Maternal Health Study (phase 2): longitudinal 4-year follow-up of a prospective nulliparous pregnancy cohort

Funded Activity Summary

The burden of disease among women after childbirth is substantial, under-recognised by health professionals, and symptoms do not necessarily resolve within the first 12 months. Common health problems after childbirth include: chronic exhaustion, back pain, urinary and faecal incontinence, perineal pain, sexual health issues and intimate partner violence. This study will extend follow-up of over 1500 women taking part in a longitudinal study investigating the physical and psychological health of women during pregnancy and the first 18 months after the birth of their first child. In phase 2 of the study, women will be followed up 6 and 12 months after second and subsequent births, and 4 years after the birth of their first child. A major aim of phase 2 of the study is to assess the prevalence, incidence, onset, severity, duration, recurrence and chronicity of maternal health problems (including urinary and faecal incontinence, perineal pain, sexual health issues, depression and intimate partner violence) after second and subsequent births, and 4 years after giving birth to a first child. The study will also determine the extent to which the method of birth in the first birth influences longer-term maternal health outcomes including urinary and faecal incontinence, and investigate the implications of chronic and recurring physical health problems for women's psychological health and well-being. Information on the incidence and natural history of maternal health problems after caesarean and operative vaginal births will make a major international contribution to more informed debate among clinicians, and to informing women, about the risks and benefits of increasing caesarean births. The study findings will be used to inform clinical midwifery, obstetric and primary care practice, and assist in the design of new early intervention and primary care strategies for supporting women in the early years of parenting.

Funded Activity Details

Start Date: 01-01-2007

End Date: 01-01-2010

Funding Scheme: NHMRC Project Grants

Funding Amount: $660,402.00

Funder: National Health and Medical Research Council

Research Topics

ANZSRC Field of Research (FoR)

Epidemiology

ANZSRC Socio-Economic Objective (SEO)

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Other Keywords

Anal incontinence | Epidemiology | Health outcomes | Maternal and child health | Maternal health | Maternal mental health | Sexual health | Urinary incontinence

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