996     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-18     Completed Date:  2007-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  390-405     Citation Subset:  IM    
Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
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MeSH Terms
Cohort Studies
Health Behavior*
Health Status*
Infant, Newborn
Maternal Welfare / psychology,  statistics & numerical data*
Mothers / psychology,  statistics & numerical data*
Pain / psychology
Postnatal Care / methods
Postpartum Period / psychology*
Puerperal Disorders / epidemiology*,  psychology
Regression Analysis
Risk Factors
Social Support
Socioeconomic Factors
Sweden / epidemiology
Women's Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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