Changes in health status experienced by women with gestational diabetes and pregnancy-induced hypertensive disorders
Changes in health status experienced by women with gestational diabetes and pregnancy-induced hypertensive disorders
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DOI：
10.1089/jwh.2005.14.729
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发表时间：
2005-10-01
影响因子：
3.5
通讯作者：
Haas, JS
中科院分区：
文献类型：
--
作者：
Kim, C;Brawarsky, P;Haas, JS
目的：探讨妊娠期糖尿病（GDM）和妊娠高血压综合征（PIH）妇女健康状况的变化。我们检查了怀孕前的健康状况变化，在怀孕12-20周时回忆，GDM女性（n = 64）与未受影响的孕妇（n = 1233）以及诊断为PIH的女性（n = 148）与未受影响的孕妇的产后期。我们使用了来自前瞻性队列研究的患者调查和病历数据。健康状况测量包括身体功能、活力和自测健康的简表-36量表和流行病学中心抑郁量表（CES-D）。多变量logistic回归模型控制了年龄、产次、种族、教育程度、孕前体重指数（BMI）和运动水平、食物不足以及既往妊娠期间GDM或PIH。患有妊高征的女性更经常报告活力显著下降（比值比[OR] 1.51，95%置信区间[CI] 1.02-2.23）和自测健康（OR 2.12，95%CI 1.19-3.77），与未受影响的妇女相比，从孕前到产后抑郁症状增加（OR 1.84，95% CI 1.11-3.05）。自评健康的下降部分介导剖宫产和早产。类似比例的妇女与GDM和未受影响的妇女报告下降的健康状况measures.Conclusions：妊高征的妇女，但不是GDM，更经常经历显着下降的健康状况，从孕前到产后比未受影响的妇女。
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.