بررسي ارتباط نوع زايمان با كيفيت زندگي پس از زايمان

Evaluation of Relationship between Delivery Mode and Postpartum Quality of Life

Introduction: During postpartum period there are enormous changes in physical, emotional and social conditions of mothers which impact their quality of life. Although postnatal morbidity has been well documented in recent years, postnatal quality of life and its association with the mode of delivery has not been addressed. Regarding the importance of postpartum quality of life and different influential factors (including the delivery mode), the presented study was conducted to determine the relationship between the mode of delivery and quality of life among women at their second postpartum week. Methods: In this prospective analytic study, a total of 420 women referring to health centers who had the inclusion criteria were recruited from non-probability sampling and filled the questionnaire of Edinburgh postpartum scale (EPDS) during the third trimester of pregnancy. Women who had EPDS score >12 were excluded. Afterwards, 300 cases (155 ones in normal vaginal delivery (NVD) group and 145 ones in Cesarean section (C/S)) were followed in 2nd postpartum week and their quality of life was assessed using WHOQOL BRFF. Data were analyzed using SPSS 14, and Chi-square, t-test, Mann- Whitney and Linear regression. Results: There was no significant difference between two groups in their education, occupation, economic status, and wanted/unwanted pregnancy. At 2nd postpartum week, vaginal delivery group had a significantly higher means of physical domain than those of C/S (PO.OOl). At 2nd postpartum week, vaginal delivery group had also a significantly higher means of psychological domain than those of C/S (P<0.02). However, There were no significant differences between these groups in their social, environmental and overall domains. Conclusion: : Since that the physical and psychological domains of quality of life were better in the NVD group (compared to those of C/S group), consultation of health care provider for selecting the correct mode of delivery can be effective in reducing the rate of elective cesarean section along with their expenses and can improve the postpartum, quality of life.