Changes in Health Status Experienced by Women with Gestational Diabetes and Pregnancy-Induced Hypertensive Disorders
dc.contributor.author | Kim, Catherine | en_US |
dc.contributor.author | Brawarsky, Phyllis | en_US |
dc.contributor.author | Jackson, Rebecca A. | en_US |
dc.contributor.author | Fuentes-Afflick, Elena | en_US |
dc.contributor.author | Haas, Jennifer S. | en_US |
dc.date.accessioned | 2009-07-10T19:10:45Z | |
dc.date.available | 2009-07-10T19:10:45Z | |
dc.date.issued | 2005-10-01 | en_US |
dc.identifier.citation | Kim, Catherine; Brawarsky, Phyllis; Jackson, Rebecca A.; Fuentes-Afflick, Elena; Haas, Jennifer S. (2005). "Changes in Health Status Experienced by Women with Gestational Diabetes and Pregnancy-Induced Hypertensive Disorders." Journal of Women's Health 14(8): 729-736 <http://hdl.handle.net/2027.42/63346> | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/63346 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16232105&dopt=citation | en_US |
dc.description.abstract | Objective: To examine changes in health status among women with gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH). Methods: We examined perceived health status changes from the prepregnancy, as recalled at 12–20 weeks gestation, to the postpartum period in women with GDM (n = 64) vs. unaffected gravidas (n = 1233) and women diagnosed with PIH (n = 148) vs. unaffected gravidas. We used patient survey and medical record data from a prospective cohort study. Health status measures included the Short Form-36 scales for physical function, vitality, and self-rated health and the Center for Epidemiologic Studies-Depression Scale (CES-D). Multivariate logistic regression models controlled for age, parity, race, education, prepregnancy body mass index (BMI) and exercise levels, food insufficiency, and GDM or PIH during a prior pregnancy. Results: Women with PIH more often reported a significant decline in vitality (odds ratio [OR] 1.51, 95% confidence interval [CI] 1.02-2.23) and self-rated health (OR 2.12, 95% CI 1.19- 3.77) and an increase in depressive symptoms from prepregnancy to postpartum compared with unaffected women (OR 1.84, 95% CI 1.11-3.05). Decline in self-rated health was partially mediated by cesarean birth and preterm delivery. Similar proportions of women with GDM and unaffected women reported declines in health status measures. Conclusions: Women with PIH, but not GDM, more often experience significant declines in health status from prepregnancy to postpartum than unaffected women. | en_US |
dc.format.extent | 131484 bytes | |
dc.format.extent | 2489 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Mary Ann Liebert, Inc., publishers | en_US |
dc.title | Changes in Health Status Experienced by Women with Gestational Diabetes and Pregnancy-Induced Hypertensive Disorders | en_US |
dc.type | Article | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.identifier.pmid | 16232105 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/63346/1/jwh.2005.14.729.pdf | |
dc.identifier.doi | doi:10.1089/jwh.2005.14.729 | en_US |
dc.identifier.source | Journal of Women's Health | en_US |
dc.identifier.source | Journal of Women's Health | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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