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Mautner E, Stern C, Avian A, Deutsch M, Schöll W, Greimel E. Neonates in the Intensive Care Unit: Maternal Health-Related Quality of Life and Depression After Term and Preterm Births. Front Pediatr 2022; 9:684576. [PMID: 35071122 PMCID: PMC8770971 DOI: 10.3389/fped.2021.684576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 12/06/2021] [Indexed: 11/13/2022] Open
Abstract
Background/Objective: To examine maternal physical and mental health-related quality of life (HRQoL) and depression after early and late preterm and term births in the early postpartum period. Method: In a prospective pilot study, three groups of women whose newborns had to be treated in the neonatal ward during the immediate postpartum period were established and compared with each other: 20 women with extremely to very preterm birth, 20 with moderate to late preterm birth and 20 women with term birth. All participants completed the Short Form-12 Health Survey (SF-12) to measure HRQoL, and the Edinburgh Postnatal Depression Scale (EPDS) to detect depressive symptoms combined with independently developed questions to evaluate anxiety and psychological distress. Results: Maternal psychological HRQoL was significantly worse in the very preterm birth group compared to moderate to late preterm birth (p < 0.001) and full-term birth groups (p = 0.004). There were no differences between the birth groups in depressive symptoms (p = 0.083), anxiety (p = 0.238), perceived stress (p = 0.340) and the general psychological distress values (p = 0.755). In the EPDS, the depression screening instrument 30 to 65% were beyond the cut-off-value to detect major depression. Conclusions: During the early postpartum period, an extensive medical care focussing on acute stress, HRQoL parameters and depression may be a good step to improving maternal well-being.
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Affiliation(s)
- Eva Mautner
- Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Christina Stern
- Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Alexander Avian
- Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria
| | - Maria Deutsch
- Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Wolfgang Schöll
- Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Elfriede Greimel
- Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
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Mautner E, Stern C, Avian A, Deutsch M, Fluhr H, Greimel E. Maternal Resilience and Postpartum Depression at the Neonatal Intensive Care Unit. Front Pediatr 2022; 10:864373. [PMID: 35620147 PMCID: PMC9127378 DOI: 10.3389/fped.2022.864373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 04/06/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The neonatal intensive care unit causes maternal stress and postpartum depressive symptoms in preterm and term mothers. Personal resources like maternal resilience are usually not considered in counselling these women. OBJECTIVE This study aims to evaluate the resilience and differences in postpartum depression after admission of newborns at the neonatal intensive care unit. METHODS This prospective pilot study was conducted in a single teaching hospital in Austria from December 2016 until December 2018. Sixty women completed two internationally validated questionnaires, the Edinburgh Postnatal Depression Scale (EPDS) to evaluate depressive symptoms and the Resilience Scale RS-13 to measure maternal resilience during the postpartum period (3 to 10 days postpartum). Additionally, women answered two open questions about burdens and relief. RESULTS Twenty women (34%) showed lower resilience scores. The 39 high-resilient women (66%) showed significantly less depression (p = 0.005). Women reported social support from their partner (n = 15), health professionals and psychologists (n = 15), family and friends (n = 12), and child-specific relief, e.g., spending time with the newborn and involvement in care (n = 7) as the most helpful variable during the first postpartum period. CONCLUSION The experience of having a newborn at the neonatal intensive care unit is a challenging event for women. Women have different resilience parameters. Mothers with lower resilience will benefit from social support and emotional health-promoting activities.
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Affiliation(s)
- Eva Mautner
- Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.,Department of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria
| | - Christina Stern
- Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Alexander Avian
- Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria
| | - Maria Deutsch
- Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.,Department of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria
| | - Herbert Fluhr
- Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Elfriede Greimel
- Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.,Department of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria
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Mautner E, Kalchmair H, Avian A, Deutsch M, Greimel E, Klaritsch P. Health-Related Quality of Life and Depression in Women following Intrauterine Interventions in Complicated Monochorionic Twin Pregnancies. Fetal Diagn Ther 2018; 46:125-132. [PMID: 30408785 DOI: 10.1159/000492325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 07/20/2018] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The aim of this study was to explore maternal health-related quality of life (HRQoL) and depression following intrauterine interventions in complicated monochorionic twin pregnancies at the Medical University Graz. MATERIAL AND METHODS In a cross-sectional questionnaire survey, women with at least one liveborn infant following intrauterine intervention during 2011 and 2015 were matched with uncomplicated monochorionic and dichorionic pregnancies. All completed the 12-Item Short Form Health Survey to measure HRQoL and the Patient Health Questionnaire-9 to measure depression. Results were compared with local normative values. RESULTS There were no differences in physical and mental HRQoL as compared to those with uncomplicated pregnancy. However, the whole study population had significantly lower HRQoL scores (p < 0.001) than the normative sample. Additionally, 11% of the whole study population experienced moderate (6.2%) or moderately severe (4.6%) depression. Women following uncomplicated dichorionic pregnancy revealed more depressive symptoms compared to women with intervention. DISCUSSION Women with at least one surviving infant following intervention in complicated monochorionic twin pregnancy do not seem to have an impaired HRQoL as compared to women following uncomplicated monochorionic or dichorionic pregnancies. However, twin pregnancy itself appears to impair HRQoL, at least in the first 4 postnatal years.
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Affiliation(s)
- Eva Mautner
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Hannah Kalchmair
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Alexander Avian
- Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria
| | - Maria Deutsch
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Elfriede Greimel
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Philipp Klaritsch
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria,
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Bai G, Raat H, Jaddoe VWV, Mautner E, Korfage IJ. Trajectories and predictors of women's health-related quality of life during pregnancy: A large longitudinal cohort study. PLoS One 2018; 13:e0194999. [PMID: 29614087 PMCID: PMC5882096 DOI: 10.1371/journal.pone.0194999] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 03/14/2018] [Indexed: 11/18/2022] Open
Abstract
The objective of this study was to identify distinct trajectories and their predictors of health-related quality of life (HRQOL) of women during pregnancy in a prospective mother and child cohort. Analyses were based on 3936 Dutch pregnant women in Rotterdam area, the Netherlands. Information on potential predictors was collected in early pregnancy by questionnaire. Latent Class Mixture Modelling and Multinomial Logistic Regression were applied to assess the trajectory and predictors of HRQOL during pregnancy. HRQOL was measured by SF-12 in early, mid- and late pregnancy; physical and mental component summary (PCS-12/MCS-12) scores were calculated. Four physical HRQOL trajectories were identified: a healthy trajectory (‘healthy’) in 63.3%, consistently low (‘vulnerable’) in 10.8%; a small increase (‘recovering’) in 12.8% and a large decrease (‘at risk’) in 13.1%. Three mental HRQOL trajectories were identified: a healthy trajectory (‘healthy’) in 86.1%; a large increase (‘recovering’) in 7.5%; and a large decrease (‘at risk’) in 6.4%. Compared with healthy trajectories, the likelihood of following the ‘vulnerable’ physical HRQOL trajectory rather than a healthy trajectory was increased by daily fatigue(OR: 4.82[2.76, 8.40]), pelvic pain (OR:4.76[2.91, 7.78]) and back pain (OR:5.29[3.21, 8.70]); pregnancy-specific anxiety increased the likelihood of following the ‘at risk’ mental HRQOL trajectory (OR:7.95[4.84, 13.05]). Healthy physical and mental HRQOL trajectories during pregnancy were most common. Predictors indicative of poor HRQOL trajectories included pregnancy-related symptoms and anxiety.
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Affiliation(s)
- Guannan Bai
- Department of Public Health, Erasmus MC-University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
- The Generation R Group, Erasmus MC- University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus MC-University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
- * E-mail:
| | - Vincent W. V. Jaddoe
- The Generation R Group, Erasmus MC- University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
- Department of Epidemiology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
- Department of Paediatrics, Erasmus MC- University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
| | - Eva Mautner
- Department of Obstetrics and Gynaecology, Medical University of Graz, Auenbruggerplatz 14, Graz, Austria
| | - Ida J. Korfage
- Department of Public Health, Erasmus MC-University Medical Center Rotterdam, Rotterdam, South Holland, the Netherlands
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Kollmann M, Aldrian L, Scheuchenegger A, Mautner E, Herzog SA, Urlesberger B, Raggam RB, Lang U, Obermayer-Pietsch B, Klaritsch P. Early skin-to-skin contact after cesarean section: A randomized clinical pilot study. PLoS One 2017; 12:e0168783. [PMID: 28231274 PMCID: PMC5322896 DOI: 10.1371/journal.pone.0168783] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 12/05/2016] [Indexed: 11/18/2022] Open
Abstract
Objective Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was to investigate the impact of intraoperative bonding (early SSC) after cesarean section on neonatal adaptation, maternal pain and stress response. Study design This prospective, randomized-controlled pilot study was performed at a single academic tertiary hospital (Department of Obstetrics and Gynecology, Medical University of Graz, Austria) between September 2013 and January 2014. Women were randomly assigned to intraoperative (“early”) SCC (n = 17) versus postoperative (“late”) SCC (n = 18). Main variables investigated were neonatal transition (Apgar score, arterial oxygen saturation, heart rate and temperature), maternal pain perception and both maternal and neonatal stress response by measuring the stress biomarkers salivary free cortisol and salivary alpha amylase. Results There was no evidence for differences in parameters reflecting neonatal transition or stress response between the ‘Early SSC Group’ and the ‘Late SSC Group’. Maternal salivary cortisol and alpha-amylase levels as well as maternal wellbeing and pain did not differ between the groups. However, the rise of maternal salivary alpha-amylase directly after delivery was higher in the ‘Early SSC Group’ compared to the ‘Late SSC Group’ (p = 0.004). Conclusions This study did not reveal significant risks for the newborn in terms of neonatal transition when early SSC is applied in the operating room. Maternal condition and stress marker levels did not differ either, although the rise of maternal salivary alpha-amylase directly after delivery was higher in the ‘Early SSC Group’ compared to the ‘Late SSC Group’, which may indicate a stressor sign due to intensive activation of the sympathetic-adreno-medullary-system. This needs to be further evaluated in a larger prospective randomized trial. Trial registration ClinicalTrials.gov NCT01894880
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Affiliation(s)
- Martina Kollmann
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Lisa Aldrian
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Anna Scheuchenegger
- Division of Neonatology, Department of Pediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria
| | - Eva Mautner
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Sereina A. Herzog
- Institute for Medical Informatics, Statistics and Documentation (IMI), Medical University of Graz, Graz, Austria
| | - Berndt Urlesberger
- Division of Neonatology, Department of Pediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria
| | - Reinhard B. Raggam
- Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria
- Division of Angiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
| | - Uwe Lang
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
| | - Barbara Obermayer-Pietsch
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, Graz, Austria
| | - Philipp Klaritsch
- Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
- * E-mail:
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Kollmann M, Scheuchenegger A, Aldrian L, Herzog S, Mautner E, Lang U, Urlesberger B, Obermayer-Pietsch B, Raggam RB, Klaritsch P. Früher Haut zu Haut Kontakt nach Kaiserschnitt – eine randomisierte klinische Pilotstudie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1582188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Kollmann M, Scheuchenegger A, Aldrian L, Herzog S, Mautner E, Lang U, Urlesberger B, Obermayer-Pietsch B, Klaritsch P. Pilotstudie: „Sectio Bonding/Early Skin-To-Skin Contact (SSC) after Caesarean Section”. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Mautner E, Stern C, Deutsch M, Nagele E, Greimel E, Lang U, Cervar-Zivkovic M. The impact of resilience on psychological outcomes in women after preeclampsia: an observational cohort study. Health Qual Life Outcomes 2013; 11:194. [PMID: 24225064 PMCID: PMC3831246 DOI: 10.1186/1477-7525-11-194] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Accepted: 11/07/2013] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND Preeclampsia is a frequent obstetric complication which affects the mother`s and the fetus's health and can be life threatening. It also has an impact on psychological outcomes. There may be protective variables such as resilience shielding against psychosocial distress in women experiencing these pregnancy complications. The aim of this study was to examine differences in resilience in terms of quality of life, depression and post-traumatic stress symptoms in women after preeclampsia. METHODS Four international validated questionnaires were used to measure the psychological outcomes (Medical Outcome Study Short-Form SF12, Edinburgh Postnatal Depression Scale EPDS, Resilience Scale RS13, Impact of Event Scale IES-R). Statistical analyses were performed using independent-samples t-test and chi-square test. RESULTS 67 women with previous preeclampsia returned the questionnaires. Women with high resilience showed significantly less depression (p = 0.001) and better mental quality of life (p = 0.002) compared to women with low resilience. No group differences were found on the medical and socio-demographic characteristics. CONCLUSIONS Resilience has an important impact on the psychological outcomes in women after preeclampsia. A screening for resilience, depression and quality of life may be appropriate to identify these women.
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Affiliation(s)
- Eva Mautner
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Christina Stern
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Maria Deutsch
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Eva Nagele
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Elfriede Greimel
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Uwe Lang
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
| | - Mila Cervar-Zivkovic
- Department of Obstetrics and Gynaecology, Medical University of Graz, Augenbruggerplatz 14, Graz A-8036, Austria
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Stern C, Trapp EM, Mautner E, Deutsch M, Lang U, Cervar-Zivkovic M. The impact of severe preeclampsia on maternal quality of life. Qual Life Res 2013; 23:1019-26. [DOI: 10.1007/s11136-013-0525-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2013] [Indexed: 11/29/2022]
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Stern C, Trapp EM, Mautner E, Deutsch M, Lang U, Cervar-Zivkovic M. Schwere Präeklampsie und ihr Einfluss auf die mütterliche Lebensqualität. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Reif P, Mautner E, Tappauf C, Schest EC, Schöll W, Lang U. Evaluierung des Trainingseffekts eines online Trainingsprogramms zur subpartualen fetalen Überwachung. Geburtshilfe Frauenheilkd 2012. [DOI: 10.1055/s-0032-1313689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Stern C, Mautner E, Deutsch M, Ulrich D, Mayer- Pickel K, Daghofer F, Cervar- Zivkovic M. Sind Frauen nach hypertensiven Schwangerschaftserkrankungen in ihrer Lebensqualität beeinträchtigt? Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1278601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Mautner E, Egger J, Daghofer F, Lang U, Greimel E. Prä- und postpartale Risikofaktoren für die Lebensqualität. Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0029-1241021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Mautner E, Greimel E, Trutnovsky G, Daghofer F, Egger JW, Lang U. Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. J Psychosom Obstet Gynaecol 2009; 30:231-7. [PMID: 19845493 DOI: 10.3109/01674820903254757] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
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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Affiliation(s)
- Eva Mautner
- Department of Obstetrics and Gynecology, University Hospital Graz, Graz 8036, Austria.
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Abstract
The treatment of pregnant women with gestational diabetes mellitus (GDM) is an increasingly important field in obstetrical clinical practice. In recent years, the impact of GDM has been examined in terms of its psychological and medical treatment consequences. In this paper, we present a review of studies of the psychological outcomes of GDM and pre-existent diabetes. In addition, we describe the influence of GDM on health behaviour. Pre-existent diabetes is associated with decreases in well-being and should be recognized and treated by health care providers. Medical and psychological treatment should be offered in a specialized outpatient setting. In addition, diet and exercise counselling is recommended to give women the best control and responsibility for their health and that of their newborn.
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Affiliation(s)
- E Mautner
- Klinische Abteilung für Geburtshilfe, Universitätsklinik für Frauenheilkunde und Geburtshilfe, Medizinische Universität Graz, Auenbruggerplatz 14, Graz, Austria.
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Mautner E, Egger JW, Trutnovsky G, Greimel E. Lebensqualität, Schwangerschaft und Geburt – Medizinische und psychosoziale Einflussfaktoren auf die Lebensqualität und Befindlichkeit. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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