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. 2022 Dec 12;10(12):2514.
doi: 10.3390/healthcare10122514.

Disability during Early Pregnancy: Using the Sheehan Disability Scale during the First Trimester in Japan

Ayako Hada  1   2   3 , Mariko Minatani  4 , Mikiyo Wakamatsu  5 , Toshinori Kitamura  1   2   6   7
Affiliations

Disability during Early Pregnancy: Using the Sheehan Disability Scale during the First Trimester in Japan

Ayako Hada et al. Healthcare (Basel). .

Abstract

Background: Many pregnant women experience impairments in social, occupational, or other important functioning. Aim: This study aimed to confirm measurement and structural invariance of the Sheehan Disability Scale (SDS) and its validity during early pregnancy. Design: Longitudinal study with two observations. Methods: Questionnaires were distributed to pregnant women attending antenatal clinics at gestational weeks 10-13. Of 382 respondents, 129 responded to the SDS again 1 week later. Results: Confirmatory factor analysis shows good fit with the data: χ2/df = 0, comparative fit index (CFI) = 1.000, standardized root mean square residual (SRMR) = 0, and root mean square error of approximation (RMSEA) = 0.718. There is acceptable configural, measurement, and structural invariance of the factor structure between primiparas and multiparas as well as between two observation occasions. The Pregnancy-Unique Quantification of Emesis and Nausea, Patient Health Questionnaire-9, and Insomnia Severity Index subscales explain 47% of the variance in SDS scores. Conclusion: Perinatal health care professionals should pay more attention to the difficulties and disabilities that pregnant women face.

Keywords: Sheehan Disability Scale; disability in pregnancy; factor structure; measurement and structural invariance; parity.

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Conflict of interest statement

The authors declare no conflict of interest.

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