Department of Public Health, Erasmus MC-University Medical Centre Rotterdam, Wytemaweg 80, Rotterdam, 3015 CN, South Holland, The Netherlands.
The Generation R Group, Erasmus MC-University Medical Centre Rotterdam, Wytemaweg 80, Rotterdam, 3015 CN, South Holland, The Netherlands.
Int J Environ Res Public Health. 2019 Sep 4;16(18):3231. doi: 10.3390/ijerph16183231.
Having good health-related quality of life (HRQoL) is essential, particularly for women after childbirth. However, little is known about its determinants. We aimed to identify the determinants of HRQoL after childbirth in a large community sample in the Netherlands. We have included 4312 women in the present study. HRQOL was assessed by a 12-Item Short Form Survey (SF-12) at around two months after childbirth; Physical and Mental Component Summary scores were calculated. Information on 27 potential determinants of HRQoL was collected through questionnaires and medical records. Multivariate linear regression models were applied to assess significant determinants of physical and mental HRQoL. Our study showed that older maternal age, shorter time since childbirth, elective/emergency cesarean delivery, loss of energy, maternal psychopathology, and the hospital admission of the infant were significantly associated with worse physical HRQoL ( < 0.05); older maternal age, non-western background, low household income, loss of energy, and maternal psychopathology were significantly associated with worse mental HRQoL ( < 0.05). We identified multiple determinants of suboptimal physical and mental HRQoL after childbirth. In particular, maternal psychopathology after childbirth was profoundly associated with mental HRQoL. These women may need support. We therefore call for awareness among health care professionals.
拥有良好的健康相关生活质量（HRQoL）至关重要，特别是对于产后妇女。然而，对于其决定因素知之甚少。我们旨在确定荷兰一个大型社区样本中产后 HRQoL 的决定因素。我们在本研究中纳入了 4312 名女性。产后两个月左右，通过 12 项简明健康状况调查问卷（SF-12）评估 HRQoL；计算了身体和精神成分综合评分。通过问卷和病历收集了 27 个潜在 HRQoL 决定因素的信息。应用多元线性回归模型来评估身体和精神 HRQoL 的显著决定因素。我们的研究表明，母亲年龄较大、产后时间较短、选择性/紧急剖宫产、乏力、产妇精神病理学和婴儿住院与较差的身体 HRQoL 显著相关（<0.05）；母亲年龄较大、非西方背景、家庭收入低、乏力和产妇精神病理学与较差的精神 HRQoL 显著相关（<0.05）。我们确定了产后身体和精神 HRQoL 不理想的多个决定因素。特别是产后产妇精神病理学与精神 HRQoL 密切相关。这些女性可能需要支持。因此，我们呼吁医疗保健专业人员提高认识。
