Self-rated health in primiparous women with congenital heart disease before, during and after pregnancy–A register study
(2024) In Scandinavian Cardiovascular Journal 58(1).- Abstract
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... (More)
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.
(Less)
- author
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- adult congenital heart disease (ACHD), chronic disease, heart defects congenital, pregnancy, reproductive health, Self-rated health, women
- in
- Scandinavian Cardiovascular Journal
- volume
- 58
- issue
- 1
- article number
- 2295782
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85180660455
- ISSN
- 1401-7431
- DOI
- 10.1080/14017431.2023.2295782
- language
- English
- LU publication?
- yes
- id
- 0780c030-2480-47c3-ab23-7b69e38393cb
- date added to LUP
- 2024-02-06 15:48:15
- date last changed
- 2024-02-06 15:48:56
@article{0780c030-2480-47c3-ab23-7b69e38393cb,
abstract = {{<p>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.</p>}},
author = {{Holstad, Ylva and Johansson, Bengt and Lindqvist, Maria and Westergren, Agneta and Sundström Poromaa, Inger and Christersson, Christina and Dellborg, Mikael and Trzebiatowska-Krzynska, Aleksandra and Sörensson, Peder and Thilén, Ulf and Wikström, Anna Karin and Bay, Annika}},
issn = {{1401-7431}},
keywords = {{adult congenital heart disease (ACHD); chronic disease; heart defects congenital; pregnancy; reproductive health; Self-rated health; women}},
language = {{eng}},
number = {{1}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Cardiovascular Journal}},
title = {{Self-rated health in primiparous women with congenital heart disease before, during and after pregnancy–A register study}},
url = {{http://dx.doi.org/10.1080/14017431.2023.2295782}},
doi = {{10.1080/14017431.2023.2295782}},
volume = {{58}},
year = {{2024}},
}