Disability and functioning of women with low‐risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

Dantas, Thaissa H.M.; Dantas, Diego de Sousa; Correia, Grasiéla Nascimento; Viana, E Souza Ramalho; Pereira, Alianny Raphaely Rodrigues; Magalhães, Adriana Gomes

doi:10.1002/ijgo.12985

Cited by 7 publications

(7 citation statements)

References 21 publications

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“…Functional status describes a person’s ability to perform a task or activity in the environment in which they live and is the result of a dynamic interaction between health conditions and contextual factors, integrating the different dimensions of health (individual, biological and social) 11 12. Functional status after childbirth is defined as mother’s ability to resume self-care, household, social, community, occupational and infant care activities 13 14…”

Section: Introductionmentioning

confidence: 99%

Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling

2022

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IntroductionUnlike physiological recovery, return to full functional status following childbirth takes longer than 6 weeks (42 days) of the traditionally defined postnatal period, and women with maternal morbidity usually require a longer period to recover. However, the extent to which this morbidity collectively impacts on women’s functional status is not well investigated in Ethiopia. We aim to determine the distinct trajectories and predictors of functional status among postpartum women in Northwest Ethiopia.MethodsHealth facility linked community-based follow-up study was conducted in Northwest Ethiopia from October 2020–March 2021. A sample of 779 delivering women was recruited after childbirth and before discharge using the criteria published by the WHO Maternal Morbidity Working Group. Functional status was measured by the Amharic version of the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) instrument. The Stata Traj package was used to determine trajectories of functional status using group-based multi-trajectory modelling. The multinomial logistic regression model was used to identify predictors of trajectory group membership.ResultsA total of 775 women participated at the first, second and third follow-up of the study (6th week, 12th week and 18th week of postpartum period). Three distinct functional status trajectory groups with different longitudinal patterns were identified across the six domains of WHODAS 2.0. Direct and indirect maternal morbidities, lower educational status, poor social support, vaginal delivery, stress, anxiety, posttraumatic stress disorder and fear of childbirth were found to be predictors of poor functioning trajectories.ConclusionEarly diagnosis and treatment of maternal morbidities and mental health problems, developing encouraging strategies for social support and providing health education or counselling for women with less or no education are essential to improve functioning trajectories of postpartum women.

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Section: Introductionmentioning

confidence: 99%

Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling

2022

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“…Some studies, using WHODAS, of disability in women, have been reported in the following areas: oncology [ 12 – 15 ], obstetrics [ 16 – 18 ], urology [ 19 , 20 ] and sexual function [ 21 ]. These studies underscore the importance of understanding women’s health contexts using the ICF; as well as, understand the impact of women’s health problems on their activities and participation, through a comprehensive and standardized instrument.…”

Section: Introductionmentioning

confidence: 99%

Association among dysmenorrhea and activity limitation and participation restrictions in adult women: a cross-sectional study, Brazil -2017

et al. 2021

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Background The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women. Methods This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05. Results The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables. Conclusions Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.

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“…22,36 Pregnancy-related pain has been associated with disruptions to activities of daily living, including but not limited to physical activity, hygiene, and work-related functioning. 6,14 This can lead to feelings of dependence and inadequacy, as well as a loss of personal identity, because unmanaged pain may require women to take premature leave from work, affect their sexual relationship with their partner, and/or make it difficult to engage in selfcare. 6,14 Pain interference, or the extent to which pain affects an individual's activities of daily living, is thus an important consideration in understanding pain experience.…”

Section: Introductionmentioning

confidence: 99%

“…6,14 This can lead to feelings of dependence and inadequacy, as well as a loss of personal identity, because unmanaged pain may require women to take premature leave from work, affect their sexual relationship with their partner, and/or make it difficult to engage in selfcare. 6,14 Pain interference, or the extent to which pain affects an individual's activities of daily living, is thus an important consideration in understanding pain experience. 2 Pain during pregnancy has been strongly associated with psychological distress, including pain catastrophizing, which is the tendency to ruminate, magnify, or feel helpless in the presence of pain.…”

Section: Introductionmentioning

confidence: 99%

Trajectories of pain intensity, pain catastrophizing, and pain interference in the perinatal and postpartum period

Jessa,

Tomfohr-Madsen,

Dhillon

et al. 2024

PR9

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Introduction: Chronic pain (pain >3 months) is a growing epidemic. Normal pregnancy may give rise to recurrent and sometimes constant pain for women. Women with worse pain symptoms are more likely to report symptoms of anxiety, depression, and/or insomnia during the perinatal period, which may impact labor and delivery outcomes. We examined the relationship between demographic and psychological predictors of pain throughout pregnancy and into the postpartum. Objectives: To examine trajectories of pain intensity, pain catastrophizing, and pain interference during pregnancy and the early postpartum, and associated sociodemographic predictors of trajectory membership. Methods: One hundred forty-two pregnant women were assessed at 4 time points for measures of pain intensity, pain catastrophizing, pain interference, and symptoms of insomnia, depression, and generalized anxiety. Women completed the first survey before 20 weeks’ gestation and were reassessed every 10 weeks. Surveys were completed on average at 15 weeks', 25 weeks', and 35 weeks' gestation, and at 6-week postpartum. Using latent class mixed models, trajectory analysis was used to determine trajectories of pain intensity, pain catastrophizing, and pain interference. Results: A 1-class pain intensity model, 2-class pain catastrophizing model, and 3-class pain interference model were identified. Adaptive lasso and imputation demonstrated model robustness. Individual associations with trajectories included baseline symptoms of anxiety, depression, and insomnia, and pain symptomology. Conclusion: These findings may help to identify women who are at high risk for experiencing pain symptoms during pregnancy and could aid in developing targeted management strategies to prevent mothers from developing chronic pain during their pregnancy and into the postpartum period.

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Disability and functioning of women with low‐risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

Cited by 7 publications

References 21 publications

Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling

Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling

Association among dysmenorrhea and activity limitation and participation restrictions in adult women: a cross-sectional study, Brazil -2017

Trajectories of pain intensity, pain catastrophizing, and pain interference in the perinatal and postpartum period

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