The relationship between quality of life and methods of delivery
A systematic review and meta-analysis
Keywords:
Quality of life, Method of delivery, Systematic review, Meta-analysisAbstract
Background and aim: Some physical, emotional and social changes arise in mothers during the postpartum periods which can affect the quality of life (QOL) of the mother and family. Given the importance of the quality of life in the postpartum period and its influencing factors such as method of delivery, the present study aimed at investigating the relationship between the quality of life and methods of delivery in the world, using a systematic review and meta-analysis method. Methods: The present study is a systematic review and meta-analysis on the relationship between aspects of quality of life and method of delivery in the world conducted in Persian and English language articles published by the end of 2015. For this purpose, the databases of Medlib, SID, Scopus, ISI Web of Science, PubMed, Google scholar, Irandoc, Magiran and Iranmedex were searched using key words and their compounds. The results of studies were combined using the random effects model in the meta-analysis. Heterogeneity of studies was assessed using I2 index and Cochran test and data were analyzed using STATA Version 11.1 and SPSS Version 16. Results: Based on the results of the meta-analysis of studies, the aspect of physical functioning had the highest quality of life mean score in women with vaginal delivery: 74.37 (95% CI: 67.7-81) and mental health had the highest QOL mean score in women with cesarean delivery: 65.8 (95% CI: 62.7-69). Also, based on the time elapsed since delivery, mental health had the highest mean score in less than 1 month, 2 months and 4 months’ postpartum. Physical pain had the highest mean score 6 months after giving birth, and mental functioning in 8 months after giving birth. Conclusions: The results of the present meta-analysis showed that the mean scores for most dimensions of quality of life in women with vaginal delivery were higher than in women with cesarean delivery.References
King C, Hinds P. Quality of life from nursing and patient perspectives. Boston: Jones and Bartlett; 2003. 2) Aghamolai T, Ardbili HE. Principle of health services. Tehran: Andish rafie; 2005.
WHOQOL measuring quality of life Abuse. 2004. Available from:
http://www.who.int/substance_abuse/research_tools/en/english_whoqol.pdf.
Pesavento F, Marconcini E, Drago D. Quality of life and depression in normal and in high-risk pregnancy:
analysis of a sample of 100 women. Minerva Gynecol. 2005; 57(4): 451-60. PMID: 16170290.
Symon A, Mackay A, Ruta D. Postnatal quality of life: a pilot study using the Mother-Generated Index. J
Adv Nurs. 2003; 42(1): 21-9. doi: 10.1046/j.1365-2648.2003.02575.x. PMID: 12641808.
Ryan K, Berkwitz R, Barbien R, Duna A. Kistner's Gynecology & women's health. Boston: Mosby; 1999.
Varney H, Kriebs J, Gegor C. Varneyi’s midwifery. Boston: Jane's and Barlett; 2004.
Hill P, Aldag J, Hekel B, Riner G, Bloomfield P. Maternal post partum quality of life questionnaire. J Nurs
Meas. 2006; 14(3): 205-20. doi: 10.1891/jnm-v14i3a005. PMID: 17278340.
Jansen A, Duvekot J, Hop W, Essink-Bot M, Beckers E, Karsdorp V. New insights into fatigue and healthrelated quality of life after delivery. Acta Obstet Gynecol Scand. 2007; 86(5): 579-40. doi:
1080/00016340701275424. PMID: 17464587.
Murray S, McKinney E, Gorrie T. Foundations of maternal-newborn nursing. Philadelphia: Saunders
Company; 2002.
Asadzadeh F, Mostafazadeh F, Rostamneghad M, Azemi F, Soltanii R. Comparison of Quality of Life in
Women after Normal Vaginal Delivery and Cesarean Section. journal of health and care. 2013;14(4):69 - 75.
Nikpour N, Abedini Z, Mokhber N, Ebrahimzadeh S, Khani S. comparison of quality of life in women after
vaginal delivery and cesarean section. Journal of Babol University of Medical Sciences. 2011;13(1):44-50.
Cheng C, Li Q. Integrative review of research on general health status and prevalence of common physical
health conditions of women after childbirth. Women’s Health Issues. 2008; 18(4): 267-80. doi:
1016/j.whi.2008.02.004. PMID: 18468922.
Burrows L, Meyn L, Weber A. Maternal morbidity associated with vaginal versus cesarean delivery. Obstet
Gynecol. 2004; 103(5): 907-12. doi: 10.1097/01.AOG.0000124568.71597.ce. PMID: 15121564.
Dolatian M, Mazia P, Majd HA, Yazdjerdi M. The relationship between mode of delivery and postpartum
depression. J Reprod Inferil. 2006; 7(3): 260-8.
Abedian Z, Nikpour M, Mokhber N, Ebrahimi S, Khani S. Evaluation of relationship between delivery
mode and postpartum quality of life. Iran J Obstet Gynecol Infertil. 2010; 13(3): 47-53
Taheri-Kalani F, Mami S, Direkvand-Moghadam A, Kaikhavani S, Delpisheh A. Comparison of the effect
of delivery type on the quality of life in women attending to health centers of Ilam and Aivan during 2013.
J Shahrekord Univ Med Sci. 2014; 16(2): 90-6.
Nazarzadeh M, Bidel Z, Ayubi E, Asadollahi K, Carson KV, Sayehmiri K. Determination of the social
related factors of suicide in Iran: a systematic review and meta-analysis. BMC Public Health 2013, 13:4
doi: 10.1186/1471-2458-13- 19) Ahmadi SE, Montazeri A, Mozafari R, Azari A, Nateghi MR, Ashrafi M. Health-Related Quality of Life
and Primi-Gravid: A Comparative Study of Natural Conception and Conception by Assisted Reproduction
Technologies (ARTs). Int J Fertil Steril. 2014; 8(2): 167-74. PMID: 25083182, PMCID: PMC4107691.
Bahrami N, Karimian Z, Bahrami S, Bolbolhaghighi N. Comparing the Postpartum Quality of Life
Between Six to Eight Weeks and Twelve to Fourteen Weeks After Delivery in Iran. Iran Red Crescent Med
J. 2014; 16(7): 16985. doi: 10.5812/ircmj.16985. PMID: 25237575, PMCID: PMC4166094.
Gjerdingen DK, Center BA. First-Time Parents’ Prenatal to Postpartum Changes in Health, and the
Relation of Postpartum Health to Work and Partner Characteristics. JABFP. 2003; 16(4): 304-11 doi:
3122/jabfm.16.4.304.
Karami K, Bakhtir K, Hasanvand B, Safary S, Hasanvand S. Quality of life and general health after natural
and cesarean delivery in women referred to health centers of Khorramabad in Year 2009-2010. Journal of
Lorestan University of Medical Sciences. 2012; 4(4): 59-69
Majzoobi MM, Majzoobi MR, Nazari-pouya F, Biglari M, Poorolajal J. Comparing Quality of Life in
Women after Vaginal Delivery and Cesarean Section. Journal of Midwifery and Reproductive Health.
; 2(4): 207-14.
Mirmolaie ST, Amelvalinezad M, Mahmoodie M, Tavakol Z. Investigate the effect of postpartum care at
home, the quality of life of low risk. Hayat. 2011; 17(2): 42-51.
Prick BW, Bijlenga D, Jansen AJ, Boers KE, Scherjon SA, Koopmans CM, et al. Determinants of healthrelated quality of life in the postpartum period after obstetric complications. Eur J Obstet Gynecol Reprod
Biol. 2015; 185: 88-95. doi: 10.1016/j.ejogrb.2014.11.038. PMID: 25541530.
Sadat Z, Sabery F, Taebie M, Abedzadeh M. Comparison of quality of life after birth by cesarean and
vaginal delivery. Paeysh. 2012; 11(3): 377-83.
Torkan B, Parsay S, Lamyian M, Kazemnejad A, Montazeri A. Postnatal quality of life in women after
normal vaginal delivery and caesarean section. BMC Pregnancy and Childbirth. 2009; 9: 4. doi:
1186/1471-2393-9-4. PMID: 19183480, PMCID: PMC2640344.
Gerard-Jansena AJ, Essink-Botb M-L, Duvekotc JJ, Rhenen DJv. Psychometric evaluation of health-related
quality of life measures in women after different types of delivery. Journal of Psychosomatic Research
; 63 275- 81. doi: 10.1016/j.jpsychores.2007.06.003, PMid: 17719365
Kamravamanesh M, Bakhteh A, Rezaei M. Postpartum quality of life in women after deferent modes of
delivery in Kermanshah Motazedi hospital 2011-2012. J Clin Res Paramed Sci 2014; 3(3):135-143.
Nikpour M, Abedian Z, N Mokhber, S Ebrahimzadeh, S Khani. Comparison of quality of life in woman
after vaginal delivery and cesarean section. J Babol univ med Sci. 2011; 13 (1): 44-50.
Zare F, Aghamolaei T, Ghanbarnejad A, Zarei H, Asadian A, Dadipoor S. Quality of life of pregnant
women in Bandar Abbas. Hormozgan Medical Journal. 2015;19(4):295-302.
Kavosi Z, Keshtkaran A, Setoodehzadeh F, Kasraeian M, Khammarnia M, Eslahi M. A Comparison of
Mothers’ Quality of Life after Normal Vaginal, Cesarean, and Water Birth Deliveries. IJCBNM
;3(3):198-204. PMid: 26171408, PMCid: PMC4495327
Mousavi SA, Mortazavi F, Chaman R, Khosravi A. Quality of Life after Cesarean and Vaginal Delivery.
Oman Medical Journal. 2013; 28(4):245-51. PMid: 23904916, PMCid: PMC3725245
Rowlands I, Redshaw M. Mode of birth and women’s psychological and physical wellbeing in the postnatal
period. BMC Pregnancy Childbirth. 2012; 12: 138. doi: 10.1186/1471-2393-12-138. PMID: 23190575,
PMCID: PMC3533875.
Jansen A, Duvekot J, Hop W, Essink-Bot M, Beckers E, Karsdrop V. New insights into fatigue and healthrelated quality of life after delivery. Acta Obstet Gynecol Scand 2007; 86: 579-84.
https://doi.org/10.1080/00016340701275424, PMid: 17464587
Oconnor V, Kovacs G, editors. Obstetrics gynecology and women health. united kingdom: Cambridg
university; 2003
Published
Issue
Section
License
Copyright (c) 2020 KNOWLEDGE KINGDOM PUBLISHING
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
