Factors influencing the quality of life of pregnant women: a systematic review

Lagadec, Nolwenn; Steinecker, Magali; Kapassi, Amar; Magnier, Anne-Marie; Chastang, J.-F.; Robert, Sarah; Gaouaou, Nadia; Ibáñez, Gladys

doi:10.1186/s12884-018-2087-4

Cited by 184 publications

(168 citation statements)

References 46 publications

(93 reference statements)

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“…Comparing the background characteristics of the groups, it was shown that the frequency of under-diploma education level in women with planned pregnancy was lower than the other two groups. This nding corroborates the results of other studies indicating that women's education is a determining factor in family planning [14,15]. Nevertheless, unlike other studies [16][17][18], it was not a determining factor in quality of life.…”

Section: Discussionsupporting

confidence: 90%

Changes of Health Related Quality of Life during Pregnancy based on Pregnancy Context: A prospective study

Kazemi¹,

Dadkhah²,

Torabi³

2020

Preprint

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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 longitudinal 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.Conclusion: 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: Discussionsupporting

confidence: 90%

Changes of Health Related Quality of Life during Pregnancy based on Pregnancy Context: A prospective study

Kazemi¹,

Dadkhah²,

Torabi³

2020

Preprint

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“…Our study results were consistent with the ndings reported by Lau et al, who investigated mental health and QoL in Hong Kong residents during the SARS epidemic (39). The results of this study indicated a lower score of physical QoL throughout pregnancy than lactating and control groups, particularly related to decreased physical activity and physical symptoms such as nausea and vomiting, epigastralgia, re ux, shortness of breath, dizziness, back pain, and sleep problems (42).…”

Section: Quality Of Life Statussupporting

confidence: 92%

Sexual Function, Mental Health, and Quality of Life Under Strain of COVID-19 Pandemic in Iranian Pregnant and Lactating Women: A Cross-sectional Study

Mirzaei

Sadatmahalleh

Khomami

et al. 2020

Preprint

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Background The impact of COVID-19 pandemic on mental health of pregnant and lactating women is unclear. This study aimed to assess the impact of COVID-19 on psychological health, sexual function, and quality of life (QoL) in Iranian pregnant and lactating women and compare the results with non-pregnant /lactating (as the control group). Method: This cross-sectional study was carried out on pregnant and lactating women as case groups, with non-pregnant /lactating women as control. Patients were asked to complete three questionnaires: Hospital Anxiety and Depression Scale (HADS), Female Sexual Function Index (FSFI), and Short-Form Health Survey (SF-12). One-way ANOVA was used to reveal the statistical differences between the three groups. Result The mean age of patients was 20.81 ± 5.92 years old. Evaluation of the three groups with regard to HADS and SF-12 showed that all mean values were lower in pregnant women than in other groups. Also, the differences in scores in the three groups were statistically significant (P˂0.001). The comparison of FSFI scores showed that the mean of all domain and total scores were significantly lower in pregnant women compared with other groups. The differences between the three groups were statistically significant during desire, arousal, orgasm, pain, and total score (P˂0.001). Conclusion The COVID-19 epidemic increases the risk of depression, anxiety, FSD, and lowers QoL in pregnant and lactating women, with the general population. This suggests the urgent need for psychological intervention in the maternal population during the epidemic.

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“…3 The exact mechanism is largely unknown but is likely to be multifactorial. 5 Cognitive dysfunction and sleeping problems are also common symptoms of depressive disorders and depression occurs in 10%-15% of pregnant women. 5 Cognitive dysfunction and sleeping problems are also common symptoms of depressive disorders and depression occurs in 10%-15% of pregnant women.…”

Section: Introductionmentioning

confidence: 99%

“…4 Pregnancy is also associated with sleeping difficulties that in turn can have detrimental effect on health-related quality of life and contribute to worse cognitive functioning. 5 Cognitive dysfunction and sleeping problems are also common symptoms of depressive disorders and depression occurs in 10%-15% of pregnant women. 6,7 Thyroid hormones (THs) are critical for normal brain functioning.…”

Section: Introductionmentioning

confidence: 99%

Maternal cognitive function during pregnancy in relation to hypo‐ and hyperthyroxinemia

Pop

Ormindean

Mocan

et al. 2019

Clinical Endocrinology

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Objective:To assess a possible relationship between maternal cognitive dysfunction during pregnancy and hypothyroxinemia, adjusted for major confounders.Background: Thyroid dysfunction in general is associated with cognitive dysfunction.Cognitive dysfunction is common during pregnancy.Design: Prospective follow-up study from 12 to 32 weeks of pregnancy. Participants: 2082 healthy pregnant women.Measurements: Cognitive function, depression and sleeping problems were assessed by self-report questionnaires at 12, 22 and 32 weeks of gestation, higher scores reflecting more symptoms. FT4, TSH and TPO-Ab were assessed at 12 weeks of gestation.Definitions: healthy (euthyroxinemia) control group: FT4 within 10-90th percentiles, without elevated TPO-Ab titres and TSH within first trimester-specific reference range (0.23-4.0 mU/L). Hypothyroxinemia: FT4 <2.5th percentile with TSH within first trimester-specific reference range. Poor cognitive function: a score >1 SD > mean on the cognitive function scale.Results: A total of 54 women showed hypothyroxinemia and 1476 women had euthyroxinemia. At 12 weeks, multiple logistic regression showed that poor cognitive function was independently related to hypothyroxinemia: OR: 2.9 (95% CI: 1.6-5.4), adjusted for depression (OR: 3.1; 95% CI: 2.7-4.6) and sleeping problems (OR: 2.8, 95% CI: 1.9-3.9). TPO-Ab + women with hypothyroxinemia had the highest levels of cognitive dysfunction. Other cut-offs of hypothyroxinemia (<5th or <10th percentile with normal TSH) showed similar results. GLM-ANOVA showed that throughout pregnancy women with hypothyroxinemia at 12 weeks had significantly higher cognitive dysfunction scores compared with the healthy controls: F = 12.1, P = .001. Conclusions:Women with hypothyroxinemia during early gestation are at risk for poor cognitive function throughout gestation, adjusted for depression and sleeping problems. K E Y W O R D Scognitive function, hypothyroxinemia, pregnancy, thyroid | 825 POP et al.

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Factors influencing the quality of life of pregnant women: a systematic review

Cited by 184 publications

References 46 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

Sexual Function, Mental Health, and Quality of Life Under Strain of COVID-19 Pandemic in Iranian Pregnant and Lactating Women: A Cross-sectional Study

Maternal cognitive function during pregnancy in relation to hypo‐ and hyperthyroxinemia

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