Abstract:
PURPOSE:Most new mothers return to work soon after childbirth. A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding. METHODS:Using a prospective cohort design, we recruited Minnesota women into the study while they were hospitalized for childbirth in 2001. Telephone interviews were conducted 5 weeks postpartum. Eligible women were 18 years or older, employed, and spoke English. Multivariate models using 2-stage least squares were used to estimate factors associated with physical and mental health and postpartum symptoms. RESULTS:A total of 817 women were enrolled (71% response) in the study; 716 women completed interviews at 5 weeks postpartum. On average, women reported 6 postpartum symptoms, most frequently fatigue (64%), breast discomfort (60%), and decreased desire for sex (52%). Findings showed that cesarean (vs vaginal) deliveries were associated with significantly worse physical function, role limitations, and vitality. Multivariate findings showed that the effect of delivery type on physical health was moderately large (beta = -5.96; P = or <.01), and breastfeeding was associated with an increased frequency of postpartum symptoms (beta = 4.63; P = .01). CONCLUSIONS:These mothers experienced several childbirth-related symptoms at 5 weeks postpartum, indicating a need for ongoing rest and recovery. Health concerns were greater for women who were breastfeeding and for those whose babies were delivered by cesarean section, suggesting a need for greater support for these women and a reassessment by the medical community of the progressively growing practice of cesarean deliveries.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
McGovern P,Dowd B,Gjerdingen D,Gross CR,Kenney S,Ukestad L,McCaffrey D,Lundberg Udoi
10.1370/afm.519keywords:
subject
Has Abstractpub_date
2006-03-01 00:00:00pages
159-67issue
2eissn
1544-1709issn
1544-1717pii
4/2/159journal_volume
4pub_type
杂志文章abstract:BACKGROUND:Recognizing fundamental flaws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family Medicine (FFM) project in 2002. The goal of the project was to develop a strategy to trans...
journal_title:Annals of family medicine
pub_type: 杂志文章
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abstract:PURPOSE:We wanted develop a reliable and valid objective measure of patient-physician collaborative decision making, the Rochester Participatory Decision-Making Scale (RPAD). METHODS:Based on an informed decision-making model, the RPAD assesses physician behavior that encourages patient participation in decision makin...
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2003-11-01 00:00:00
abstract::Although primary care, including family medicine, recognizes different types of clinician-patient interaction, I argue that only interactions characterized by coprovision define care. By coprovision I mean that clinicians and patients each provide the expertise in health care that they have the capacity to contribute ...
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abstract:PURPOSE:Because recognition and management of patients with somatoform disorders are difficult, we wanted to determine the specificity, sensitivity, and the test-retest reliability of the 15-symptom Patient Health Questionnaire (PHQ-15) for detection of somatoform disorders in a high-risk primary care population. METH...
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
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更新日期:2008-07-01 00:00:00
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journal_title:Annals of family medicine
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journal_title:Annals of family medicine
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journal_title:Annals of family medicine
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journal_title:Annals of family medicine
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更新日期:2014-03-01 00:00:00
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journal_title:Annals of family medicine
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更新日期:2006-07-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章,meta分析,评审
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更新日期:2009-01-01 00:00:00
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更新日期:2005-07-01 00:00:00