a Department of Obstetrics , Leiden University Medical Centre , Leiden , the Netherlands.
b Institute of Psychology , Erasmus University Rotterdam , Rotterdam , the Netherlands.
J Psychosom Obstet Gynaecol. 2018 Mar;39(1):38-46. doi: 10.1080/0167482X.2017.1286640. Epub 2017 Feb 9.
A description is given of the quality of life (QOL) of women who were treated with peripartum embolization or hysterectomy for major obstetric hemorrhage (MOH).
Questionnaires assessing QOL, combined with questionnaires and drawings assessing illness perceptions, were used to compare women with MOH to reference groups provided by the questionnaires.
Women who experienced MOH have similar scores on QOL questionnaires compared to reference groups. Women treated with arterial embolization scored better than women treated with hysterectomy. Partners of women with MOH scored better on QOL questionnaires than reference groups. Drawings reflect the major emotional impact of MOH.
MOH does not seem to have a negative effect on QOL 6-8 years after the event, although drawings and verbalizations indicate major emotional impact. More extensive follow-up is advised for early recognition of the need for psychological help. Women after embolization seem to have better QOL compared to women after hysterectomy.
本文描述了因产后大出血（MOH）接受围产期栓塞或子宫切除术治疗的女性的生活质量（QOL）。
使用评估 QOL 的问卷，并结合评估疾病认知的问卷和绘图，将 MOH 女性与问卷提供的参考组进行比较。
与参考组相比，经历 MOH 的女性在 QOL 问卷上的得分相似。接受动脉栓塞治疗的女性比接受子宫切除术治疗的女性得分更好。MOH 女性的伴侣在 QOL 问卷上的得分比参考组更好。绘图反映了 MOH 的主要情绪影响。
尽管绘图和口头描述表明存在重大情绪影响，但 MOH 似乎不会对事件发生后 6-8 年的 QOL 产生负面影响。建议进行更广泛的随访，以便及早发现需要心理帮助的情况。与接受子宫切除术的女性相比，接受栓塞治疗的女性的 QOL 似乎更好。
