Maternal health after childbirth: a prospective cohort study of 1900 nulliparous women recruited in early pregnancy

Funding Activity

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Funded Activity Summary

Recent research highlights a concerning burden of ill health in recent mothers. Common health problems in the year after birth are chronic exhaustion, persisting pain, urinary incontinence, bowel problems, sexual problems and depression. This study will investigate the incidence, onset, severity and duration of health problems in the first 18 months after childbirth. A major focus of the study will be on the extent to which common health problems affecting women after childbirth occur as new problems in pregnancy, or after childbirth. This involves following women having a first child and measuring their health in pregnancy and the first year after birth. 1900 women having a first birth will be recruited to the study in early pregnancy, and followed up until 18 months after the birth. A major aim of the study is to provide stronger evidence about the role of pregnancy and birth factors in physical health problems after birth. In particular, the study will examine the contribution of method of delivery to pelvic floor disorders (urinary and anal incontinence, perineal pain and sexual problems). The study will also examine reasons why many women choose not to discuss physical and emotional health problems with health professionals in the postnatal period. The influence of cultural, social and economic factors on health service use and disclosure of maternal health problems will be explored. The study will provide the first Australian data on new health problems experienced for the first time after childbirth, and the extent to which pregnancy, labour and birth contribute to subsequent ill-health. The findings will provide stronger evidence on which to base the care of women during childbirth,development and evaluation of primary and secondary prevention strategies, and information to women and their families regarding the risks of obstetric procedures, such as caesarean section and vaginal birth assisted with forceps.

Funded Activity Details

Start Date: 01-01-2002

End Date: 01-01-2006

Funding Scheme: NHMRC Project Grants

Funding Amount: $697,150.00

Funder: National Health and Medical Research Council