Mode of birth and postnatal health‐related quality of life after one previous cesarean in three European countries

Fobelets, Maaike; Beeckman, Katrien; Buyl, Ronald; Daly, Déirdre; Sinclair, Marlene; Healy, Patricia; Grylka‐Baeschlin, Susanne; Nicoletti, Jane; Groß, Mechthild M.; Morano, Sandra; Putman, Koen

doi:10.1111/birt.12324

Cited by 19 publications

(29 citation statements)

References 35 publications

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“…Similar to Prick et al [27], newborn hospitalization and the mother being readmitted to hospital after being discharged, which falls in line with Fobelets et al [26], and the mother being admitted to an ICU, which agrees with Pia et al [24], were identified in our results as determining factors of worse postpartum QoL. The outcomes reported by Seppänen et al [25] informed that the QoL of the women admitted to an ICU at six months postpartum tended to be similar scores to those given by the general population.…”

Section: Discussionsupporting

confidence: 84%

“…Having a poor QoL before pregnancy due to factors unrelated to the pregnancy, birth and postpartum process was also identified as a predisposing factor for low postpartum QoL scores, which coincides with Fobelet et al [26]. The women with a low QoL before being pregnant, for non-related to pregnancy reasons, birth and postpartum period, could be affected by this process because it is a stressful situation [20] that could affect negatively to further worsen or aggravate their QoL.…”

Section: Discussionsupporting

confidence: 78%

“…Most previous studies [19,20,21,22,23,24,25,26,27,28] refer to QoL during pregnancy and a short postpartum period, e.g., six weeks or six months, but have not dealt with long-term QoL as our results do, which measure QoL up to three years postpartum. Our results overall indicate QoL loss during the 1–3 year postpartum period compared to the first postpartum year.…”

Section: Discussionmentioning

confidence: 77%

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Quality of Life of Women after Giving Birth: Associated Factors Related with the Birth Process

Martínez‐Galiano

Hernández‐Martínez

Rodríguez‐Almagro

et al. 2019

JCM

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The World Health Organization (WHO) considers quality of life a fundamental indicator. The effect of birth on women’s long-term quality of life (QoL) has barely been studied. The purpose of this study was to determine the factors related with the pregnancy, delivery and puerperium, and assess women’s QoL after giving birth. A cross-sectional study with Spanish puerperal women was carried out; it collected data on socio-demographic variables, obstetric variables, newborn data, and several quality of life parameters. An ad hoc online questionnaire, including SF-36 (validated instrument to measure QoL), was used. Crude mean differences (MD) and adjusted mean differences (aMD) were estimated by multiple linear regression. A total of 2990 women participated whose overall QoL lowered with time until three years postpartum (p = 0.045). Caesarean section (aMD = −3.61, 95% confidence interval (CI): −5.07, −2.15), mother admitted to ICU (aMD = −4.81, 95% CI: −9.56, −2.68), newborn hospitalized (aMD = −2.10, 95% CI: −4.31, −0.13) or third/fourth degree perineal tears (aMD = −6.87 95%CI: −9.93, −3.82) were detected as risk factors that affect negatively and significantly on postpartum QoL scores. Women’s postpartum QoL worsens with time. Some determining factors negatively influence postpartum QoL: Caesarean section, a mother´s admission to an intensive care unit (ICU) or a premature newborn.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 77%

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Quality of Life of Women after Giving Birth: Associated Factors Related with the Birth Process

Martínez‐Galiano

Hernández‐Martínez

Rodríguez‐Almagro

et al. 2019

JCM

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“…However, the evidence has shown that VBAC is associated with less maternal morbidity, fewer complications in future pregnancies, smaller overall cesarean delivery rates, and improved postnatal health-related quality of life at the population level than elective repeat cesareans [ 2 – 6 ]. Thus, spontaneous vaginal births and CD rate reductions have been advocated, along with prevention of VBAC complications [ 7 ] to improve pregnancy outcomes. This study evaluated the risks associated with trial of labor after cesarean (TOLAC) to establish a VBAC antepartum scoring model that can identify VBAC candidates among women with a previous low transverse CD.…”

Section: Introductionmentioning

confidence: 99%

Establishment of an antepartum predictive scoring model to identify candidates for vaginal birth after cesarean

Liao

Luo

Zheng

et al. 2020

BMC Pregnancy Childbirth

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Background Evidence-based medicine has shown that successful vaginal birth after cesarean (VBAC) is associated with fewer complications than an elective repeat cesarean. Although spontaneous vaginal births and reductions in cesarean delivery (CD) rates have been advocated, the risk factors for VBAC complications remain unclear and failed trials of labor (TOL) can lead to adverse pregnancy outcomes. Methods To construct an antepartum predictive scoring model for VBAC. Retrospective analysis of charts from 1062 women who underwent TOL at no less than 28 gestational weeks with vertex singletons and no more than one prior CD. Results We constructed our scoring model based on the following variables: maternal age, previous vaginal delivery, interdelivery interval (time between prior cesarean and the following delivery), presence of prior cesarean TOL, dystocia as prior CD indication, intertuberous diameter, maternal predelivery body mass index, gestational age at delivery, estimated fetal weight, and hypertensive disorders. Previous vaginal delivery was the most influential variable. The nomogram showed an area under the curve of 77.7% (95% confidence interval, 73.8–81.5%; sensitivity, 78%; specificity, 70%; cut-off, 13 points). The Kappa value to judge the consistency of the results between the predictive model and the actual results was 0.71(95% confidence interval 0.65–0.77) indicating strong consistency. We used the cut-off to divide the VBAC women into two groups according to the success of the TOL. The maternal and neonatal outcomes such as labor time, number of deliveries by midwives, postpartum hemorrhage, uterine rupture, neonatal asphyxia, puerperal infection were significantly different between the two groups. Conclusions Our predictive scoring model incorporates easily ascertainable variables and can be used to personalize antepartum counselling for successful TOLs after cesareans.

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“…Ülkemizde, yüksek sezaryen doğum oranları, önemli bir sağlık sorunudur. Sezaryen doğumun anne-bebek sağlığına olan kısa süreli etkileri ile ilgili önemli kanıtlar bulunmaktadır (3,5,6). Ancak sezaryen doğumların uzun süreli etkileri ile ilgili daha fazla çalışmaya gereksinim bulunmaktadır.…”

Section: Introductionunclassified

Doğum Şeklinin Gençlerin Sağlık Durumu ile İlişkisi

Öztürk¹,

Karaçam²,

Tazegül³

et al. 2019

Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Mode of birth and postnatal health‐related quality of life after one previous cesarean in three European countries

Cited by 19 publications

References 35 publications

Quality of Life of Women after Giving Birth: Associated Factors Related with the Birth Process

Quality of Life of Women after Giving Birth: Associated Factors Related with the Birth Process

Establishment of an antepartum predictive scoring model to identify candidates for vaginal birth after cesarean

Doğum Şeklinin Gençlerin Sağlık Durumu ile İlişkisi

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