Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth

Health problems can develop during a pregnancy, turning it into a high risk. The aim of this study was to explore the influence of hypertensive disorders, gestational diabetes, and preterm birth as risk factors for health-related quality of life (HRQL) and depressive symptoms during late pregnancy a...

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Bibliographic Details
Published in:Journal of psychosomatic obstetrics and gynaecology Vol. 30; no. 4; pp. 231 - 237
Main Authors: Mautner, Eva, Greimel, Eva, Trutnovsky, Gerda, Daghofer, Fedor, Egger, Josef W., Lang, Uwe
Format: Journal Article
Language:English
Published: New York, NY Informa UK Ltd 01.12.2009
Taylor & Francis
Informa Healthcare
Subjects:
Adult
Affect
Analysis of Variance
Biological and medical sciences
Chi-Square Distribution
Depression - psychology
Diabetes, Gestational - psychology
Diseases of mother, fetus and pregnancy
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
gestational diabetes mellitus
Gynecology and obstetrics
Gynecology. Andrology. Obstetrics
Health Status
Humans
Longitudinal Studies
Medical sciences
Postpartum Period - psychology
pre-eclampsia
Pregnancy
Pregnancy Complications, Cardiovascular - psychology
Pregnancy. Fetus. Placenta
Premature Birth - psychology
preterm birth
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Quality of Life
Surveys and Questionnaires
Women's Health
Human
Hypertension
preterm birth
Pregnancy disorders
Premature delivery
Cardiovascular disease
pre-eclampsia
gestational diabetes mellitus
Puerperium
Pregnancy toxemia
Quality of life
Pregnancy
Prematurity
Preeclampsia
Female
Gestational diabetes
Woman
ISSN:0167-482X, 1743-8942, 1743-8942
Online Access:Get full text
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Summary:Health problems can develop during a pregnancy, turning it into a high risk. The aim of this study was to explore the influence of hypertensive disorders, gestational diabetes, and preterm birth as risk factors for health-related quality of life (HRQL) and depressive symptoms during late pregnancy and postpartum. A prospective, longitudinal study was performed with three assessments. Ninety women were recruited in the study including 29 controls. HRQL was measured using the WHO-QOL-BREF questionnaire. Depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses were performed using ANOVA and the chi-square test to explore HRQL and depressive symptoms between three pregnancy risk groups and controls. Women of the preterm group had statistically significant higher depression scores and lower HRQL scores on the physical domain during pregnancy than those without complications. Women with hypertensive disorders showed the second most depressive symptoms. Physical and global HRQL improved and depressive symptoms decreased significantly from late pregnancy and early postpartum period to late postpartum. Pregnant specific health problems, especially the risk for preterm delivery is associated with more depressive symptoms and decreased HRQL in pregnancy. Guidance and communication for these women is important. The counseling should be multi professional to reduce childbirth burdens.
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ISSN:0167-482X
1743-8942
1743-8942
DOI:10.3109/01674820903254757