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Determinants of Maternal Health-Related Quality of Life after Childbirth: The Generation R Study

Author

Listed:
  • Guannan Bai

    (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)

  • Ida J Korfage

    (Department of Public Health, Erasmus MC-University Medical Centre Rotterdam, Wytemaweg 80, Rotterdam, 3015 CN, South Holland, The Netherlands)

  • Eva Mautner

    (Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerpl. 2, Graz 8036, Austria)

  • Hein Raat

    (Department of Public Health, Erasmus MC-University Medical Centre Rotterdam, Wytemaweg 80, Rotterdam, 3015 CN, South Holland, The Netherlands)

Abstract

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 ( p < 0.05); older maternal age, non-western background, low household income, loss of energy, and maternal psychopathology were significantly associated with worse mental HRQoL ( p < 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.

Suggested Citation

  • Guannan Bai & Ida J Korfage & Eva Mautner & Hein Raat, 2019. "Determinants of Maternal Health-Related Quality of Life after Childbirth: The Generation R Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3231-:d:263850
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    References listed on IDEAS

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    1. Elizabeth N Emmanuel & Jing Sun, 2014. "Health related quality of life across the perinatal period among Australian women," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(11-12), pages 1611-1619, June.
    2. Juan Miguel Martínez-Galiano & Antonio Hernández-Martínez & Julián Rodríguez-Almagro & Miguel Delgado-Rodríguez & Ana Rubio-Alvarez & Juan Gómez-Salgado, 2019. "Women’s Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium," IJERPH, MDPI, vol. 16(2), pages 1-9, January.
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    Cited by:

    1. Claudio Costantino & Alessandra Casuccio & Vincenzo Restivo, 2020. "Potential Risks and Factors of Women’s Health Promotion," IJERPH, MDPI, vol. 17(24), pages 1-7, December.

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