■产后期间,了解女性的幸福,特别是他们与健康相关的生活质量(HRQoL),对于全面的医疗保健至关重要。
■我们的研究旨在探讨摩洛哥妇女在阴道分娩(VB)和剖宫产(CS)后的HRQoL及其相关因素。
■在这项横断面研究中,我们评估了在Settat省医院中心分娩的摩洛哥妇女的HRQoL及其相关因素。我们收集了566名女性的数据,使用EQ-5D-5L工具以及关于社会经济和产科方面的问卷。评估是利用改进的相对于识别分布(RIDIT)方法进行的,我们采用多元线性回归模型来确定相关因素。
■总共566名女性被纳入我们的研究。我们的结果显示,接受CS的女性的HRQoL显着低于VB女性(EQ-5D指数=0.30±0.28vs0.61±0.31;p<0.0001)。同样,CS降低了EQ-VAS评分(平均差=-10.73±3.78;p<0.0001)。CS与移动性问题呈负相关(ARI=55%[42-67],p<0.0001),自主性(ARI=67%[57-80],p<0.0001),和通常的活动(ARI=56%[42-69],p<0.0001)。此外,CS与疼痛/不适相关(ARI=47%[34-60],p<0.0001)和焦虑/抑郁(ARI=3%[-5.8-12.6],p=0.31)。与没有并发症的妇女相比,有出生并发症的妇女的HRQoL最差(EQ-5D指数评分=0.32)(EQ-5D指数评分=0.56)。同样,有产后并发症的女性的HRQoL最差(EQ-5D指数评分=0.39vsEQ-5D指数评分=0.54).
■结果突出了出生模式,分娩并发症,产后并发症与女性的HRQoL密切相关。EQ-5D-5L尺寸在分娩后受到影响。因此,需要创建专门的举措来监督产后HRQoL,旨在提高孕产妇保健质量。
UNASSIGNED: During the postpartum period, understanding women\'s well-being, specifically their Health-related Quality of Life (
HRQoL), is vital for comprehensive healthcare.
UNASSIGNED: Our study aims to explore the
HRQoL and its associated factors in Moroccan women after vaginal birth (VB) and cesarean section (CS).
UNASSIGNED: In this cross-sectional study we assessed the
HRQoL and its associated factors among Moroccan women who gave birth at the provincial hospital center of Settat. We gathered data from 566 women, using the EQ-5D-5L instrument alongside questionnaires about socioeconomic and obstetrical aspects. The assessment was conducted utilizing the improved Relative to an Identified Distribution (RIDIT) approach, and we employed a multiple linear regression model to pinpoint the associated factors.
UNASSIGNED: A total of 566 women were included in our study. Our results revealed that the
HRQoL in women who underwent CS was significantly lower than in VB women (EQ-5D index score = 0.30 ± 0.28 vs 0.61 ± 0.31; p < 0.0001). Similarly, the CS reduced the EQ-VAS score (mean difference = -10.73 ± 3.78; p < 0.0001). The CS was associated negatively with problems in mobility (ARI = 55 % [42-67], p < 0.0001), autonomy (ARI = 67 % [57-80], p < 0.0001), and usual activities (ARI = 56 % [42-69], p < 0.0001). Also, CS was associated with pain/discomfort (ARI = 47 % [34-60], p < 0.0001) and anxiety/depression (ARI = 3 % [-5.8-12.6], p = 0.31). The women who had birth complications had the worst HRQoL (EQ-5D index score = 0.32) compared to those who had no complications (EQ-5D index score = 0.56). Likewise, women who had postpartum complications had the worst
HRQoL (EQ-5D index score = 0.39 vs EQ-5D index score = 0.54).
UNASSIGNED: The results highlighted that mode of birth, childbirth complications, and postpartum complications are strongly associated with women\'s HRQoL. The EQ-5D-5L dimensions were affected after delivery. Hence, there is a requirement to create specialized initiatives for overseeing postpartum HRQoL, aiming to enhance the quality of maternal healthcare.