@article{fdi:010040819,
  title = {{H}ealth of women after severe obstetric complications in {B}urkina {F}aso : a longitudinal study},
  author = {{F}ilippi, {V}. and {G}anaba, {R}. and {B}aggaley, {R}. {F}. and {M}arshall, {T}. and {S}toreng, {K}. {T}. and {S}ombie, {I}. and {O}uattara, {F}atoumata and {O}uedraogo, {T}. and {A}koum, {M}. and {M}eda, {N}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {L}ittle is known about the health of women who survive obstetric complications in poor countries. {O}ur aim was to determine how severe obstetric complications in {B}urkina {F}aso affect a range of health, social, and economic indicators in the first year {P}ost partum. {M}ethods {W}e did a prospective cohort study of women with severe obstetric complications recruited in hospitals when their pregnancy ended with a livebirth (n=199), perinatal death (74), or a lost pregnancy (64). {F}or every woman with severe obstetric complications, two unmatched control women with uncomplicated delivery were sampled in the same hospital (677). {A}ll women were followed up for 1 year. {F}indings {W}omen with severe obstetric complications were poorer and less educated at baseline than were women with uncomplicated delivery. {W}omen with severe obstetric complications, and their babies, were significantly more likely to die after discharge: six (2%) of the 337 women with severe obstetric complications died within 1 year, compared with none of the women with uncomplicated delivery (unadjusted p=0.001); 17 babies of women with severe obstetric complications died within 1 year, compared with 18 of those born by uncomplicated delivery (hazard ratio for mortality 4.67, 95% {CI} 1.68-13.04, adjusted for loss to follow-up and confounders; p=0.003). {W}omen with severe obstetric complications were significantly more likely to have experienced depression and anxiety at 3 months (odds ratio 1.82, 95% {CI} 1.18-2.80), to have experienced suicidal thoughts within the past year at all time points (2.27, 1.33-3.89 at 3 months; 2.30, 1.17-4.50 at 6 months; 2.26, 1.30-3.95 at 12 months), and to report the pregnancy having had a negative effect on their lives at all time points (1.54, 1.04-2.30 at 3 months; 2.30, 1.56-3.39 at 6 months; 2.44, 1.63-3.65 at 12 months) than were women with uncomplicated delivery. {I}nterpretation {W}omen who give birth with severe obstetric complications are at greater risk of death and mental-health problems than are women with uncomplicated delivery. {G}reater resources are needed to ensure that these women receive adequate care before and after discharge from hospital.},
  keywords = {},
  booktitle = {},
  journal = {{L}ancet},
  volume = {370},
  numero = {9595},
  pages = {1329--1337},
  ISSN = {0140-6736},
  year = {2007},
  DOI = {10.1016/{S}0140-6736(07)61574-8},
  URL = {https://www.documentation.ird.fr/hor/fdi:010040819},
}