Measuring perinatal and postpartum quality of life of women and associated factors in semi-urban Bangladesh

Mahumud, Rashidul Alam ORCID: https://orcid.org/0000-0001-9788-1868 and Ali, Nausad and Sheikh, Nurnabi and Akram, Raisul and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 and Gow, Jeff and Sarker, Abdur Razzaque and Sultana, Marufa (2019) Measuring perinatal and postpartum quality of life of women and associated factors in semi-urban Bangladesh. Quality of Life Research, 28 (11). pp. 2989-3004. ISSN 0962-9343


Abstract

Purpose: The objective of this study was to measure the health-related quality of life (HRQoL) among pregnant women in the perinatal and postpartum periods and determine influencing factors that predict their HRQoL.

Methods: The study was conducted among pregnant women who live in a semi-urban area of Chandpur, Bangladesh. A total of 465 women were recruited. The EuroQoL 5-Dimension 3-Level (EQ-5D-3L) and EuroQoL visual analog scale (EQ-VAS) instruments were used to measure the HRQoL of participants. Two-sample mean test (t test) was performed to examine the changes in HRQoL between the perinatal and postnatal periods of the same individuals. Multivariate linear regression was employed to identify the factors influencing HRQoL during the two periods.

Results: Overall, the HRQoL scores improved significantly from the perinatal (0.49) to postpartum (0.86) period. Approximately 58% of women experienced moderate or extreme levels of health problems during the perinatal period regardless of their health status. However, most women had significantly improved health status in the postpartum period. Gestational weight gain and recommended postnatal care were significantly associated with improved HRQoL. Factors that negatively influenced changes in HRQoL included adolescent motherhood, caesarean delivery, inadequate antenatal care consultations and living in a poor household, during both the perinatal and postpartum periods.

Conclusions: Overall health status is found to be poor among women during the perinatal period compared with the postpartum period. The study indicates that interventions to address the influencing factors are needed to ensure better quality of life for women both pre- and post-birth. Community-based initiatives, such as awareness building, might address negative factors and subsequently improve health status and reduce adverse health outcomes related to pregnancy and postnatal care.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Commerce (1 July 2013 -)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 27 Nov 2019 03:05
Last Modified: 03 Feb 2020 05:40
Uncontrolled Keywords: EQ-5D-3L; EQ-VAS; health-related quality of life; pregnancy; Bangladesh
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
14 Economics > 1402 Applied Economics > 140208 Health Economics
14 Economics > 1403 Econometrics > 140301 Cross-Sectional Analysis
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920408 Health Status (e.g. Indicators of Well-Being)
C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
B Economic Development > 91 Economic Framework > 9102 Microeconomics > 910209 Preference, Behaviour and Welfare
Identification Number or DOI: 10.1007/s11136-019-02247-0
URI: http://eprints.usq.edu.au/id/eprint/37345

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