Department of Nursing and Health Promotion, Faculty of Health Sciences, Metropolitan University, Oslo, Norway.
BMC Pregnancy Childbirth. 2022 Jan 3;22(1):4. doi: 10.1186/s12884-021-04303-5.
Having good Quality of Life (QoL) is essential, particularly for women after childbirth. However, little is known about the factors associated with maternal QoL after giving birth. We aimed to investigate the relationship between characteristics of the mother (socio-demographic variables), selected symptoms (depression and joy/anger), health perception (perception of birth) and possible characteristics of the environment (infant temperament, colic, sleep, parental relationship), with mothers' overall quality of life when the child is 6 months of age.
This study is based on the Norwegian Mother, Father and Child Cohort Study (MoBa), conducted at the Norwegian Institute of Public Health from June 1999 to December 2008, which included a total of 86,724 children. Maternal QoL was assessed by the Satisfaction With Life Scale. Joy and anger were measured using the Differential Emotional Scale, mothers' mental health was assessed using the Edinburgh Postnatal Depression Scale and satisfaction with relationship was measured using the Relationship Satisfaction Scale. Child temperament was measured using the Infant Characteristics Questionnaire and colic, sleep duration and feelings related to childbirth were assessed by mothers' reports. The associations between life satisfaction and selected variables were analysed using stepwise multiple linear regression models, and the results are presented as effect sizes (ES).
Maternal feelings of joy of having a baby (ES = 0.35), high relationship satisfaction (ES = 0.32), as well as having a baby with normal sleep (ES = 0.31), are factors associated with higher maternal overall QoL. Postnatal depression was negatively associated with mothers' QoL, and infant colic or child's temperament (fussiness) showed no such association with mothers' QoL.
Health professionals and clinicians should focus on infants sleep but also on supporting joy of motherhood and strengthening relationships of the new parents when they develop health interventions or provide counselling to new mothers and their families.
生活质量（QoL）良好至关重要，尤其是对于产后女性而言。然而，人们对产后母亲生活质量相关因素知之甚少。我们旨在研究母亲特征（社会人口统计学变量）、特定症状（抑郁和喜悦/愤怒）、健康感知（对分娩的感知）和可能的环境特征（婴儿气质、绞痛、睡眠、父母关系）与儿童 6 个月时母亲整体生活质量之间的关系。
本研究基于挪威母婴队列研究（MoBa），该研究于 1999 年 6 月至 2008 年 12 月在挪威公共卫生研究所进行，共纳入了 86724 名儿童。母亲的生活质量通过生活满意度量表进行评估。喜悦和愤怒通过差异情绪量表进行测量，母亲的心理健康通过爱丁堡产后抑郁量表进行评估，关系满意度通过关系满意度量表进行评估。婴儿气质通过婴儿特征问卷进行测量，绞痛、睡眠时间和与分娩相关的感受通过母亲报告进行评估。使用逐步多元线性回归模型分析生活满意度与选定变量之间的关联，并以效应量（ES）表示结果。
母亲对婴儿的喜悦感（ES=0.35）、高关系满意度（ES=0.32）以及婴儿具有正常睡眠（ES=0.31）是与母亲整体生活质量较高相关的因素。产后抑郁与母亲的生活质量呈负相关，而婴儿绞痛或儿童气质（烦躁）与母亲的生活质量无明显关联。
健康专业人员和临床医生在制定健康干预措施或为新母亲及其家庭提供咨询时，应关注婴儿的睡眠，同时还要支持母亲的母性喜悦并加强新父母之间的关系。
