Evaluation of the Predictors of the Quality of Life in the Postpartum Period: A Cross-Sectional Study
-
Tahereh Mokhtaryan Gilani
,
Nourossadat Kariman
,
Hamid Sharif Nia
,
Mahbobeh Ahmadi Doulabi
,
Malihe Nasiri
,
Tayebeh Mokhtaryan Gilani
Abstract
Background: It is necessary to study the predictors of life quality in the early postpartum period. Early diagnosis, timely care and intervention can improve the health of mother and baby. We aimed to evaluate the predictors of the quality of life in the postpartum period.
Methods: This cross-sectional study was conducted on 407 eligible women aged 18 to 47 yr, in the postpartum period, selected from clinics affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Tehran, Iran in 2018. Data were collected using a demographic and obstetric questionnaire and Maternal Postpartum Quality of Life (MAPP-QOL) with Cronbach's alpha coefficients of 0.96 to assess personal details and postpartum quality of life. Data analyzed using SPSS. Linear regression analysis was performed to examine the relationship between maternal predictors and quality of life in the postpartum period.
Results: The postpartum quality of life had a significant relationship with income status (P<0.001), Number of Children (P=0.031), mother's education(P=0.009) and maternal complications (P<0.001).
Conclusion: This study confirmed the relationship between maternal predictors and the postpartum quality of life. It could facilitate clinicians and educators to improve the quality of life for postpartum women.
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15. Koblinsky M, Chowdhury ME, Moran A, Ronsmans C (2012). Maternal morbidity and disability and their consequences: ne-glected agenda in maternal health. J Health Popul Nutr, 30(2):124-130.
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18. Chinweuba AU, Okoronkwo IL, Anarado AN, Agbapuonwu NE, Ogbonnaya NP, Ihudiebube-Splendor CN (2018). Differ-entials in health-related quality of life of employed and unemployed women with normal vaginal delivery. BMC Women's Health, 18(1):13.
19. World Health Organization (2016). WHO recommendations on antenatal care for a positive pregnancyexperience. Geneva: World Health Organization.
20. McGregor JA, Camfield L, Woodcock A (2009). Needs, wants and goals: Wellbe-ing, quality of life and public policy. Appl Res Qual Life, 4(2):135-154.
21. Hill PD, Aldag JC (2007). Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs, 36(4):328-334.
22. Prick BW, Bijlenga D, Jansen AJ, et al (2015). Determinants of health-related quality of life in the postpartum period after obstet-ric complications. Eur J Obstet Gynecol Re-prod Biol, 185: 88-95.
23. Witt WP, Litzelman K, Spear HA, et al (2012). Health-related quality of life of mothers of very low birth weight children at the age of five: results from the new-born lung project statewide cohort study. Qual Life Res, 21(9):1565-1576.
24. Hill PD, Aldag JC, Hekel B, Riner G, Bloomfield P (2006). Maternal postpar-tum quality of life questionnaire. J Nurs Meas,14(3):205-220.
25. Flores CJ, Yong A, Knights E, et al (2020). Maternity iron, anaemia and blood man-agement in South Australia: a practice‐based evidence for clinical practice im-provement. Vox Sanguinis, 115(8):735-744.
26. Ozdemir ME, Cilingir IU, Ilhan G, Yildiz E, Ohanoglu K (2018). The effect of the systematic birth preparation program on fear of vaginal delivery and quality of life. Arch Gynecol Obstet, 298(3):561-565.
27. Bahrami N, Simbar M, Bahrami S (2013). The effect of prenatal education on mother’s quality of life during first year postpartum among Iranian women: a randomized controlled trial. Int J Fertil Steril, 7(3)169-174.
28. Kokaliari E (2018).Quality of life, anxiety, depression, and stress among adults in Greece following the global financial cri-sis. International Social Work, 61(3):410-424.
29. Huang R, Ghose B, Tang S (2020). Effect of financial stress on self-reported health and quality of life among older adults in five developing countries: a cross sec-tional analysis of WHO-SAGE survey. BMC Geriatr, 20(1):288.
30. Koskinen J-P, Färkkilä N, Sintonen H, Saar-to T, Taari K, Roine RP (2019). The asso-ciation of financial difficulties and out-of-pocket payments with health-related quality of life among breast, prostate and colorectal cancer patients. Acta Oncol, 58(7):1062-1068.
31. Symon A, Dobb B (2011).Maternal quality of life assessment: the feasibility of ante-natal–postnatal follow‐up using the Mother‐Generated Index. J Reprod Infant Psychol, 29(2):183-194.
32. McLeish J, Redshaw M (2019). Maternity experiences of mothers with multiple dis-advantages in England: a qualitative study. Women Birth, 32(2):178-184.
33. Bodhare TN, Sethi P, Bele SD, Gayatri D (2015). Postnatal quality of life, depressive symptoms, and social support among women in southern India. Women Health, 55(3):353-365.
34. Angelini CR, Pacagnella RC, Parpinelli MA, Silveira C, Andreucci CB, Ferreira EC, et al. (2018). Quality of life after an episode of severe maternal morbidity: evidence from a cohort study in Brazil. Biomed Res Int, 2018: 9348647.
35. The WHQOL Group (1998).The World Health Organization quality of life as-sessment (WHOQOL) development and general psychometric properties. Soc Sci Med, 46(12):1569-1585.
36. Loh J, Harms C, Harman B (2017). Effects of parental stress, optimism, and health-promoting behaviors on the quality of life of primiparous and multiparous mothers. Nurs Res, 66(3):231-239.
37. Mortazavi F, Mousavi SA, Chaman R, Khosravi A (2014). Maternal quality of life during the transition to motherhood. Iran Red Crescent Med J, 16(5):e8443.
2. Ko Y (2004). Postpartum fatigue. Hu li za zhi, 51(6):75-79. https://pubmed.ncbi.nlm.nih.gov/15614680/
3. Schytt E, Lindmark G, Waldenström U (2005). Physical symptoms after child-birth: prevalence and associations with self‐rated health. BJOG, 112(2):210-217.
4. Rezaei N, Tavalaee Z, Sayehmiri K, Sharifi N, Daliri S (2018).The relationship be-tween quality of life and methods of de-livery:a systematic review and meta-analysis. Electronic Physician,10(4):6596-6607.
5. Petrou S, Kim SW, McParland P, Boyle EM (2017). Mode of delivery and long‐term health‐related quality‐of‐life outcomes: a prospective population‐based study. Birth, 44(2):110-119.
6. Tungchama F, Piwuna C, Armiya’u A, et al. (2017). Independent socio-demographic and clinical correlates associated with the perception of quality of life of women with postpartum depression in North-central, Nigeria. Int J Psychiatry Clin Pract, 21(4):292-301.
7. Ghazanfarpour M, Khadivzadeh T, Ba-bakhanian M (2016). Investigating the re-lationship between sexual function and quality of life in menopausal women. J Family Reprod Health,10(4):191-197.
8. Sahrakorpi N, Koivusalo SB, Stach‐Lempinen B, Eriksson JG, Kautiainen H, Roine RP (2017). The Burden of Preg-nancy;heavier for the heaviest?The changes in Health Related Quality of Life(HRQ oL):assessed by the 15D in-strument during pregnancy and postpar-tum in different body mass index groups: a longitudinal survey. Acta Obstet Gynecol Scand, 96(3):352-358.
9. Papamarkou M, Sarafis P, Kaite CP, Mal-liarou M, Tsounis A, Niakas D (2017). Investigation of the association between quality of life and depressive symptoms during postpartum period: a correlational study. BMCwomen's Health, 17(1):115.
10. Calou CGP, de Oliveira MF, Carvalho FHC, et al (2018). Maternal predictors related to quality of life in pregnant women in the Northeast of Brazil. Health Qual Life Out-comes, 16(1):109.
11. Rezaei N, Azadi A, Zargousi R, Sadoughi Z, Tavalaee Z, Rezayati M (2016). Maternal health-related quality of life and its pre-dicting factors in the postpartum period in Iran. Scientifica (Cairo), 2016:8542147.
12. Zubaran C, Foresti K, Schumacher MV, Muller LC, Amoretti AL (2009). An as-sessment of maternal quality of life in the postpartum period in southern Brazil: a comparson of two questionnaires. Clinics (Sao Paulo), 64(8):751-756.
13. Mahumud RA, Ali N, Sheikh N, Akram R, et al (2019). Measuring perinatal and postpartum quality of life of women and associated factors in semi-urban Bangla-desh. Qual Life Res, 28(11): 2989-3004.
14. Van der Woude DA, Pijnenborg JM, de Vries J (2015). Health status and quality of life in postpartum women: a systematic review of associated factors. Eur J Obstet Gynecol Reprod Biol, 185 :45-52.
15. Koblinsky M, Chowdhury ME, Moran A, Ronsmans C (2012). Maternal morbidity and disability and their consequences: ne-glected agenda in maternal health. J Health Popul Nutr, 30(2):124-130.
16. Souza JP, Cecatti JG, Parpinelli MA, Krupa F, Osis MJ (2009). An emerging“maternal near‐miss syndrome”:Narratives of women who almost died during preg-nancy and childbirth. Birth, 36(2):149-158.
17. Storeng K T, Drabo S, Ganaba R, Sundby J, Calvert C, Filippi V (2012). Mortality after near-miss obstetric complications in Burkina Faso:medical, social and health-care factors. Bull World Health Organ, 90(6):418-425B.
18. Chinweuba AU, Okoronkwo IL, Anarado AN, Agbapuonwu NE, Ogbonnaya NP, Ihudiebube-Splendor CN (2018). Differ-entials in health-related quality of life of employed and unemployed women with normal vaginal delivery. BMC Women's Health, 18(1):13.
19. World Health Organization (2016). WHO recommendations on antenatal care for a positive pregnancyexperience. Geneva: World Health Organization.
20. McGregor JA, Camfield L, Woodcock A (2009). Needs, wants and goals: Wellbe-ing, quality of life and public policy. Appl Res Qual Life, 4(2):135-154.
21. Hill PD, Aldag JC (2007). Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs, 36(4):328-334.
22. Prick BW, Bijlenga D, Jansen AJ, et al (2015). Determinants of health-related quality of life in the postpartum period after obstet-ric complications. Eur J Obstet Gynecol Re-prod Biol, 185: 88-95.
23. Witt WP, Litzelman K, Spear HA, et al (2012). Health-related quality of life of mothers of very low birth weight children at the age of five: results from the new-born lung project statewide cohort study. Qual Life Res, 21(9):1565-1576.
24. Hill PD, Aldag JC, Hekel B, Riner G, Bloomfield P (2006). Maternal postpar-tum quality of life questionnaire. J Nurs Meas,14(3):205-220.
25. Flores CJ, Yong A, Knights E, et al (2020). Maternity iron, anaemia and blood man-agement in South Australia: a practice‐based evidence for clinical practice im-provement. Vox Sanguinis, 115(8):735-744.
26. Ozdemir ME, Cilingir IU, Ilhan G, Yildiz E, Ohanoglu K (2018). The effect of the systematic birth preparation program on fear of vaginal delivery and quality of life. Arch Gynecol Obstet, 298(3):561-565.
27. Bahrami N, Simbar M, Bahrami S (2013). The effect of prenatal education on mother’s quality of life during first year postpartum among Iranian women: a randomized controlled trial. Int J Fertil Steril, 7(3)169-174.
28. Kokaliari E (2018).Quality of life, anxiety, depression, and stress among adults in Greece following the global financial cri-sis. International Social Work, 61(3):410-424.
29. Huang R, Ghose B, Tang S (2020). Effect of financial stress on self-reported health and quality of life among older adults in five developing countries: a cross sec-tional analysis of WHO-SAGE survey. BMC Geriatr, 20(1):288.
30. Koskinen J-P, Färkkilä N, Sintonen H, Saar-to T, Taari K, Roine RP (2019). The asso-ciation of financial difficulties and out-of-pocket payments with health-related quality of life among breast, prostate and colorectal cancer patients. Acta Oncol, 58(7):1062-1068.
31. Symon A, Dobb B (2011).Maternal quality of life assessment: the feasibility of ante-natal–postnatal follow‐up using the Mother‐Generated Index. J Reprod Infant Psychol, 29(2):183-194.
32. McLeish J, Redshaw M (2019). Maternity experiences of mothers with multiple dis-advantages in England: a qualitative study. Women Birth, 32(2):178-184.
33. Bodhare TN, Sethi P, Bele SD, Gayatri D (2015). Postnatal quality of life, depressive symptoms, and social support among women in southern India. Women Health, 55(3):353-365.
34. Angelini CR, Pacagnella RC, Parpinelli MA, Silveira C, Andreucci CB, Ferreira EC, et al. (2018). Quality of life after an episode of severe maternal morbidity: evidence from a cohort study in Brazil. Biomed Res Int, 2018: 9348647.
35. The WHQOL Group (1998).The World Health Organization quality of life as-sessment (WHOQOL) development and general psychometric properties. Soc Sci Med, 46(12):1569-1585.
36. Loh J, Harms C, Harman B (2017). Effects of parental stress, optimism, and health-promoting behaviors on the quality of life of primiparous and multiparous mothers. Nurs Res, 66(3):231-239.
37. Mortazavi F, Mousavi SA, Chaman R, Khosravi A (2014). Maternal quality of life during the transition to motherhood. Iran Red Crescent Med J, 16(5):e8443.
| Files | ||
| Issue | Vol 51 No 6 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i6.9695 | |
| Keywords | ||
| Postpartum Quality of life Predictor Maternal | ||
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How to Cite
1.
Mokhtaryan Gilani T, Kariman N, Sharif Nia H, Ahmadi Doulabi M, Nasiri M, Mokhtaryan Gilani T. Evaluation of the Predictors of the Quality of Life in the Postpartum Period: A Cross-Sectional Study. Iran J Public Health. 2022;51(6):1389-1399.
