Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Health of women after severe obstetric complications in Burkina Faso: a longitudinal study
Lancet, Volume 370, No. 9595, Year 2007
Notification
URL copied to clipboard!
Description
Background: Little is known about the health of women who survive obstetric complications in poor countries. Our aim was to determine how severe obstetric complications in Burkina Faso affect a range of health, social, and economic indicators in the first year post partum. Methods: We did a prospective cohort study of women with severe obstetric complications recruited in hospitals when their pregnancy ended with a livebirth (n=199), perinatal death (74), or a lost pregnancy (64). For every woman with severe obstetric complications, two unmatched control women with uncomplicated delivery were sampled in the same hospital (677). All women were followed up for 1 year. Findings: Women with severe obstetric complications were poorer and less educated at baseline than were women with uncomplicated delivery. Women with severe obstetric complications, and their babies, were significantly more likely to die after discharge: six (2%) of the 337 women with severe obstetric complications died within 1 year, compared with none of the women with uncomplicated delivery (unadjusted p=0·001); 17 babies of women with severe obstetric complications died within 1 year, compared with 18 of those born by uncomplicated delivery (hazard ratio for mortality 4·67, 95% CI 1·68-13·04, adjusted for loss to follow-up and confounders; p=0·003). Women with severe obstetric complications were significantly more likely to have experienced depression and anxiety at 3 months (odds ratio 1·82, 95% CI 1·18-2·80), to have experienced suicidal thoughts within the past year at all time points (2·27, 1·33-3·89 at 3 months; 2·30, 1·17-4·50 at 6 months; 2·26, 1·30-3·95 at 12 months), and to report the pregnancy having had a negative effect on their lives at all time points (1·54, 1·04-2·30 at 3 months; 2·30, 1·56-3·39 at 6 months; 2·44, 1·63-3·65 at 12 months) than were women with uncomplicated delivery. Interpretation: Women who give birth with severe obstetric complications are at greater risk of death and mental-health problems than are women with uncomplicated delivery. Greater resources are needed to ensure that these women receive adequate care before and after discharge from hospital. © 2007 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Filippi, Véronique G.A.
Unknown Affiliation
Ganaba, Rasmané
Unknown Affiliation
Baggaley, Rebecca F.
Unknown Affiliation
Marshall, Thomas Fde C.
Unknown Affiliation
Storeng, Katerini T.
Unknown Affiliation
Sombié, Issiaka
Unknown Affiliation
Ouattara, F.
Unknown Affiliation
Ouedraogo, T. W.
Unknown Affiliation
Akoum, Mélanie
Unknown Affiliation
Méda, Nicolas Yelbomkan
Unknown Affiliation
Statistics
Citations: 140
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1016/S0140-6736(07)61574-8
ISSN:
01406736
Research Areas
Environmental
Health System And Policy
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Burkina Faso
Participants Gender
Female