Health-Related Quality-of-Life and Associated Factors Among Post-Partum Women in Arba Minch Town

Tola, Yirgalem; Ayele, Gistane; Boti, Negussie; Yihune, Manaye; Gethahun, Firdawek; Gebru, Zeleke

doi:10.2147/ijwh.s295325

Cited by 14 publications

(39 citation statements)

References 30 publications

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“…[5][6][7] In addition, most study designs were cross-sectional, providing limited insights into HRQOL trajectories during postpartum period. 20 There might be different subgroups of postpartum women sharing a common, underlying pattern of HRQOL change over time. Improving the postnatal QOL of women could be facilitated by having more knowledge about the most important factors associated with HRQOL trajectories.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…However, most of the existing studies of maternal health focus on mortality and morbidity, and there is limited research that aims to assess women’s HRQOL as a primary outcome 5–7. In addition, most study designs were cross-sectional, providing limited insights into HRQOL trajectories during postpartum period 20. There might be different subgroups of postpartum women sharing a common, underlying pattern of HRQOL change over time.…”

Section: Introductionmentioning

confidence: 99%

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Impact of maternal morbidities on the longitudinal health-related quality of life trajectories among women who gave childbirth in four hospitals of Northwest Ethiopia: a group-based trajectory modelling study

2022

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ObjectivesTo identify distinct trajectories of health-related quality of life and its predictors among postpartum women in Northwest Ethiopia.DesignHealth facility-linked community-based prospective follow-up study.SettingSouth Gondar zone, Northwest Ethiopia.ParticipantsWe recruited 775 mothers (252 exposed and 523 non-exposed) after childbirth and before discharge. Exposed and non-exposed mothers were identified based on the criteria published by the WHO Maternal Morbidity Working Group.Outcome measuresThe primary outcome measure of this study was trajectories of health-related quality of life. The Stata Traj package was used to determine the trajectories using a group-based trajectory modelling. Multinomial logistic regression model was used to identify predictors of trajectory membership.ResultsFour distinct trajectories for physical and psychological and five trajectories for the social relationships and environmental health-related quality of life were identified. Direct and indirect maternal morbidities, lower educational status, poor social support, being government employed and merchant/student in occupation, vaginal delivery, lower monthly expenditure, stress, fear of childbirth and anxiety were found to be predictors of lower health-related quality of life trajectory group membership.ConclusionsHealth professionals should target maternal morbidities and mental health problems when developing health intervention strategies to improve maternal health-related quality of life in the postpartum period. Developing encouraging strategies for social support and providing health education or counselling for women with less or no education are essential to avert the decrease in health-related quality of life trajectories of postpartum women.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of maternal morbidities on the longitudinal health-related quality of life trajectories among women who gave childbirth in four hospitals of Northwest Ethiopia: a group-based trajectory modelling study

2022

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“…Moreover, in this Ethiopian study, age group 17-24 years and no formal education were factors associated with the lower overall HRQOL (17). Additional factors including: married or living with a partner, registered students, 30 -40 years of age, living without physical complaints, having at least an 8th-grade education, being Caucasian were predictors of having the best health related quality of life.…”

Section: Introductionmentioning

confidence: 53%

“…Mental QOL (MSC) mean score is the arithmetic average of the transformed scores of social functioning, mental health; role emotional, and vitality domains (17,22,23).…”

Section: Operational De Nitionsmentioning

confidence: 99%

Health Related Quality of Life and its predictors among Postpartum Mother in Southeast Ethiopia: A Cross sectional study

Gomora

Kene

Embiale

et al. 2022

Preprint

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Background: Impaired Health related quality of life (HRQOL) after women's childbirth affects women in a wide range of ways including limiting their daily activity, reducing self-care capacity, impairing childcare including effective breastfeeding and baby weaning, and increasing the cost of medical care, both for women and for their newborn babies. This study aimed to assess the HRQOL and its predictors among postpartum women in Southeast Ethiopia. Methods: Between March and May 2022, an institutional-based cross-sectional study was conducted among a simply randomly selected sample of 794 postpartum women who were attending immunization services in public health facilities in Southeast Ethiopia. The pretested interviewer-administered structured, Short Form 36 (SF-36), validated questionnaire was used to collect data and to assess the HRQOL. This Descriptive statistics were computed and the bivariable and multivariable logistic regression model was fitted to predictors of HRQOL. Odds ratio (OR), along with a 95% confidence interval (CI), were used to estimate the strength of the associations. Results: The mean scores (mean ± SD) of overall HRQOL, physical component summary (PCS) and mental component summary (MCS) of quality of life were 43.80 ± 27.88, 45.39 ± 28.58 and 42.20 ± 28.15) respectively. Walking to the health facility [(AOR = 2.09; 95% CI: (1.31,3.31)], using public transport (AOR=2.58; 95% CI=1.69–3.93), giving birth to ≤ 3 deliveries (AOR = 1.81; 95% CI: 1.36 –2.65), having health facility admission history during the recent baby’s pregnancy (AOR=1.62; 95% CI=1.08–2.44), having postpartum depression (PPD) (AOR=2.13; 95% CI=1.57–2.89) and having the fear of COVID-19 (AOR=1.46; 95% CI=1.08–1.99) were predictors of a lower level of HRQOL among postpartum women. Conclusion: This study revealed that nearly half of the postpartum women had a lower HRQOL. Means of transport used, the number of total deliveries they had, admission history during the recent baby pregnancy, PPD and Fear of COVID 19 (FCV 19) showed a statistically significant association with the lower overall HRQOL. To improve the HRQOL among postpartum women in Ethiopia, programs should be implemented by applying appropriate strategies that address the identified factors.

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“…Understanding the determinants of QOL is a prerequisite for planning to improve and enhance it (9). Most studies have focused on biomedical, demographic, or socioeconomic determinants (10)(11)(12)(13)(14)(15)(16). One of the factors of care and intervention affecting the QOL in the postpartum period is social support (17); A person's perception of the types and amount of potential and actual support he can receive from the social environment (18).…”

Section: Introductionmentioning

confidence: 99%

The impact of family social support on postpartum quality of life: the structural equation modeling

Khademi

Kaveh

Ghahremani

et al. 2022

Preprint

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Background: The postpartum period is one of the most important stressful situations in women's lives that affects their quality of life (QOL). The important factor affecting the QOL in the postpartum period is social support, especially family social support (FSS). The present study has been designed to assess the impact of FSS on postpartum quality of life (PQOL).Methods: In this analytical cross-sectional study, 240 postpartum women completed the PQOL questionnaire, and FSS questionnaire (FSSQ). The Pearson correlation and multivariate regression were used to determine the relationship between variables. A structural equation model (SEM) was used for path mapping of the impact of FSS on PQOL.Results: The mean scores of PQOL and FSS were 61.63±9.59 and 69.80±11.19 respectively. The fit indices of the SEM were GFI: 1.00 and NFI: 1.00 that demonstrated, the fit of the SEM can be acceptable. The family support seeking (0.16), emotional support seeking (-0.13) and FSS (0.12) were three factors that influenced PQOL.Conclusion: Our findings showed a picture of the association between FSS and the QOL of women in the postpartum period. The support from the family as the first people around the women who gave birth can improve their QOL by improving their physical, mental, and childcare performance and can be very effective in overcoming this challenging situation.

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Health-Related Quality-of-Life and Associated Factors Among Post-Partum Women in Arba Minch Town

Cited by 14 publications

References 30 publications

Impact of maternal morbidities on the longitudinal health-related quality of life trajectories among women who gave childbirth in four hospitals of Northwest Ethiopia: a group-based trajectory modelling study

Impact of maternal morbidities on the longitudinal health-related quality of life trajectories among women who gave childbirth in four hospitals of Northwest Ethiopia: a group-based trajectory modelling study

Health Related Quality of Life and its predictors among Postpartum Mother in Southeast Ethiopia: A Cross sectional study

The impact of family social support on postpartum quality of life: the structural equation modeling

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