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Changes in functional status during pregnancy.

K L Ales1, M E Norton

  • 1Department of Medicine, New York Hospital, Cornell University Medical Center, NY 10021.

The American Journal of the Medical Sciences
|June 1, 1989
PubMed
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Pregnancy impacts women's physical and global function, with declines noted as term approaches. These changes in functional status are important pregnancy outcomes, even if women don't feel sick.

Area of Science:

  • Obstetrics and Gynecology
  • Patient-Reported Outcomes
  • Health Psychology

Background:

  • Pregnancy involves significant physiological and psychological changes.
  • Assessing functional status is crucial for understanding maternal well-being.
  • Limited research exists on self-reported functional changes throughout gestation.

Purpose of the Study:

  • To investigate changes in self-reported functional status during pregnancy.
  • To identify specific domains of function affected as pregnancy progresses.
  • To establish functional status changes as a key pregnancy outcome.

Main Methods:

  • A cohort of 100 pregnant women was studied.
  • Baseline assessment of functional status occurred at 20 weeks gestation.

Related Experiment Videos

  • Functional status was reassessed at 30, 35, and 40 weeks gestation using transition instruments.
  • Main Results:

    • Functional status measures detected changes throughout pregnancy.
    • Maximal physical function and global function showed a tendency to decline as pregnancy advanced.
    • Most women did not perceive themselves as being sick despite functional changes.

    Conclusions:

    • Self-reported functional status changes are significant outcomes of pregnancy.
    • Patient-specific functional measures can evaluate intervention impacts.
    • Assessment timing and frequency should be tailored to clinical context.