Relationship Between Mode of Birth and Quality of Life for Women's Health During Postpartum Period
American Journal of Nursing Science
Volume 8, Issue 2, April 2019, Pages: 75-80
Received: Nov. 20, 2018; Accepted: Dec. 22, 2018; Published: Mar. 29, 2019
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Sabah Lotfy Mohamed El Sayed, Department of Obstetrics & Gynecology Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt
Hanan Abdel Mohdy Emarah, Department of Obstetrics & Gynecology Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt
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Background: The postpartum period is accompanied by many changes in women's health. Aim: This study aimed to assess the relationship between mode of birth and women quality of life during the postpartum period. Methods: The study was conducted in the outpatient clinic of Belbeis Hospital, Belbeis City, Al Sharkia Governorate. Study design: Descriptive design was used in this study. The data was collected through a structured interview questionnaire and a SF-36 form to assess the quality of life of women used a purposive sample method. The study carried out from May to June 2017. Participants: A total of 400 women attended the outpatient clinic. Results: The mean age of women was 27.5 ± 7.86 years and 26.3 ± 7.51 years for a caesarean and vaginal birth group, respectively. The mean total of SF-36 scores was higher among vaginal birth group compared to caesarean birth with statistically significant differences. Conclusion& Recommendation: According to the study results, the vaginal birth group had higher scores of SF-36 compared to caesarean delivery. Thus, vaginal birth is the safe choice for mothers and their family, if there were no indications of caesarean delivery.
Caesarean Birth, Quality of Life, Vaginal Birth, Postpartum Period
To cite this article
Sabah Lotfy Mohamed El Sayed, Hanan Abdel Mohdy Emarah, Relationship Between Mode of Birth and Quality of Life for Women's Health During Postpartum Period, American Journal of Nursing Science. Vol. 8, No. 2, 2019, pp. 75-80. doi: 10.11648/j.ajns.20190802.16
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Vogel, J. P., Betrán, A. P., Vindevoghel, N., Souza, J. P., Torloni, M. R., Zhang, J., & Hernandez, B. (2015). Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Global Health, 3 (5), e260-e270.‏
De Jesus, G. R., De Jesus, N. R., Peixoto-Filho, F. M., & Lobato, G. (2015). Caesarean rates in Brazil: what is involved?. BJOG: An International Journal of Obstetrics & Gynaecology, 122(5), 606-609.‏ doi: 10.1111/1471-0528.13119 [PubMed].
Shaaban, M. M., Ahmed, W. S., Khadr, Z., & El-Sayed, H. F. (2014). Rising cesarean section rates, a patient’s perspective: experience from a high birth rate country. Clinical and experimental obstetrics & gynecology, 41(4), 436.‏
Mogos, M. F., August, E. M., Salinas-Miranda, A. A., Sultan, D. H., & Salihu, H. M. (2013). A systematic review of quality of life measures in pregnant and postpartum mothers. Applied research in quality of life, 8(2), 219-250.‏ PubMed PMID: 23734167; PubMed Central PMCID: PMCPMC3667203.
Prick, B. W., Bijlenga, D., Jansen, A. G., Boers, K. E., Scherjon, S. A., Koopmans, C. M., ... & Duvekot, J. J. (2015). Determinants of health-related quality of life in the postpartum period after obstetric complications. European Journal of Obstetrics & Gynecology and Reproductive Biology, 185, 88-95.‏
Abd el-razek, A. (2013). Enhancement of a mother’s self-care practices for relieving minor discomfort during the postpartum period. Arab J. Social Sci. 1, 317–318.
Bibi, S., Ghaffar, S., Memon, S., & Memon, S. (2012). Severe acute maternal morbidity (SAMM) in the postpartum period requiring tertiary Hospital care. Iranian journal of reproductive medicine, 10 (2), 87. [PMC free article] [PubMed].
Mylonas, I., & Friese, K. (2015). Indications for and risks of elective caesarean section. Deutsches Ärzteblatt International, 112(29-30), 489-95. [PMC free article] [PubMed]
Ware, J.E., and Sherbourne, C.D. (1992). The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6),473-483.
Liu, Y., Wang, X., Zou, L., Ruan, Y., and Zhang, W. (2017). An analysis of variations of indications and maternal-fetal prognosis for caesarean birth in a tertiary hospital of Beijing: A population-based retrospective cohort study. Medicine, 96(7).‏
Khan, M. N., Islam, M. M., Shariff, A. A., Alam, M. M., & Rahman, M. M. (2017). Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014. PloS one, 12(5), e0177579.‏
Begum, T., Ellis, C., Sarker, M., Rostoker, J. F., Rahman, A., Anwar, I., & Reichenbach, L. (2018). A qualitative study to explore the attitudes of women and obstetricians towards caesarean delivery in rural Bangladesh. BMC pregnancy and childbirth, 18(1), 368.‏
Khanal, V., Karkee, R., Lee, A. H., & Binns, C. W. (2016). Adverse obstetric symptoms and rural–urban difference in cesarean delivery in Rupandehi district, western Nepal: a cohort study. Reproductive health, 13(1), 17.‏
Anwar, I., Nababan, H. Y., Mostari, S., Rahman, A., & Khan, J. A. (2015). Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011. PloS one, 10 (3), e0120309. e0120309 doi: 10.1371/journal.pone.0120309 [PMC free article] [PubMed]
Perveen, S. (2011). Maternal and neonatal adverse outcome at repeat caesarean delivery versus repeat vaginal delivery. J Coll Physicians Surg Pak, 21(2), 84-87.‏
Maharlouei, N., Moalaee, M., Ajdari, S., Zarei, M., & Lankarani, K. B. (2013). Caesarean delivery in south-western Iran: trends and determinants in a community-based survey. Medical Principles and Practice, 22(2), 184-188.‏
Sadat, Z., Taebi, M., Saberi, F., & Kalarhoudi, M. A. (2013). The relationship between mode of delivery and postpartum physical and mental health related quality of life. Iranian journal of nursing and midwifery research, 18(6), 499–504.
Taheri-Kalani, F., Mami, S., Direkvand-Moghadam, A., Kaikhavani, S., & Delpisheh, A. (2014). Comparison of the effect of delivery type on the quality of life in women attending to health centers of Ilam and Aivan during 2013. Journal of Shahrekord University of Medical Sciences, 16: 90-96.
Majzoobi, M. M., Majzoobi, M. R., Nazari-pouya, F., & Biglari, M. (2014). Comparing quality of life in women after vaginal delivery and caesarean section. Journal of Midwifery and Reproductive Health, 2(4), 207-214.‏
Rezaei, N., Azadi, A., Zargousi, R., Sadoughi, Z., Tavalaee, Z., and Rezayati, M. (2016): Maternal Health-Related Quality of Life and Its Predicting Factors in the Postpartum Period in Iran. Scientific, 2016.‏
Bahrami, N., Karimian, Z., Bahrami, S., and Bolbolhaghighi, N. (2014). Comparing the postpartum quality of life between six to eight weeks and twelve to fourteen weeks after birth in Iran. Iranian Red Crescent Medical Journal; 16(7):1–5. Doi: 10.5812/ircmj.16985.
De Oliveira, M. F., Parker, L., Ahn, H., Catunda, H. L. O., Bernardo, E. B. R., de Oliveira, M. F., & Castro, R. C. M. B. (2015). Maternal predictors of quality of life during the postpartum in Brazilian Mothers. Health, 7(03), 371–380. Do: 10.4236/health. 2015.73042.
Chang, S. R., Chen, K. H., Lin, M. I., Lin, H. H., Huang, L. H., and Lin, W. A. (2014). A repeated measures study of changes in health‐related quality of life during pregnancy and the relationship with obstetric factors. Journal of advanced nursing, 70(10), 2245-2256.‏
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