Predictors Related to Quality of Life in Pregnant Women
Abstract
Background: Assessment of quality of life (QoL) during pregnancy can be a starting point for streamlining and promoting the humanization of evidence-based healthcare. We aimed to determine the life quality in pregnant women and its predictors.
Methods: A cross-sectional study was conducted on pregnant women from Slovakia from March 2020 to January 2021. A method of purposive sampling was used. The research sample consisted of 393 women (age 29.11±4.65) with physiological pregnancy. Questionnaire method was used. The first part of the questionnaire consisted of a set of questions focused on identification items, which also represented the investigated predictors. The second part was the standardized questionnaire “Quality Of Life-Gravidity Questionnaire“(QOL-GRAV), with Cronbach's alpha value of 0.74. The received data were analysed using descriptive and inferential statistics.
Results: The average life quality score was 18.79±5.04, which oscillates at the level of very good life quality. The lower life quality was recorded in connection with physical changes, satisfaction with social life, concerns about childbirth management failure and a need for physical activity reduction. Education (P=0.008), course of pregnancy (P=0.001), support from healthcare professionals (P=0.003) and concerns about COVID-19 (P=0.001) were the predictors of life quality.
Conclusion: The proven significant predictors of life quality of pregnant women have shown that healthcare professionals should pay increased attention to the pregnant women with higher education and with problematic pregnancy, positively support and motivate pregnant women and be even more attentivedue to the current COVID-19 pandemic.
2. Calou C, Pinheiro A, Castro R, et al (2014). Health Related Quality of Life of Pregnant Women and Associated Factors: An Integrative Review. Health, 6(18):2375-387.
3. Lagadec N, Steinecker M, Kapassi A, et al (2018). Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth, 18(1):455.
4. Daglar G, Bilgic D, Ozkan SA (2020). De-terminants of quality of life among pregnant women in the city centre of the Central Anatolia region of Turkey. Niger J Clin Pract, 23(3):416-424.
5. Morin M, Vayssiere C, Claris O, et al (2017). Evaluation of the quality of life of preg-nant women from 2005 to 2015. Eur J Obstet Gynecol Reprod Biol, 214:115-130.
6. Estebsari F, Kandi ZR, Bahabadi FJ, et al (2020). Health-related quality of life and related factors among pregnant women. J Educ Health Promot, 9:299.
7. Altazan AD, Redman LM, Burton JH, et al (2019). Mood and quality of life changes in pregnancy and postpartum and the effect of a behavioral intervention tar-geting excess gestational weight gain in women with overweight and obesity: a parallel-arm randomized controlled pi-lot trial. BMC Pregnancy Childbirth, 19(1):50.
8. Riquin E, Lamas C, Nicolas I, et al (2019). A key for perinatal depression early diag-nosis: The body dissatisfaction. J Affect Disord, 245: 340–7.
9. Bai G, Raat H, Jaddoe VWV, et al (2018) Trajectories and predictors of women’s health-related quality of life during pregnancy: A large longitudinal cohort study. PLoS One, 13(4):e0194999.
10. Fobelets M, Beeckman K, Buyl R, et al (2018). Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries. Birth, 45(2):137-47.
11. Wang P, Liou SR, Cheng CY (2013). Predic-tion of maternal quality of life on pre-term birth and low birthweight: a longi-tudinal study. BMC Pregnancy Childbirth, 13:124.
12. De Falco S, Emer A, Martini L, et al (2014). Predictors of mother-child interaction quality and child attachment security in at-risk families. Front Psychol, 5:898.
13. Dexter CA, Wong K, Stacks A, et al (2013). Parenting and attachment among low-income African American and Cauca-sian preschoolers. J Fam Psychol, 27(4):629-38.
14. McNeil DA, Vekved M, Dolan SM, et al (2012) Getting more than they realized they needed: a qualitative study of wom-en's experience of group prenatal care. BMC Pregnancy Childbirth, 12:17.
15. Vachkova E, Jezek S, Mares J, et al (2013). The evaluation of the psychometric properties of a specific quality of life questionnaire for physiological preg-nancy. Health Qual Life Outcomes, 11:214.
16. Dotlic J, Terzic M, Janosevic S, et al (2012). Health related quality of life during pregnancy. Healthmed J, 6:990–6.
17. Ishaq R, Shoaib M, Baloch NS,et al (2022). Profile and Predictors of Maternal Quality of Life During Physiological Pregnancy: A Cross-Sectional Analysis. Front Public Health, 9:801035.
18. Paudel R, Deuja A (2021). Health Related Quality of Life of Pregnant Women Attending Antenatal Clinic of a Tertiary Level Hospital. Europasian J Med Sci, 3(1):47-2.
19. Tendais I, Figueiredo B, Mota J, et al (2011). Physical activity, health-related quality of life and depression during pregnan-cy. Cad Saude Publica, 27(2):219-28.
20. MoghaddamHosseini V, Gyuró M, Makai A, et al (2021). Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43. Clin Epidemiol Glob Health, 9:237-244
21. Ruifrok AE, Althuizen E, Oostdam N, et al (2014). The relationship of objectively measured physical activity and sedentary behaviour with gestational weight gain and birth weight. J Pregnancy, 2014:567379.
22. Sallis JF, Bull F, Guthold R, Heath GW, et al (2016). Progress in physical activity over the Olympic quadrennium. Lancet, 388(10051):1325-336.
23. Boguszewski D, Adamczyk JG, Tomaszew-ski W, et al (2017). Evaluation of the Health-related Behaviour of Pregnant Women from Warsaw, Poland. Iran J Public Health, 47(1):57-63.
24. Klabbers GA, Javbh H, Mavdh M, et al (2016). Severe fear of childbirth: Its features, assesment, prevalence, determinants, consequences and possible treatments. Psychological Topics, 25(1):107–27.
25. Rodrigues BC, Mazza VA, Higarash BC (2014). Social support network of nurses for the care of their own children. Tex-to&ContextoEnfermagem, 23(2):460-468.
26. Chang SR, Chen KH, Lin MI, et al (2014). A repeatedmeasures study of changes in health-relatedquality of lifeduringpreg-nancy and therelationshipwithob-stetricfactors. J Adv Nurs, 70(10):2245-56.
27. Calou CGP, de Oliveira MF, Carvalho FHC, et al (2018). Maternal predictors re-lated to quality of life in pregnant wom-en in the Northeast of Brazil. Health Qual Life Outcomes, 16(1):109.
28. Dorazilová R (2020) Komunitní a primárni péče v porodníasistenci. (Community and primarycare in midwifery). Porod-níasistence ( Midwifery), Ed, M Procházka Maxdorfs.r.o., Praha, 2020. [in Czech].
29. Dule A, Hajure M, Mohammedhussein M, et al (2021). Health-related quality of life among Ethiopian pregnant women dur-ing COVID-19 pandemic. Brain Behav, 11(4):e02045.
30. Ravaldi C, Wilson A, Ricca V, et al (2021). Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth, 34(4):335-343.
31. Haruna M, Nishi D (2020). Perinatal mental health and COVID-19 in Japan. Psychia-try Clin Neurosci, 74(9):502-503.
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Issue | Vol 52 No 10 (2023) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijph.v52i10.13849 | |
Keywords | ||
Quality of life Predictors Pregnancy Public health Healthcare |
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