Prediction of maternal quality of life on preterm birth and low birthweight: a longitudinal study

BMC Pregnancy and Childbirth

Ching-Yu Cheng¹  Shwu-Ru Liou¹  Panchalli Wang² 

[1] Chang Gung University of Science and Technology, 2 Chiapu Rd. West Sec. Putz, Chiayi 613, Taiwan;Department of Obstetrics and Gynecology, Chia-Yi Christian Hospital, 539 Jhongsiao Rd, Chia-yi City 600, Taiwan

关键词: Postpartum;    Pregnancy;    Low birthweight;    Preterm birth;    Quality of life;   

Others  :  1137997
DOI  :  10.1186/1471-2393-13-124

 received in 2012-08-21, accepted in 2013-05-29,  发布年份 2013

【 摘 要 】

Background

Preterm birth is a significant cause of newborn morbidity and mortality and strains society’s healthcare resources due to its long-term effects on the health of the newborn. Prenatal maternal quality of life (QoL) may be related to the occurrence of preterm birth and low birthweight infants. Few studies, however, have investigated maternal QoL, especially throughout the continuum of pregnancy and the immediate postpartum period. Therefore, the purposes of this longitudinal study were to measure the levels of QoL during and immediately after pregnancy in women with uncomplicated pregnancies, investigate the relationships between the dimensions of QoL, and determine whether prenatal QoL can predict preterm birth and low birthweight.

Methods

Using convenience sampling in one hospital in Taiwan, we recruited 198 pregnant women without pregnancy complications after 24 gestational weeks and followed up monthly until one-month postpartum. The Duke Health Profile was used to measure QoL. Data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal-Wallis test, generalized estimation equations, Pearson correlations, and hierarchical logistic regression.

Results

Pregnant women did not perceive that they had a high level of QoL. Women at late pregnancy experienced a significant decrease in their level of physical and general health. After childbirth, although the mothers had better physical health, they had poorer social health. Poor QoL at late pregnancy predicted preterm birth. Employment, parity, educational level, and happiness about pregnancy were related to prenatal maternal QoL; employment was a factor related to postpartum maternal QoL.

Conclusions

Early assessment of QoL, including its dimensions, of pregnant women may help us to understand women’s health status. Based on this understanding, healthcare professionals can develop interventions to promote pregnant women’s QoL and to lessen the occurrence of preterm birth and low birthweight infants. Further, an emphasis on the positive aspects of pregnancy may increase maternal QoL.

【 授权许可】

   
2013 Wang et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Russell RB, Green NS, Steiner CA, Meikle S, Howse JL, Poschman K, Dias T, Potetz L, Davidoff MJ, Damus K, Petrini JR: Cost of hospitalization for preterm and low birth weight infants in the United States. Pediatr 2007, 120:e1-e9.
• [2]Blencowe H, Cousens S, Chou D, Oestergaard MZ, Say L, Moller AB, Kinney M, Lawn J: 15 million preterm births: priorities for action based on national, regional and global estimates. In Born Too Soon: The Global Action Report on Preterm Birth. Edited by Howson CP, Kinney MV, Lawn JE. Geneva: World Health Organization; 2012:6-31.
• [3]Health Statistics Database. https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=7&tarId=106&year=99&com_year=100&ftype=&fvals=&fpage=0&CityWhere=&CityName=&chart=0&addType=&NoLevel=1 webcite
• [4]Goldenberg R, Culhane J, Iams J, Romero R: Epidemiology and causes of preterm birth. Lancet 2008, 371(9606):75-84.
• [5]Gungor I, Oskay U, Beji N: Biopsychosocial risk factors for preterm birth and postpartum emotional well-being: a case–control study on Turkish women without chronic illnesses. J Clin Nurs 2011, 20:653-665.
• [6]Neggers Y, Goldenberg R, Cliver S, Hauth J: The relationship between psychosocial profile, health practices, and pregnancy outcomes. Acta Obstet Gynecol Scand 2006, 85:277-285.
• [7]Nobile C, Raffaele G, Altomare C, Pavia M: Influence of maternal and social factors as predictors of low birth weight in Italy. BMC Publ Health 2007, 7:192-200. BioMed Central Full Text
• [8]Chang PJ, Tseng YC, Chuang CH, Chen YC, Hsieh WS, Hurng BS, Lin SJ, Chen PC: Use of Sheng-Hua-Tang and health-related quality of life in postpartum women: a population-based cohort study in Taiwan. Int J Nurs Stud 2010, 47:13-19.
• [9]Gartland D, Brown S, Donath S, Perlen S: Women's health in early pregnancy: Findings from an Australian nulliparous cohort study. Aust N Z J Obstet Gynaicol 2010, 50:413-418.
• [10]Lau Y, Yin L: Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery 2011, 27:668-673.
• [11]Setse R, Grogan R, Pham L, Cooper L, Strobino D, Powe N, Nicholson W: Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study. Matern Child Health J 2009, 13(5):577-587.
• [12]De Tychey C, Briançon S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, Messembourg C, Girvan F, Rosati A, Thockler A, Vincent S: Quality of life, postnatal depression and baby gender. J Clin Nurs 2008, 17(3):312-322.
• [13]Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L: Quality of life and depression following childbirth: impact of social support. Midwifery 2011, 27:745-749.
• [14]Hellmers C, Schuecking B: Primiparae's well-being before and after birth and relationship with preferred and actual mode of birth in Germany and the USA. J Reprod Infant Psychol 2008, 26(4):351-372.
• [15]Hill P, Aldag J: Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs 2007, 36(4):328-334.
• [16]Da Costa D, Dritsa M, Verreault N, Balaa C, Kudzman J, Khalifé S: Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Arch Women Ment Health 2010, 13(3):249-257.
• [17]Schytt E, Hildingsson I: Physical and emotional self-rated health among Swedish women and men during pregnancy and the first year of parenthood. Sex Reprod Health 2011, 2:57-64.
• [18]Haas BK: A multidisciplinary concept analysis of quality of life. West J Nurs Res 1999, 21:728-742.
• [19]Akýn B, Ege E, Koçodlu D, Demirören N, Yýlmaz S: Quality of life and related factors in women, aged 15–49 in the 12-month post-partum period in Turkey. J Obstet Gynaecol Res 2009, 35:86-93.
• [20]Tarkka MT, Paunonen M, Laippala P: Social support provided by public health nurses and the coping of first-time mothers with child care. Public Health Nurs 1999, 16:114-119.
• [21]Turner C, Boyle F, O’Rourke P: Mothers’ health post-partum and their patterns of seeking vaccination for their infants. Int J Nurs Pract 2003, 9:120-126.
• [22]Kahn RS, Zuckerman B, Bauchner H, Homer CJ, Wise PH: Women’s health after pregnancy and child outcomes at age 3 years: a prospective cohort study. Am J Public Health 2002, 92:1312-1318.
• [23]Larson JS: The World Health Organization's definition of health: social versus spiritual health. Soc Indic Res 1996, 38:181-192.
• [24]Brown S, Yelland J, Sutherland G, Baghurst P, Robinson J: Stressful life events, social health issues and low birthweight in an Australian population-based birth cohort: challenges and opportunities in antenatal care. BMC Publ Health 2011, 11:196-207. BioMed Central Full Text
• [25]Paarlberg KM, Vingerhoets AJJM, Passchier J, Heinen AGJJ, Dekker GA, van Geijn HP: Psychosocial factors as predictors of maternal well-being and pregnancy-related complaints. J Psychosom Obstet Gynaecol 1996, 17:93-102.
• [26]Faul F, Erdfelder E, Buchner A, Lang AG: Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009, 41:1149-1160.
• [27]Parkerson GR, Broadhead WE, Tse CKJ: The Duke Health Profile: A 17-item measure of health and dysfunction. Medical Care 1990, 28:1056-1072.
• [28]Cohen J: A power primer. Psychol Bull 1992, 112(1):155-159.
• [29]Rodriguez A, Bohlin G, Lindmark G: Symptoms across pregnancy in relation to psychosocial and biomedical factors. Acta Obstet Gynecol Scand 2001, 80:213-223.
• [30]Bowen A, Bowen R, Butt P, Rahman K, Muhajarine N: Patterns of depression and treatment in pregnant and postpartum women. Can J Psychiatry 2012, 57(3):161-167.
• [31]Qiao Y, Wang J, Li J, Ablat A: The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant women in Shanghai. Aust N Z J Obstet Gynaecology 2009, 49(2):185-190.
• [32]Dennis CL, Fung K, Grigoriadis S, Robinson GE, Romans S, Ross L: Traditional postpartum practices and rituals: a qualitative systematic review. Womens Health 2007, 3:387-502.
• [33]Leung SSK, Arthur D, Martinson IM: Perceived stress and support of the Chinese postpartum ritual “doing the month. Health Care Women Int 2005, 26:212-224.
• [34]Kirkpatrick P, van Teijlingen E: Lost in translation; reflecting on a model to reduce translation and interpretation bias. The Open Nurs J 2009, 3:25-32.