PHYSICAL AND PSYCHO-EMOTIONAL DISORDERS IN WOMEN WITH POSTPARTUM COMPLICATIONS

Authors:

Abstract:

In terms of prevalence, one of the leading places in the structure of gynecological morbidity is occupied by postpartum complications. The aim was to study the quality of life in women with early postpartum complications. 150 puerperae were divided into two groups: the main group – women with puerperal complications (n=100) aged 29.9±0.64, the comparison group – puerperae with the physiological course of the postpartum period (n=50) at the age of 30.3±0.86 years (p=0.679). In puerperae data of the SF-36 quality of life questionnaire were obtained. Indicators revealed a significant decrease in the values on the scale “Physical functioning” in the main group, compared with the control group (63.3±0.80 and 82.3±0.86, respectively; p=0.0001) and statistically significant decrease in indicators on the “Mental Health” (MH) scale in the main group – 69.6±0.64, versus 77.8±1.03 in the control group (p=0.0001). Thus, women with early postpartum complications are characterized by an increase in restrictions in the performance of physical activity and a pronounced deterioration in the psycho-emotional state.

Keywords:

postpartum period complications risk factors quality of life questionnaire SF-36

References:

1. Espayeva RN. Otsenka kachestva zhizni v poslerodovom periode pervorodyashikh zhenshchin perenesshikh akusherskie krovotecheniya. Izvestiya vuzov Kyrgyzstana. 2019; 2: 55–62 https://doi:10.26104/IVK.2019.45.557 [In Russian]
2. Lipatov IS, Tezikov YuV, Tyutyunnik VL, Kan NYe, Kuz'mina AI, Zumorina EM, Yakusheva AO. Rol insulinorezistentnosti v mekhanizmakh adaptatsii i formirovanii patologii poslerodovogo i rannego neonatalnogo periodov. Akusherstvo i ginekologiya. 2022; 2: 28–36 https://dx.doi.org/10.18565/aig.2022.2.28-36. [In Russian]
3. Girchenko P, Robinson R, Rantalainen VJ, Lahti-Pulkkinen M, Heinonen-Tuomaala K, Lemola S, etal. Maternal postpartum depressive symptoms partially mediate the association between preterm birth and mental and behavioral disorders in children. Sci Rep. 2022; 12: 947. https://doi.org/10.1038/s41598-022-04990-w
4. Grundström H, Malmquist A, Ivarsson A, Torbjörnsson E, Walz M, Nieminen K. Fear of childbirth postpartum and its correlation with post-traumatic stress symptoms and quality of life among women with birth complications — a cross-sectional study. Arch Womens Ment Health. 2022; 25: 485–491. https://doi.org/10.1007/s00737-022-01219-7
5. Herasymenko LO. Postnatal period psychological aspects Wiadomosci Lekarskie. 2019; 71(2): 271–274. PMID: 30903786
6. Ishaq R, Shoaib M, Baloch NS, Sadiq A, Raziq A, Huma Z et al. Profile and Predictors of Maternal Quality of Life During Physiological Pregnancy: A Cross-Sectional Analysis. Front. Public Health. 2022; 9:801035. http:/doi: 10.3389/fpubh.2021.801035
7. Kazemi A, Dadkhah A & Torabi F. Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study. Arch Public Health. 2022; 80: 37. https://doi.org/10.1186/s13690-022-00802-9
8. Kittel-Schneider S, Davidova P, Kalok M, et al. A pilot study of multilevel analysis of BDNF in paternal and maternal perinatal depression. Arch Womens Ment Health. 2022; 25: 237–249. https://doi.org/10.1007/s00737-021-01197-2
9. Li J, Yin J, Waqas A, Huang Z, Zhang H, Chen M, Guo Y, Rahman A, Yang L and Li X () Quality of Life in Mothers With Perinatal Depression: A Systematic Review and Meta-Analysis. Front. Psychiatry.2022; 13:734836. doi: 10.3389/fpsyt.2022.734836.
10. Lindblad V, Melgaard D, Jensen KL, Eidhammer A, Westmark S, Kragholm KH, Gommesen D. Primiparous women differ from multiparous women after early discharge regarding breastfeeding, anxiety, and insecurity: A prospective cohort study. European Journal of Midwifery. 2022; 6: 1–11. https://doi.org/10.18332/ejm/146897
11. Miller CM, Ramachandran B, Akbar K. The impact of postpartum hemoglobin levels on maternal quality of life after delivery: a prospective exploratory study. Ann Hematol. 2016; 95: 2049–2055. https://doi.org/10.1007/s00277-016-2817-5
12. Parvanehvar S, Tehranian N, Kazemnejad A, Mozdarani H. Maternal omentin-1 level, quality of life and marital satisfaction in relation to mode of delivery: a prospective cohort study. BMC Pregnancy Childbirth. 2020; 20: 136. https://doi.org/10.1186/s12884-020-2825-2
13. Salehi S, Mahmoodi Z, Jashni Motlagh A, Rahimzadeh M, Ataee M, Esmaelzadeh-Saeieh S. Effect of Midwife-led Counseling on the Quality of Life of Women With Body Image Concerns During Postpartum. J Holist Nurs Midwifery. 2021; 31 (3):165–174. http://dx.doi.org/10.32598/jhnm.31.3.2064
14. Sarikhani Y, Rafiee M, Ostovar T. Factors influencing postpartum quality of life of women in Shiraz, Iran; A cross-sectional study in 2021. Jmj. 2021. 19: 4. URL: http://jmj.jums.ac.ir/article-1-1696-en.html
15. Valla L, Helseth S, Småstuen MC, Sølvi Helseth, Nina Misvær, Randi Andenæs. Factors associated with maternal overall quality of life six months postpartum: a cross sectional study from The Norwegian Mother, Father and Child Cohort Study. BMC Pregnancy Childbirth. 2022; 22: 4. https://doi.org/10.1186/s12884-021-04303-5

Publication:

«World of Medicine and Biology» Vol. 18 No. 80 (2022) , с. 94-98
УДК 618.7-004.7.344.02-14

DOI:

https://doi.org/10.26724/2079-8334-2022-2-80-94-98