BMC Pregnancy and Childbirth | |
Cultural differences in postnatal quality of life among German-speaking women – a prospective survey in two countries | |
Mechthild M Gross1  Edwin van Teijlingen2  Susanne Grylka-Baeschlin1  | |
[1] Midwifery Research and Education Unit, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany;Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University, Bournemouth House, 19, Christchurch Road, Bournemouth BU1 3LH, United Kingdom | |
关键词: Switzerland; Germany; Midwifery; Wellbeing; Postpartum; Mother-Generated Index; | |
Others : 1125637 DOI : 10.1186/1471-2393-14-277 |
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received in 2014-02-07, accepted in 2014-08-05, 发布年份 2014 | |
【 摘 要 】
Background
Assessment of quality of life after childbirth is an important health-outcome measurement for new mothers and is of special interest in midwifery. The Mother-Generated Index (MGI) is a validated instrument to assess postnatal quality of life. The tool has not been applied for making a cross-cultural comparison before. This study investigated (a) responses to the MGI in German-speaking women in Germany and Switzerland; and (b) associations between MGI scores on the one hand and maternity and midwifery care on the other.
Methods
A two-stage survey was conducted in two rural hospitals 10 km apart, on opposite sides of the German-Swiss border. The questionnaires included the MGI and questions on socio-demographics, physical and mental health and maternity care, and were distributed during the first days after birth and six weeks postpartum. Parametric and non-parametric tests were computed with the statistical programme SPSS.
Results
A total of 129 questionnaires were returned an average of three days after birth and 83 in the follow-up after seven weeks. There were no statistically significant differences in the MGI scores between the German and the Swiss women (p = 0.22). Significantly more favourable MGI scores were found associated with more adequate information during pregnancy (p = 0.02), a more satisfactory birth experience (p < 0.01), epidural anaesthesia (p < 0.01), more information (p = 0.01) and better support (p = 0.02) during the time in hospital and less disturbed sleep (p < 0.01). Significantly lower MGI scores were associated with the presence of a private doctor during birth (p = 0.01) and with exclusive breastfeeding during the first postnatal days (p = 0.04).
Conclusion
The MGI scores of these German-speaking women were higher than those in other studies reported previously. Thus the tool may be able to detect differences in postnatal quality of life among women with substantially divergent cultural backgrounds. Shortcomings in maternity and midwifery care were detected, as for example the inadequate provision of information during pregnancy, a lack of individualised postpartum care during the hospital stay and insufficient support for exclusively breastfeeding mothers. The MGI is an appropriate instrument for maternity care outcome measurement in cross-cultural comparison research.
【 授权许可】
2014 Grylka-Baeschlin et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150217023237443.pdf | 422KB | download | |
Figure 1. | 89KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Mogos MF, August EM, Salinas-Miranda A, Sultan DH, Salihu HM: A systematic review of quality of life measures in pregnant and postpartum mothers. Appl Res Qual Life 2013, 8(2):219-250.
- [2]Farquhar M: Definitions of quality of life: a taxonomy. J Adv Nurs 1995, 22(3):502-508.
- [3]Anderson KL, Burckhardt CS: Conceptualization and measurement of quality of life as an outcome variable for health care intervention and research. J Adv Nurs 1999, 29(2):298-306.
- [4]Baghirzada L, Downey KN, Macarthur AJ: Assessment of quality of life indicators in the postpartum period. Int J Obstet Anesth 2013, 22(3):209-216.
- [5]Emmanuel EN, Sun J: Health related quality of life across the perinatal period among Australian women. J Clin Nurs 2013, 23((11-12)):1611-1619.
- [6]Ngai FW, Ngu SF: Quality of life during the transition to parenthood in Hong Kong: a longitudinal study. J Psychosom Obstet Gynaecol 2013, 34(4):157-162.
- [7]Ware JE, Sherbourne D: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30(6):473-483.
- [8]Skevington SM, Lotfy M, O’Connell KA, WHOQOL Group: The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 2004, 13(2):299-310.
- [9]Symon A, MacDonald A, Ruta D: Postnatal quality of life assessment: introducing the mother-generated index. Birth (Berkeley, Calif) 2002, 29(1):40-46.
- [10]Symon A, McGreavey J, Picken C: Postnatal quality of life assessment: validation of the mother-generated index. BJOG 2003, 110(9):865-868.
- [11]Nagpal J, Dhar RS, Sinha S, Bhargava V, Sachdeva A, Bhartia A: An exploratory study to evaluate the utility of an adapted Mother Generated Index (MGI) in assessment of postpartum quality of life in India. Health Qual Life Outcomes 2008, 6:107-7525-6-107.
- [12]Symon A, Nagpal J, Maniecka-Bryla I, Nowakowska-Glab A, Rashidian A, Khabiri R, Mendes I, Pinheiro AK, de Oliveira MF, Wu L: Cross-cultural adaptation and translation of a quality of life tool for new mothers: a methodological and experiential account from six countries. J Adv Nurs 2013, 69(4):970-980.
- [13]Khabiri R, Rashidian A, Montazer A, Symon A, Foroushani AR, Arab M, Rashidi BH: Validation of the mother-generated index in Iran: a specific postnatal quality-of-life instrument. Int J Prev Med 2013, 4(12):1371-1379.
- [14]Hildingsson I, Haines H, Cross M, Pallant JF, Rubertsson C: Women’s satisfaction with antenatal care: comparing women in Sweden and Australia. Women Birth 2012, 26(1):e9-e14.
- [15]Gürber S, Bielinski-Blattmann D, Lemola S, Jaussi C, von Wyl A, Surbek D, Grob A, Stadlmayr W: Maternal mental health in the first 3-week postpartum: the impact of caregiver support and the subjective experience of childbirth - a longitudinal path model. J Psychosom Obstet Gynaecol 2012, 33(4):176-184.
- [16]Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalifé S: Health-related quality of life in postpartum depressed women. Arch Womens Ment Health 2006, 9:95-102.
- [17]Benoit C, Westfall R, Treloar AEB, Phillips R, Jansson M: Social factors linked to postpartum depression: a mixed-methods longitudinal study. J Ment Health 2007, 16(6):719-730.
- [18]Baghirzada L, Downey KN, Macarthur AJ: Assessment of quality of life indicators in the postpartum period. Int J Obstet Anesth 2013, 22(3):209-216.
- [19]Mousavi SA, Mortazavi F, Chaman R, Khosravi A: Quality of life after cesarean and vaginal delivery. Oman Med J 2013, 28(4):245-251.
- [20]Shaw E, Levitt C, Wong S, Kaczorowski J: Systematic review of the literature on postpartum care: effectiveness of postpartum support to improve maternal parenting, mental health, quality of life, and physical health. Birth (Berkeley, Calif) 2006, 33(3):210-220.
- [21]Cheng CY, Fowles ER, Walker LO: Continuing education module: postpartum maternal health care in the United States: a critical review. J Perinat Educ 2006, 15(3):34-42.
- [22]Brown S, Davey M, Bruinsma F: Women’s views and experiences of postnatal hospital care in the Victorian survey of recent mothers 2000. Midwifery 2005, 21(2):109-126.
- [23]Beake S, Rose V, Bick D, Wray J: A qualitative study of the experiences and expectations of women receiving in-patient postnatal care in one English maternity unit. BMC Pregnancy Childbirth 2010, 10:70.
- [24]Bhavnani V, Newburn M: The postnatal care experiences of 1260 first-time mothers. London: NCT; 2010. http://www.nct.org.uk/sites/default/files/related_documents/Left%20to%20your%20own%20devices.pdf webcite
- [25]Forster D, McLachlan H, Rayner J, Yelland J, Gold L, Rayner S: The early postnatal period: exploring women’s views, expectations and experiences of care using focus groups in Victoria. Aust BMC Pregnancy Childbirth 2008, 8:27.
- [26]McLellan J, Laidlaw A: Perceptions of postnatal care: factors influencing primiparous mothers perceptions of postnatal communication and care. BMC Pregnancy Childbirth 2013, 13(227):1-9.
- [27]European Observatory on Health Care Systems (2000): Health Care Systems in Transition, Switzerland. http://www.euro.who.int/__data/assets/pdf_file/0003/96411/E68670.pdf webcite
- [28]Grosse-Tebbe S, Figueras J: Snapshot of Health Systems. 2005. http://www.euro.who.int/__data/assets/pdf_file/0010/110242/E87303.pdf webcite
- [29]Schweizerischer Hebammenverband: Berufsdefinition der Hebamme. 2005. http://www.hebamme.ch/x_data/allgdnld/Berufsdefinition%20der%20Hebamme%20d.pdf webcite
- [30]Berufsordnung für Hebammen und Entbindungspfleger (HebBO) 2010. https://www.berliner-hebammenverband.de/images/userfiles/Berufsordnung.pdf webcite
- [31]Deutscher Hebammenverband http://www.hebammenverband.de/familie/hebammenhilfe/ webcite
- [32]Schweizerischer Hebammenverband http://www.hebamme.ch/de/elt/heb/kosten.cfm webcite
- [33]Schweizerische Eidgenossenschaft (1911): Bundesgesetz betreffend die Ergänzung des Schweizerischen Zivilgesetzbuches (Fünfter Teil: Obligationenrecht). Stand 1. Januar 2013, [http://www.admin.ch/ch/d/sr/2/220.de.pdf webcite]
- [34]Bundesministerium für Familien, Senioren, Frauen und Jugend: Elterngeld und Elternzeit, Das Bundeselterngeld und Elternzeitgesetz. 2012. http://www.bmfsfj.de/RedaktionBMFSFJ/Broschuerenstelle/Pdf-Anlagen/Elterngeld-und-Elternzeit,property=pdf,bereich=bmfsfj,sprache=de,rwb=true.pdf webcite
- [35]Eidgenössisches Volkswirtschaftsdepartament EVD, Staatsekretariat für Wirtschaft SECO: Mutterschaft, Schutz der Arbeitnehmerinnen. 2012. http://www.seco.admin.ch/dokumentation/publikation/00035/00036/01563/index.html?lang=de webcite
- [36]Symon A: The Mother-Generated Index: a new approach to assessing maternal quality of life. In Perinatal Mental Health: A Clinical Guide. Edited by Martin C. Keswick: M&K Update Ltd; 2012:325-334.
- [37]Grylka-Baeschlin S, van Teijlingen E, Stoll K, Gross MM: Translation and validation of the German version of the mother-generated index and its application during the postnatal period. Midwifery 2014. [May 14, doi:10.1016/j.midw.2014.05.002, Epub ahead of print]
- [38]Glazener C, Abdalla M, Russell I, Templeton A: Postnatal care: a survey of patients’ experiences. Br J Midwifery 1993, 1(2):67-74.
- [39]Redshaw M, Heikkila K: Delivered with care: a national survey of survey of women’s experience of maternity care 2010. 2010. https://www.npeu.ox.ac.uk/files/downloads/reports/Maternity-Survey-Report-2010.pdf webcite
- [40]Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67(6):361-370.
- [41]Herrmann C, Buss U: Vorstellung und Validierung einer deutschen Version der Hospital Anxiety and Depression Scale (HAD-Skala); ein Fragebogen zur Erfassung des psychischen Befindens bei Patienten mit körperlichen Beschwerden. Diagnostica 1994, 40:143-154.
- [42]Glazener CM, Abdalla M, Stroud P, Naji S, Templeton A, Russell IT: Postnatal maternal morbidity: extent, causes, prevention and treatment. Br J Obstet Gynaecol 1995, 102(4):282-287.
- [43]Acquadro C, Conway K, Hareendran A, Aaronson N, European Regulatory Issues and Quality of Life Assessment (ERIQA) Group: Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value in Health 2008, 11(3):509-521.
- [44]Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrup LC, Hankins GPV, Clark SL: Williams Obstetrics. 20th edition. Appleton & Lange: Prentice-Hall International; 1997.
- [45]Symon A: Personal communication with Dr. Andrew Symon. UK: University of Dundee; 2012.
- [46]Hodnett ED: Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol 2002, 186(5):S160-S172.
- [47]Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jorda S, Lavender T, Neilson JP: Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev 2012., 3CD009234
- [48]Dahlen HG, Tracy S, Tracy M, Bisits A, Brown C, Thornton C: Rates of obstetric - Interventions and associated perinatal mortality and morbidity among low-riskwomen giving birth in private and public hospitals in NSW (2000–2008): a linked data population-based cohort study. BMJ Open 2014, 4(5):e004551.
- [49]Lutomski JE, Murphy M, Devane D, Meany S, Greene A: Private health care coverage and increased risk of obstetric intervention. BMC Pregnancy Childbirth 2014, 14(13):1-9.
- [50]Martell LK: Heading toward the new normal: a contemporary postpartum experience. J Obstet Gynecol Neonatal Nurs 2001, 30(5):496-506.
- [51]World Health Organization Europe: Nurses and midwives: a force for health, Survey on the situation of nursing and midwifery in the Member States of the European Region of the World Health Organization 2009. 2010. http://www.euro.who.int/__data/assets/pdf_file/0019/114157/E93980.pdf webcite
- [52]VanTeijlingen E, Hundley V: Pilot studies in family planning and reproductive health care. J Fam Plann Reprod Health Care 2005, 31(3):219-221.
- [53]Nowakowska-Glab A, Maniecka-Bryla I, Wilczynski J, Nowakowska D: Evaluation of antenatal quality of life of hospitalized women with the use of mother-generated index–pilot study. Ginekol Pol 2010, 81(7):521-527.