Prospective assessment of mental and physical health of maternal near-miss women: A low-middle-income country's experience

Traumatic birth experience is an unaddressed arena, especially in Asian women, with several societal stigmas lingering around. A study was undertaken to simultaneously assess the post-partum mental and physical health follow-up of maternal near-miss (MNM) women and compare it with women of uneventfu...

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Bibliographic Details
Published in:	Journal of family medicine and primary care Vol. 12; no. 12; pp. 3387 - 3392
Main Authors:	Punj, Pankhuri, Arora, Aashima, Shah, Ruchita, Patil, Amol N, Sikka, Pooja, Jain, Vanita, Suri, Vanita, Saini, Shiv Sajan
Format:	Journal Article
Language:	English
Published:	India Medknow Publications and Media Pvt. Ltd 01-12-2023 Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications
Subjects:	low-middle-income country maternal near miss mental health Original Postpartum depression prospective study quality of life Social aspects tertiary care hospital India Low-middle-income country quality of life tertiary care hospital mental health prospective study maternal near miss
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Summary:	Traumatic birth experience is an unaddressed arena, especially in Asian women, with several societal stigmas lingering around. A study was undertaken to simultaneously assess the post-partum mental and physical health follow-up of maternal near-miss (MNM) women and compare it with women of uneventful deliveries. The prospective cohort study enrolled 88 MNM women (case cohort) and 80 women with an uneventful peri-partum period (control cohort) at the same time. The participants were followed up with Edinburgh Postnatal Depression Scale (EDPS), PTSD Checklist - Civilian Version (PLC-C), and a 36-item short-form-survey form over 6 months after the delivery. The case group had higher mean EPDS and PLC-C scores, with poor quality of life (QOL) performance, compared to the control group at 6 weeks and 3 months, and 6 months follow-up ( < 0.05). At the sixth-week follow-up visit, the study observed that 28 (31.8%) women from the case group required a psychiatry consultation compared to the control group with only two (2.5%) participants ( < 0.001). At 3 months, an evident difference was noted on various QOL parameters, such as limitations due to physical health and emotional problems, energy fatigue, general health, and health change parameters between the two groups ( < 0.05). The difference persisted at 6-month follow-up as well for limitations due to physical health, energy fatigue, and general health parameters only ( < 0.05). There is an urgent need for a multi-departmental collaborative approach at the hospital level and policy-making decisions at higher levels for the mental health of Asian women facing MNM events.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2249-4863 2278-7135
DOI:	10.4103/jfmpc.jfmpc_1319_23