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Self-rated health in primiparous women with congenital heart disease before, during and after pregnancy: a register study
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.ORCID-id: 0000-0003-0976-6910
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
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2023 (Engelska)Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 58, nr 1, artikel-id 2295782Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Poor maternal self-rated health in healthy women is associated with adverse neonatal outcomes, but knowledge about self-rated health in pregnant women with congenital heart disease (CHD) is sparse. This study, therefore, investigated self-rated health before, during, and after pregnancy in women with CHD and factors associated with poor self-rated health.

Methods: The Swedish national registers for CHD and pregnancy were merged and searched for primiparous women with data on self-rated health; 600 primiparous women with CHD and 3062 women in matched controls. Analysis was performed using descriptive statistics, chi-square test and logistic regression.

Results: Women with CHD equally often rated their health as poor as the controls before (15.5% vs. 15.8%, p = .88), during (29.8% vs. 26.8% p = .13), and after pregnancy (18.8% vs. 17.6% p = .46). None of the factors related to heart disease were associated with poor self-rated health. Instead, factors associated with poor self-rated health during pregnancy in women with CHD were ≤12 years of education (OR 1.7, 95%CI 1.2–2.4) and self-reported history of psychiatric illness (OR 12.6, 95%CI 1.4–3.4). After pregnancy, solely self-reported history of psychiatric illness (OR 5.2, 95%CI 1.1–3.0) was associated with poor self-rated health.

Conclusion: Women with CHD reported poor self-rated health comparable to controls before, during, and after pregnancy, and factors related to heart disease were not associated with poor self-rated health. Knowledge about self-rated health may guide professionals in reproductive counselling for women with CHD. Further research is required on how pregnancy affects self-rated health for the group in a long-term perspective.

Ort, förlag, år, upplaga, sidor
2023. Vol. 58, nr 1, artikel-id 2295782
Nyckelord [en]
Self-rated health, women, heart defects congenital, adult congenital heart disease (ACHD), pregnancy, reproductive health, chronic disease
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Omvårdnad
Forskningsämne
omvårdnadsforskning med medicinsk inriktning
Identifikatorer
URN: urn:nbn:se:umu:diva-219014DOI: 10.1080/14017431.2023.2295782ISI: 001129021600001PubMedID: 38130125Scopus ID: 2-s2.0-85180660455OAI: oai:DiVA.org:umu-219014DiVA, id: diva2:1824365
Forskningsfinansiär
Hjärt-LungfondenTillgänglig från: 2024-01-05 Skapad: 2024-01-05 Senast uppdaterad: 2024-01-12Bibliografiskt granskad

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Holstad, YlvaJohansson, BengtLindqvist, MariaWestergren, AgnetaBay, Annika

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Holstad, YlvaJohansson, BengtLindqvist, MariaWestergren, AgnetaBay, Annika
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Institutionen för omvårdnadInstitutionen för kirurgisk och perioperativ vetenskapObstetrik och gynekologi
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Scandinavian Cardiovascular Journal
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiOmvårdnad

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