scholarly journals Association Between Mode of Birth and Self-Reported Maternal Physical and Psychological Health Problems at 10 Weeks Postpartum

2012 ◽  
Vol 2 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Jennifer Fenwick ◽  
Yvonne Hauck ◽  
Virginia Schmeid ◽  
Satvinder Dhaliwal ◽  
Janice Butt

AIM:To determine the association between mode of birth and physical and psychological health problems reported at 10 weeks postpartum.METHODS:A cross-sectional, self-report survey was completed by 2,699 Western Australian women at 10 weeks postpartum. Information on birth mode and physical and psychological health was sought. Descriptive statistics and frequency distributions were performed to describe the sample. Logistic regression was used to determine the association between mode of birth and the reported number of physical health problems (two or more and three or more) and two psychological health problems.RESULTS:The occurrence of physical health problems for all women were incontinence (11.5%), no bowel control (2.6%), backache (41%), heavy bleeding (14.1%), and excessive fatigue or tiredness (35.7%). A significant association was found between all cesarean sections (elective and emergency) and the number of physical health problems compared to spontaneous vaginal births. Women who had an emergency cesarean were most likely (OR= 3.15, CI = 2.40–4.13,p< 0.0005) to report two or more physical problems, whereas women who had an elective cesarean were more likely (OR= 2.75, CI = 2.08–3.63,p< 0.0005) to report three or more physical problems.Nearly 15% of women reported being unhappy for more than a few days. This was highest in women having an emergency cesarean (16.4%) and lowest in women giving birth spontaneously (13.5%). Some 6.4% of women stated they were constantly reliving negative thoughts of birth and/or labor. Women who had an emergency cesarean were more likely (OR= 3.10, CI = 1.96–4.89,p< 0.0005) to choose this item and they were also more likely (OR= 2.04, CI = 1.01–4.13,p< 0.047) to experience both psychological health items.CONCLUSION:Women’s reports of health problems within the first 10 weeks postpartum are concerning and warrant ongoing attention. The prevalence of health problems was higher in women who had experienced a cesarean. This information on morbidity postbirth is essential for women and their care providers in making informed decisions around available birth options.

2018 ◽  
Vol 28 (3) ◽  
pp. 197-210 ◽  
Author(s):  
Josephine Heap ◽  
Johan Fritzell ◽  
Carin Lennartsson

This study explored changes in the associations between and coexistence of disadvantages in several dimensions of living conditions in the oldest old people in Sweden. We used nationally representative data from 1992 (n = 537), 2002 (n = 621) and 2011 (n = 931). Indicators of limited social resources, limited political resources, limited financial resources, psychological health problems, physical health problems and functional limitations were used. The probability of reporting coexisting disadvantages tended to increase and was particularly elevated in 2002. Physical health problems became more common, and functional limitations, limited financial resources and limited political resources became less common during the studied period. Associations between health-related disadvantages remained fairly stable, whereas associations including other kinds of disadvantages varied somewhat over the studied period. These changes suggest that in general, the composition of coexisting disadvantages is likely to have altered over time. Consequently, the challenges faced by disadvantaged groups in 2011 may have been different from those in 1992. Moreover, the healthcare and social care services directed to older people have undergone significant changes during the past decades. These changes to the system accentuate the vulnerability of people experiencing coexisting disadvantages.


2021 ◽  
Vol 16 (2) ◽  
pp. 31-54
Author(s):  
Nilay Pekel Uludağlı ◽  
Şeyda Pekçetin

Background: The life course health development approach, as a new theoretical model relating to health, dwells on psychosocial factors as well as biological factors, and it proposes that the effects of developmental timing unfolding over one’s lifespan should be considered. Based on this theoretical model, as well as empirical studies relating to marriage and health, one of the psychosocial factors that may contribute to the health of middle-aged individuals is the marital relationship. Aims: The aim of this study – conducted with individuals in middle adulthood – is to investigate the relationships between marital satisfaction, age at the time of marriage, SES (socioeconomic status) and psychological and physical health. Method: Data was collected from middle-aged individuals between 40–69 years in Turkey (160 women and 142 men). The World Health Organization Quality of Life Measurement Tool, Brief Symptom Inventory, Marriage Life Scale, and a Demographic Information Form were used to assess the participants’ perceived physical and psychological health, their marital satisfaction, their age of marriage, and SES. Results: A path analysis indicated that the age of marriage was positively related, and perceived psychological health problems were negatively related to perceived physical health. Both marital satisfaction and SES were negatively related to perceived psychological health problems. Upon examination of the mediator role of psychological health problems and SES, it was observed that both marital satisfaction and SES were related to perceived physical health through perceived psychological health problems. Also, the age of marriage was related to perceived psychological health problems via SES. Conclusion: The findings showed that marriage is an important component in the evaluation of perceived health in middle age; individuals are healthier when they get married at a more mature age and have a positive marital relationship.


2014 ◽  
Vol 484-485 ◽  
pp. 22-25
Author(s):  
Juan Li

Health has been an important topic on which the human being is very concerned. If the human civilization intends to pass on from generation to generation, the life must continue. As the juveniles and children are the successors of the future of mankind, therefore, their health has been paid more and more attention. As a survey showed, in recent years, China's juvenile physical health problems became more and more serious. With the decline of physical fitness, the psychological health is also severely affected. These problems would affect our future development. Education in form of sports games is an effective method for the juveniles, which can not only develop a fit body and a healthy mind of them, but also explore their intelligence and change their mentality. This article through the researches on sports games based on smart materials identifies the influence of sports games on the juvenile's physical and psychological health, intelligence and personality and so on, in hopes of playing an active role in guiding the juveniles health development.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Anne Lise Holm ◽  
Anne Lyberg ◽  
Elisabeth Severinsson

The aim of this paper is to deepen the understanding of depressed elderly persons’ lived experiences of physical health problems. Individual in-depth interviews were conducted with 15 depressed elderly persons who suffer from physical health problems. A hermeneutic analysis was performed, yielding one main theme, living with stigma, and three themes: longing to be taken seriously, being uncertain about whether the pain is physical or mental, and a sense of living in a war zone. The second theme comprised two subthemes, feeling like a stranger and feeling dizzy, while the third had one subtheme: afraid of being helpless and dependent on others. Stigma deprives individuals of their dignity and reinforces destructive patterns of isolation and hopelessness. Nurses should provide information in a sensitive way and try to avoid diagnostic overshadowing. Effective training programmes and procedures need to be developed with more focus on how to handle depressive ill health and physical problems in older people.


2018 ◽  
Vol 4 (1) ◽  
pp. 130-150
Author(s):  
P. Simkhada ◽  
E. Van Teijlingen ◽  
A. Sharma ◽  
P. Bissell ◽  
A. Poobalan ◽  
...  

Background: Sex trafficking is one of the most common forms of human trafficking globally. It is associated with health, emotional, social, moral and legal problems. The victims of sex trafficking when returned home are often ignored. This study aimed to explore the health consequences of sex trafficking among women and children.Methods: Medline EMBASE, PsycINFO and CINAHL were systematically searched, from date of inception to July 2016 using a combination of Medical Subject Headings (MeSH) and text words on health risks and consequences of sex trafficking. Electronic searches were supplemented by searching the reference lists of included papers and citation tracking. Both Qualitative and quantitative primary studies published in English and exploring health-related problems among sex trafficked women and children were included in this review. Health outcomes considered were: physical, psychological or social risks and consequences of sex trafficking among women and children. No restrictions were applied to geographical regions as sex trafficking involves victims being trafficked between different countries, and within countries. Data were extracted and study quality independently appraised by two reviewers and narrative synthesis was conducted for this review.Results: A total of fifteen articles were included covering health risks and well-being related to sex trafficking. Sexual and physical violence among victims such as rape and repetitive stress and physical injuries were common. The prevalence of STI (sexually transmitted infections) and HIV (human immunodeficiency virus) was also reported as high. Being trafficked at a young age, having been in brothels for a longer period and sexual violence and forced prostitution were linked with a higher risk for HIV infection. Physical health problems reported included headaches, fatigue, dizziness, back pain, memory problem, stomach pain, pelvic pain, gynaecological infections, weight loss, lesions or warts, unwanted pregnancies and abortions. The studies on mental health reported that depression, anxiety and post-traumatic stress disorder (PTSD) were commonly reported health consequences among sex trafficking victims.Conclusion: there is a compelling need for interventions raising awareness about sex trafficking among young girls and women most at risk of being trafficked. Most studies in this review have focussed on the physical health problems of the trafficked victims although there is also remarkable mental burden amongst those victims. Key policy makers, government officials, public health officials, health care providers, legal authorities and non-governmental organisations (NGOs) should be made aware about the health risks and consequences of trafficking. Trafficking consequences should be recognised as a health issue and all the sectors involved including regulating bodies should collaborate to fight against sex trafficking. Due to the heterogeneity of the articles, no meta-analysis could be conducted.JMMIHS.2018;4(1):130-150


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