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- Title
Determinants of maternal health four weeks after delivery: cross-sectional findings from the KUNO-kids health study.
- Authors
Pinker, Veronika; Brandstetter, Susanne; Tischer, Christina; Seelbach-Göbel, Birgit; Melter, Michael; Kabesch, Michael; Apfelbacher, Christian; The Kuno-kids study group; Ambrosch, Andreas; Arndt, Petra; Baessler, Andrea; Berneburg, Mark; Böse-O'Reilly, Stephan; Brunner, Romuald; Buchalla, Wolfgang; Malfertheiner, Sara Fill; Franke, André; Häusler, Sebastian; Heid, Iris; Herr, Caroline
- Abstract
<bold>Background: </bold>The aim of this study was to examine the interaction of a multitude of socio-economic, lifestyle, environmental, psychosocial and birth related determinants and their effect on maternal health four weeks after delivery.<bold>Methods: </bold>We used data from a German birth cohort study, the KUNO-Kids health study. Social determinants, as well as the self-rated maternal health and the physical and mental health status of mothers (indicated by means of the SF-12-questionnaire) were assessed through standardized questionnaires and personal interviews right after delivery and four weeks later. Linear regression models were calculated to determine the relationship between influencing factors and health outcomes.<bold>Results: </bold>1428 women were included in the analysis. Maternal self-rated health showed significant positive associations with breastfeeding (B (regression coefficient) 2.67; 0.86-4.48 (95% Confidence interval)) and estimating one's child as rather healthy (B 0.27; 0.19-0.34) and negative associations with social and emotional strains (B -3.50; -5.11- -1.88), obesity (B -2.56; -4.69- -0.42), having experienced a C-section (B -1.73; -3.23- -0.23), a positive history of somatic diseases (B -2.14; -3.53- -0.74), parental stress (B -0.39; -0.66- -0.11) and education of more than ten years (B -2.42; -3.95- -0.90). Maternal physical health status showed significant negative associations with age (B -0.13; -0.25- -0.01), employment before maternity leave (B -1.90; -3.59- -0.21), social and emotional strains (B -1.50; -2.67- -0.34), parental stress (B -0.28; -0.45- -0.12), C-section (B -4.06; -5.12- -2.99), having the first child (B -2.03; -3.09- -0.97) and a history of somatic diseases (B -2.00; -2.99- -1.01). Maternal mental health status showed significant positive associations with education of more than 10 years (B 2.27; 0.98-3.56) and a high level of social support (B 1.20; 0.06-2.34), while social and emotional strains (B -4.16; -5.48- -2.84) and parental stress (B -0.70; -0.92- -0.47) were negatively associated.<bold>Conclusions: </bold>We identified important protective factors for maternal health four weeks after delivery, such as a high level of social support. However, parental stress and social and emotional strains in particular seem to have a negative influence on maternal health. These findings have public health relevance.
- Subjects
MATERNAL health; SOCIOECONOMIC factors; BREASTFEEDING; LIFESTYLES; PUBLIC health
- Publication
BMC Public Health, 2021, Vol 21, Issue 1, p1
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-021-11667-y