National Maternity Hospital, Dublin, Ireland.
National Accreta Foundation, Saratoga, California, USA.
Aust N Z J Obstet Gynaecol. 2021 Oct;61(5):708-714. doi: 10.1111/ajo.13338. Epub 2021 Mar 25.
Little is known about the impact of Placenta Accreta Spectrum (PAS) on quality of life (QoL). This study aims to explore QoL and sexual function after a pregnancy complicated by PAS.
Women who experienced a pregnancy complicated by PAS were invited to complete an online survey. Two validated surveys were completed: Short Form 36 (SF-36) and Female Sexual Function Index (FSFI). The mean scores were calculated and were compared between women by pregnancy outcomes. Continuous variables were presented as mean (standard deviation (SD)) and were compared to assess for significance between groups using independent t-test and one-way analysis of variance. Categorical variables were compared using χ test.
A total of 142 women responded to the survey. For the SF-36, physical health was significantly higher for women at 24-36 months postpartum compared to those from 0-6 months postpartum for physical functioning (mean difference 21.9 (95% confidence interval (CI) 10.2, 33.5), role limitation due to physical function (mean difference 32.1 (95% CI 9.4, 54.7)) and pain (mean difference 15.5 (95% CI 3.4, 30.9)). For the mental health domains, only vitality improved at 24-36 months compared to the first six months postpartum (mean difference 12.8 (95% CI 0.2, 25.5)). The mean FSFI score was 24.8 (±5.8), lower than the critical score of 26.5 indicating sexual dysfunction, and 56.8% (n = 75), scored less than 26.5.
Women after a pregnancy complicated by PAS had high scores on the physical health domains of SF-36. The mental health scores were lower for all women regardless of time since birth.
关于胎盘植入谱系疾病（PAS）对生活质量（QoL）的影响知之甚少。本研究旨在探讨 PAS 妊娠后 QoL 和性功能。
邀请经历 PAS 妊娠的女性完成在线调查。完成了两个经过验证的调查：简明健康调查问卷 36 项（SF-36）和女性性功能指数（FSFI）。计算平均得分，并按妊娠结局比较女性间的得分。连续变量以平均值（标准差（SD））表示，并通过独立 t 检验和单因素方差分析比较组间差异。分类变量采用 χ²检验进行比较。
共有 142 名女性对调查做出了回应。SF-36 方面，产后 24-36 个月的女性在身体机能（平均差异 21.9（95%置信区间（CI） 10.2，33.5）、因身体机能导致的角色限制（平均差异 32.1（95% CI 9.4，54.7））和疼痛（平均差异 15.5（95% CI 3.4，30.9））方面的身体健康明显高于产后 0-6 个月的女性。在心理健康方面，只有活力在产后 24-36 个月时较产后前 6 个月有所改善（平均差异 12.8（95% CI 0.2，25.5））。FSFI 平均得分为 24.8（±5.8），低于 26.5 的临界值，表示存在性功能障碍，56.8%（n=75）的得分低于 26.5。
经历 PAS 妊娠的女性在 SF-36 的身体健康领域得分较高。所有女性的心理健康评分都较低，而与分娩后时间无关。
