The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis

Objectives: Assessing health-related quality of life (HRQoL) and its associated factors is essential for providing adequate healthcare and developing necessary interventions in women postdelivery. This study intended to find out the HRQoL score and related factors among women postdelivery in Nepal. Methodology: This was a cross-sectional study using nonprobability sampling conducted at a Maternal and Child Health (MCH) Clinic in Nepal. The study participants were 129 women postdelivery to 12 months who visited the MCH Clinic from 2 September 2018 to 28 September 2018. Outcome measures were sociodemographic, clinical indicators, obstetric indicators, and their relation with the overall HRQoL score of postdelivery mothers using the Short Form Health Survey (SF-36) Version 1. Results: Of 129 respondents, 68.22% were in the 21–30 age group, 36.43% were upper caste, 88.37% were Hindu, 87.60% were literate, 81.39% were homemakers, 53.49% with income less than 12 months, 88.37% had family support, and 50.39% with vaginal deliveries. HRQoL was significantly more in employed women ( P =0.037), those with family support ( P =0.003), and those who had a cesarean section ( P =0.02) and wanted pregnancy ( P =0.040). Conclusion: HRQoL in women postdelivery can be influenced by employment status, family support, type of delivery, and desirability of pregnancy.

show abstract

“…Also, a meta-analysis by Evans et al . 37 found a significantly higher QoL in women with vaginal delivery. However, similar to Torkan et al .…”

Section: Discussionmentioning

confidence: 88%

Health-related quality of life measured by SF-36 among postdelivery mothers attending maternal and child health clinic in Eastern Nepal: a cross-sectional study

Chapagain

Pyakurel

Anand

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…Whereas a number of studies are available on the long-term consequences in cases where a surgical birth is associated with higher fatigue, no studies are available specifically covering the early postpartum period in this respect [ 54 ]. Therefore, while, in general, a spontaneous birth is more easily tolerated than a CS birth, this does not necessarily apply to older women in the early postpartum period [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

View full text Add to dashboard Cite

Background Fertility postponement, which has comprised the most significant reproductive trend in developed countries over the last few decades, involves a number of social, personal and health consequences. The length of stay (LOS) in hospital following childbirth varies considerably between countries. Czechia, where the fertility postponement process has been particularly dynamic, has one of the longest mean LOS of the OECD member countries. Objective We analyse the influence of the age of mothers on the LOS in hospital associated with childbirth. Data and methods We employed anonymised individual data provided by the General Health Insurance Company of the Czech Republic on women who gave birth in 2014. Kaplan-Meier survival plots and binary logistic regression were employed to identify factors associated with long stays (> = 7 days for vaginal births, > = 9 days for CS births). Results The impact of the maternal age on the LOS is U-shaped. A higher risk of a longer hospitalisation period for young mothers was identified for both types of birth (OR = 1.58, 95% CI 1.33–1.87, p˂0.001 for age less than 20, OR = 1.31, 95% CI 1.20–1.44, p˂0.001 for age 20–24 compared to 30–34). The risk of a longer stay in hospital increases with the increasing age of the mother (OR = 1.23, 95% CI 1.13–1.35, p˂0.001 for age 35–39, OR = 2.05, 95% CI 1.73–2.44, p˂0.001 for age 40+ compared to 30–34), especially with concern to vaginal births. Conclusion The probability of a long LOS increases significantly after the age of 35, especially in the case of vaginal births. Thus, the fertility postponement process with the significant change in the age structure of mothers contributes to the increase in health care costs associated with post-birth hospitalisation.

show abstract

“…The results indicated that women who gave birth vaginally had a significantly higher postpartum quality of life than those who gave birth by cesarean section. The association was statistically significant for the physical component, physical role, physical function, vitality, and social function 7 .…”

Section: Introductionmentioning

confidence: 88%

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

Khanum

Jabeen

Souza

et al. 2022

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to compare the quality of life of women after natural childbirth and cesarean section from a mental health perspective. Method: this is a causal-comparative study that included 104 women, 52 of whom underwent natural childbirth: and 52 cesarean sections. It was conducted in the gynecology ward of Liaqat Memorial Hospital in Kohat Khyber Pakhtunkhwa, Pakistan using the Quality-of-Life Questionnaire. Pakistani Nurses made direct translation of it in to Urdu language, interview by interview (read in English and told in Urdu). The results related to Emotional Health Problems, Energy, Emotions and Social Activities were analyzed. Results: women after cesarean section reported more problems regarding emotional health variables than women after natural childbirth. The mean quality of life score among the natural childbirth group was 89.94 and 66.02 among the cesarean section group (p<0.001). Conclusion: women who undergo natural childbirth have better quality of life than women who undergo cesarean section (average versus poor quality of life). Mental health is also affected, especially for those who undergo cesarean section. Thus, natural childbirth demonstrates benefits in the puerperium in terms of emotional indicators.

show abstract

The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis

Cited by 13 publications

References 65 publications

Health-related quality of life measured by SF-36 among postdelivery mothers attending maternal and child health clinic in Eastern Nepal: a cross-sectional study

Health-related quality of life measured by SF-36 among postdelivery mothers attending maternal and child health clinic in Eastern Nepal: a cross-sectional study

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

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

Contact Info

Product

Resources

About