Health-related quality of life in different trimesters during pregnancy

Wu, Hui; Sun, Weiwei; Chen, Hanqing; Wu, Yanxin; Ding, Wenjiang; Huang, Xinyu; Chen, Haitian; Zeng, Qing; Li, Zhuyu; Xiong, Peng; Huang, Jian; Akinwunmi, Babatunde; Zhang, Casper J. P.; Ming, Wai‐Kit

doi:10.1186/s12955-021-01811-y

Cited by 30 publications

(38 citation statements)

References 37 publications

(35 reference statements)

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“…Decreased quality of life associated with the increase of gestational age has been reported previously [ 17 ], and the present study attempted to show that this change occurs even during uncomplicated pregnancies Als, a study on Chinese women pregnant showed an increase in quality of life in the second trimester of pregnancy. In this study, the quality of life in the third trimester had been reported at the lowest level [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study

2022

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Background The significance of planned pregnancy is an accepted principle for improving the health of pregnant women; and quality of life, as one of the important indicators of women’s health, is reduced in high-risk pregnancies. The aim of this research was to investigate the changes in the health related quality of life (HRQL) in low risk pregnancies in different groups based on pregnancy context. Methods The present study was a prospective study conducted on 250 pregnant women divided into three groups of women with planned pregnancy, unplanned/wanted pregnancy and unwanted pregnancy. Then, using WHOQOL-26 questionnaire, the quality of life of these women was measured in physical, psychological, social and environmental dimensions at the beginning of pregnancy as well as at the end of the first, second and third trimesters. Results Based on the results, the mean score of environmental-HRQL in women with unwanted pregnancy was significantly lower than the other two groups. All dimensions on HRQL were influenced by time and group. However, changes in the physical, psychological and social dimensions of HRQL varied within the groups. Physical- HRQL changes were different within the groups. The intergroup effect on environmental dimension of quality of life changes was significant. Conclusions It was observed in this study that HRQL in the women with unwanted pregnancy was lower than the women with planned pregnancy and those with unplanned /wanted pregnancy. Moreover, increase in gestational age would lower quality of life, but this decline had a similar pattern in different groups.

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Section: Discussionmentioning

confidence: 99%

Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study

2022

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“…Mean (SD) EQ-5D-5L utility scores for pregnant women have previously been reported as 0.84 (0.17) in China and 0.87 (0.16) in the UK. 18 , 19 For the 0–30 day postpartum period, mean (95% CI) EQ-5D-5L utility scores for women experiencing vaginal births have previously been reported as ranging between 0.57 (0.52, 0.61) to 0.93 (0.92, 0.94). 20 For women experiencing caesarean section, utility scores ranging between 0.28 (0.18, 0.38) and 0.85 (0.82, 0.89) have been reported.…”

Section: Methodsmentioning

confidence: 99%

Assessing the Validity of the Long-Term Conditions Questionnaire (LTCQ) in Women During Pregnancy and the First Year Following Birth

Kelly¹,

Fitzpatrick²,

Kurinczuk³

et al. 2022

PROM

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Background The aim of this study was to validate a generic patient-reported outcome measure, the Long-Term Conditions Questionnaire (LTCQ), among pregnant and postpartum women living with a pre-existing long-term condition (LTC). Methods Cognitive interviews were conducted with women who were currently pregnant or had given birth within the past year and living with a pre-existing LTC (n=11) and with healthcare professionals working in maternal care (n=11) to explore the acceptability of LTCQ items. An online survey was subsequently administered among women who were pregnant or had given birth within the past year and living with a pre-existing LTC (n=718). Tests of validity were performed including assessing correlations between the LTCQ and reference measures, the Well-being in Pregnancy (WiP) Questionnaire and the EuroQol EQ-5D-5L. Internal consistency was assessed using the Cronbach’s alpha statistic. Results All LTCQ items were considered relevant and appropriate for use with women who were pregnant or had given birth within the past year. The most commonly reported LTC among the online survey sample (n=718) was a mental health condition (n=350, 48.7%) followed by joint, bone and connective tissues (n= 212, 29.5%) and gastrointestinal (n=143, 19.9%) condition. Data indicated LTCQ scores behaved in a predictable pattern, demonstrating poorer scores for women reporting a greater number of LTCs; mean (SD) scores, one LTC= 61.86 (17.8), two LTCs= 55.29 (16.0), three LTCs= 49.84 (15.52) and four LTCs= 44.94 (12.2). Poorer scores were also reported for women living with at least one mental health condition compared to those reporting no mental health condition, mean score = 66.18 (SD 16.7) v 48.64 (SD 13.3), p<0.001 respectively. As anticipated, LTCQ scores demonstrated significant correlations in the expected direction with both the EQ-5D-5L and WiP scores. For all LTCQ items, the Cronbach’s alpha statistic was 0.93. Conclusion Data presented here indicate that the LTCQ, which assesses living well with one or more LTC, is suitable for use among pregnant and postpartum women, from both the woman’s perspective and from the perspectives of maternity healthcare professionals. Use of the LTCQ would facilitate the identification of unmet needs within this high-risk cohort and support the exploration of how LTCs may affect women throughout the pregnancy and post-natal period. Understanding unmet needs within this cohort of women provides an opportunity to link up specialist care within maternity services and enhance personalised care.

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“…The second trimester (weeks 13–25) is characterized by the onset of fetal movements and the belly becomes more visible ( 5 ). This trimester is also considered the most emotionally stable ( 6 ). In the third trimester (from week 26 onwards), there is a greater increase in maternal weight ( 5 , 7 ) and this is the period of greatest apprehension for most women due to proximity to delivery ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…This trimester is also considered the most emotionally stable ( 6 ). In the third trimester (from week 26 onwards), there is a greater increase in maternal weight ( 5 , 7 ) and this is the period of greatest apprehension for most women due to proximity to delivery ( 6 ). Up to 6 months after delivery, women deal with the complex recovery of the body from changes that occurred during pregnancy and childbirth ( 5 ), and they are susceptible to psychological vulnerability ( 3 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Body Appreciation, Depressive Symptoms, and Self-Esteem in Pregnant and Postpartum Brazilian Women

Meireles

Neves

Amaral

et al. 2022

Front. Glob. Womens Health

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BackgroundDuring pregnancy and the postpartum period, women experience tremendous biopsychosocial changes in a short period of time. Poor body appreciation, depressive symptoms, and low self-esteem during the perinatal period may cause negative consequences for both the mother and the infant's physiological and psychological health. The aim of this study was to analyze the differences in body appreciation, depressive symptoms, and self-esteem between the three gestational trimesters and the postpartum period.MethodsParticipants (N = 1,423 pregnant and postpartum Brazilian women), aged between 18 and 42 years old (M = 29.22; SD = ±5.72), answered questionnaires on body appreciation, depressive symptoms, and self-esteem. BMI was self-reported. Descriptive and nonparametric covariance analysis were performed, comparing women who were in the first, second, and third trimesters and the postpartum period.ResultsBody appreciation was significantly higher among women in the third trimester compared to those in the first and second trimester. However, it was lower for women in all three gestational trimesters than for those in the postpartum. There was no difference in self-esteem during pregnancy, but it was significantly lower in the postpartum group. Similarly, depressive symptoms did not vary through pregnant groups but it was significantly higher in the postpartum group.ConclusionsThe results showed that the postpartum period can be a difficult experience for women. They presented poor body appreciation and lower self-esteem and higher depressive symptoms compared to the pregnancy period. Therefore, it is necessary for public health policies to support women in this period, preserving their mental health and making this experience more positive.

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Health-related quality of life in different trimesters during pregnancy

Cited by 30 publications

References 37 publications

Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study

Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study

Assessing the Validity of the Long-Term Conditions Questionnaire (LTCQ) in Women During Pregnancy and the First Year Following Birth

Body Appreciation, Depressive Symptoms, and Self-Esteem in Pregnant and Postpartum Brazilian Women

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