Factors That Interfere in the Quality of Life Related to the Health of Women in the Postpartum Period in Northeastern Brazil

Abstract

Objective to analyze the sociodemographic, obstetric, type of delivery and professional factors that provided care that can influence the quality of life related to women's health in the immediate puerperium period. Method cross-sectional, correlational study conducted in a reference maternity hospital, with 272 women in the immediate puerperium period hospitalized in the rooming-in accommodation. A sociodemographic, clinical and obstetric questionnaire and the Short Form Health Survey-36 scale were used to assess health-related quality of life. Results regarding age, there was a significant association in the domains functional capacity and general status, with better scores for ages up to 29 years. Regarding education, significance was observed in the functional capacity domain with better scores for 9 to 11 years of schooling. The analysis of obstetric complications showed statistical significance in the general health status domain p<0.05. By correlating the type of delivery and the attending professional, the mean scores showed that the domains limitation due to physical aspects, pain, vitality, social aspects, limitations due emotional aspects and mental health presented higher means for normal delivery performed by nurses, with statistical significance in the domains: pain (p<0.05), vitality (p<0.05) and mental health (p=0.05). Conclusion these analyzed factors interfere in the quality of life of women in the postpartum period. Thus, considering these questions provides complementary information to the use of the Short Form Health Survey-36, highlighting areas that need greater attention and that can be worked on even in prenatal care.

Identifying associated factors in relation to health-related quality of life among postpartum women in Jimma town: A community-based cross-sectional study

“…This finding is similar to Ali's study, which revealed that unwanted and unplanned pregnancies can reduce women's quality of life [ 49 ]. A study conducted in Northeastern Brazil reported similar findings, which reveals that non-acceptance of pregnancy, was associated with lower health-related QoL scores [ 31 ]. Similarly, the finding is consistent with Woolhouse's research, which found that women who planned their pregnancy had higher health-related QOL scores among postpartum women [ 47 ].…”

“…Furthermore, many women are typically unaware of the long-term mental and physical health problems that can occur as a consequence of pregnancy, childbirth, and puerperium; as a result, they are unprepared when such problems arise, and their QoL (quality of life) will be harmed for an extended period of time [ 29 ]. The majority studies on postpartum health QoL have been conducted in developed countries [ 13 , 30 , 31 ], with few in developing countries [ 32 ], and there are no adequate studies that examined postpartum health-related QoL among Ethiopian women, with the exception of one study conducted in Arba-Minch, Ethiopia [ 33 ], which is limited on physical and mental health problems. As a result, this study provides a good picture of the factors influencing maternal health QoL and attempted to investigate the influencing factors for maternal health-related QoL through postpartum women in Jimma Town, including physical, psychological, and social problems.…”

Saúde Mental No Puerpério: Fatores De Riscos E Métodos De Enfrentamento Para a Promoção Da Saúde

“…Todavia, a mulher deve ser apta de ressignificar sua função no processo parturitivo, concedendo que ela estabeleça sobre a forma de parto pautado em informações e evidências científicas, sendo relevante, nesta fase, o envolvimento do enfermeiro no cuidado ao ciclo gravídico-puerperal, pois este profissional tem habilidades estratégicas no processo educativo, somado a isso, a humanização satisfatória a mulher (RIBEIRO et al, 2021).…”

Mental Health of Mothers After Natural Childbirth and Cesarean Section: A Comparative Study in Kohat, Khyber Pakhtunkhwa, Pakistan

“…In the same context, another study with 150 of Egyptian women (75 with natural childbirth and 75 with caesarean section) women also revealed the same results, supporting the current one and estimated better QOL among women with a natural childbirth as compared to women with cesarean section 27 . Another research with 272 women in the initial postpartum period in the state of Piauí, northeastern Brazil, evaluated the QOL of women in the postpartum period and the professional that provided the care showed that the average of mental health of women after normal delivery performed by nurses was higher when compared with the normal delivery performed by doctors (75,86), with statistical significant (p=0,005) 28 .…”