Paz-Pascual Carmen, Artieta-Pinedo Isabel, Bully Paola, Group Ema-Q, Espinosa Maite
Primary Care Midwife OSI Barakaldo Sestao. Osakidetza., Basque Country, Spain.
Biocruces Bizkaia Health Research Institute, Plaza de Cruces 12. 48903. Barakaldo, Bizkaia, Spain.
BMC Pregnancy Childbirth. 2025 Jul 2;25(1):682. doi: 10.1186/s12884-025-07803-w.
The postpartum period is a time of special vulnerability and unacceptably high morbidity for the mother, which warrants in-depth study. The objective of this study is to analyze the variables affecting quality of life (QoL) during the first six months postpartum, their relative influence, and the relationships between them.
Cross-sectional study with the participation of 289 postpartum women, who answered the digital questionnaires: SF-12 for QoL; EMAeHealth for self-management of health in the postpartum, which assesses: incontinence, sexuality, breastfeeding, adaptation to the maternal role and mental health; and "Prescribe Healthy Life" Screening Questionnaire, which measures diet, exercise and consumption of toxic. To analyze the relationship between the variables and their relative influence on QoL, a structural equation model was built.
Depression (β=-0.640; 90%CI: (-0.670)-(-0.505); p = 0.006), partner support (β = 0.331; 90%CI:0.217-0.424; p = 0.003), parental self-efficacy (β = 0.219; 90%CI:0.134-0.309; p = 0.001) and physical QoL (β=-0.223; 90%CI: (-0.294)-(-0.142); p = 0.002) are related to the mental dimension of QoL. Partner support also influences the breastfeeding self-efficacy (β = 0.28; 90%CI:0.197-0.373; p = 0.002), sexual satisfaction (β = 0.48; 90%CI:0.38-0.56; p = 0.03), body dissatisfaction (β=-0.155; 90%CI: (-0.27)-(-0.04); p = 0.031), and parental self-efficacy (β = 0.170; 90%CI:0.027-0.344; p = 0.045), which indirectly affect QoL. Depressive symptoms (β=-0.126; 90%CI: (-0.218)-(-0.026); p = 0.044) and smoking (β=-0.224; 90%CI: (-0.314)-(-0.132); p = 0.002) affect the physical component of QoL.
This study explains the influence of the variables involved in QoL after childbirth and their interrelationship, providing a graphical representation that facilitates a comprehensive understanding. This knowledge forces us, as midwives, to review perinatal and postpartum care with the aim of paying special attention to partner support and depressive symptoms.
产后时期是母亲特别脆弱且发病率高得令人无法接受的时期，值得深入研究。本研究的目的是分析产后头六个月影响生活质量（QoL）的变量、它们的相对影响以及它们之间的关系。
一项横断面研究，有289名产后妇女参与，她们回答了数字问卷：用于评估生活质量的SF - 12；用于产后健康自我管理的EMAeHealth，该问卷评估：尿失禁、性功能、母乳喂养、适应母亲角色和心理健康；以及“规定健康生活”筛查问卷，该问卷测量饮食、运动和有毒物质消费情况。为了分析变量之间的关系及其对生活质量的相对影响，构建了一个结构方程模型。
抑郁（β = -0.640；90%CI：(-0.670)-(-0.505)；p = 0.006）、伴侣支持（β = 0.331；90%CI：0.217 - 0.424；p = 0.003）、父母自我效能感（β = 0.219；90%CI：0.134 - 0.309；p = 0.001）和身体生活质量（β = -0.223；90%CI：(-0.294)-(-0.142)；p = 0.002）与生活质量的心理维度相关。伴侣支持还影响母乳喂养自我效能感（β = 0.28；90%CI：0.197 - 0.373；p = 0.002）、性满意度（β = 0.48；90%CI：0.38 - 0.56；p = 0.03）、身体不满意（β = -0.155；90%CI：(-0.27)-(-0.04)；p = 0.031）和父母自我效能感（β = 0.170；90%CI：0.027 - 0.344；p = 0.045），这些因素间接影响生活质量。抑郁症状（β = -0.126；90%CI：(-0.2...
