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Health related quality of life of women at the sixth week and sixth month postpartum by mode of birth
Authors:José-Matías Triviño-Juárez  Dulce Romero-Ayuso  Beatriz Nieto-Pereda  Maria-João Forjaz  Juan-José Criado-Álvarez  Begoña Arruti-Sevilla  Beatriz Avilés-Gamez  Cristina Oliver-Barrecheguren  Sonia Mellizo-Díaz  Consuelo Soto-Lucía  Rosa Plá-Mestre
Institution:1. West Health District, Primary Care Center Francia, Fuenlabrada, Madrid Health Service, Spain;2. Department of Psychology, Castilla-La Mancha University, Talavera de la Reina, Toledo, Spain;3. Preventive Medicine Service, Hospital General Universitario Gregorio Marañon, Gregorio Marañon Health Research Institute (IiSGM), Madrid, Spain;4. National School of Public Health, Carlos III Institute of Health and REDISSEC, Carlos III Institute of Health, Madrid, Spain;5. Department of Medicine, Castilla-La Mancha University, Talavera de la Reina, Toledo, Spain;6. Southeast Health District, Madrid Health Service, Spain;7. Obstetrics and Gynecology Service, Hospital General Universitario Gregorio Marañon, Gregorio Marañon Health Research Institute (IiSGM), Madrid, Spain
Abstract:

Background

Health-related quality of life of women in the postpartum period may depend on the mode of birth. However, previous findings are contradictory.

Aim

To explore health-related quality of life of women at the sixth week and sixth month postpartum by mode of birth.

Methods

We performed a longitudinal prospective study in Spain that included 546 healthy primiparae aged 18 to 45 years who gave birth to a healthy newborn. At the sixth week and sixth month postpartum, we analysed sociodemographic and clinical characteristics and compared health-related quality of life (measured using the SF-36) by mode of birth (normal vaginal, forceps, vacuum-extraction, elective caesarean section, emergency caesarean section). In addition, we analysed the change in health-related quality of life between the two time points for each mode of birth.

Findings

We did not find differences in health-related quality of life by mode of birth at the sixth week or sixth month postpartum. At the sixth week postpartum, regardless of the mode of birth, women with postpartum urinary incontinence reported lower health-related quality of life. Between the sixth week and sixth month postpartum, health-related quality of life improved for all modes of birth.

Conclusion

While mode of birth is not directly associated with health-related quality of life, it does have an indirect relationship in the short term. Women who reported the lowest health-related quality of life were those with postpartum urinary incontinence. Most women with postpartum urinary incontinence were in the forceps group.
Keywords:Health related quality of life  SF-36  Longitudinal study  Mode of birth  Urinary incontinence
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