Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
Faculty of Medicine, International School, Jinan University, Guangzhou, China.
Health Qual Life Outcomes. 2021 Jul 21;19(1):182. doi: 10.1186/s12955-021-01811-y.
Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy.
This cross-sectional study was performed using the The EuroQoL Group's five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China.
A total of 908 pregnant women were included in this study. Pregnant women in the early 2 trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group's visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13).
During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.
孕妇经历身体、生理和心理变化。健康相关生活质量（HRQoL）是心理和身体行为的一个相关指标，在整个怀孕期间会发生变化。本研究旨在评估不同孕期孕妇的 HRQoL。
本横断面研究使用欧洲五维健康量表（EQ-5D-5L）评估了孕妇的 HRQoL，并收集了人口统计学数据。本研究在中国广州的一家地区性大学医院进行。
共有 908 名孕妇纳入本研究。处于早孕期 2 期的孕妇 HRQoL 最高。孕妇的 HRQoL 从第 1 孕期到早孕期 2 期上升，在孕晚期 3 期因一些身心变化降至最低。报告有疼痛/不适问题的最为常见（46.0%），而自我护理则最不受关注。在整个 5 个维度中，超过 10%的孕妇在第 1 孕期至少有一个维度与健康相关的问题。在整个样本中，欧洲五维健康量表的视觉模拟量表（EQ-VAS）为 87.86±9.16。在整个孕期，HRQoL 保持稳定，但在第 1 孕期达到最高值（89.65±10.13），而在孕晚期 3 期最低（87.28±9.13）。
在怀孕期间，HRQoL 与妊娠时期有一定的相关性。HRQoL 在早孕期 2 期最高，随后由于一系列身心变化降至最低，在孕晚期 3 期最低。因此，产科医生和医疗机构应更加关注和关心孕晚期的孕妇。
