Niina Sahrakorpi1, Saila B Koivusalo1,2, Beata Stach-Lempinen3, Johan G Eriksson4,5, Hannu Kautiainen4,6, Risto P Roine6,7. 1. Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland. 2. Department of Obstetrics and Gynecology, University of Helsinki, Helsinki, Finland. 3. Department of Obstetrics and Gynecology, South-Karelia Central Hospital, Lappeenranta, Finland. 4. Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 5. Folkhälsan Research Center, Helsinki, University of Helsinki, Helsinki, Finland. 6. Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland. 7. Group Administration, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Abstract
INTRODUCTION: Only little information is available on health-related quality of life (HRQoL) and its changes during the course of a normal pregnancy. We studied changes in HRQoL in a pregnant population during pregnancy and until 1 year postpartum in different body mass index (BMI) groups. MATERIAL AND METHODS: Seven hundred and fifty pregnant women attending the first ultrasound examination before gestational week 14 were invited to participate in a longitudinal, communal-based survey. The participants were divided into three groups according to their BMI; <25, 25-29.9, and ≥30 kg/m2 . The women were asked to fill in questionnaires assessing HRQoL (15D), depressive symptoms (Edinburgh Depression Scale, EPDS), medical, obstetric and socioeconomic status at baseline. HRQoL and EPDS were re-assessed at 30 weeks of gestation, and 6 weeks, 3 and 12 months postpartum. RESULTS: Of the invited 750 mothers, 325 (43%) returned the questionnaires and at least one follow-up questionnaire. At baseline, mean 15D scores decreased with increasing BMI but the difference was not statistically significant when adjusted for age, educational attainment, parity or EPDS-scores (0.929, 0.921 and 0.916, p = 0.16). During the course of pregnancy, the HRQoL of all women decreased but this decrease was significantly greater in the obese group (-0.088; 95% CI -0.110 to -0.065) than in the other groups [-0.054 (95% CI -0.062 to -0.045) and -0.051 (95% CI -0.068 to -0.033), p = 0.019]. Within 3 months postpartum the mean HRQoL recovered in all BMI groups to baseline levels, irrespective of the mode of delivery or pregnancy-related complications. CONCLUSION: The burden of pregnancy is heavier for the heaviest.
INTRODUCTION: Only little information is available on health-related quality of life (HRQoL) and its changes during the course of a normal pregnancy. We studied changes in HRQoL in a pregnant population during pregnancy and until 1 year postpartum in different body mass index (BMI) groups. MATERIAL AND METHODS: Seven hundred and fifty pregnant women attending the first ultrasound examination before gestational week 14 were invited to participate in a longitudinal, communal-based survey. The participants were divided into three groups according to their BMI; <25, 25-29.9, and ≥30 kg/m2 . The women were asked to fill in questionnaires assessing HRQoL (15D), depressive symptoms (Edinburgh Depression Scale, EPDS), medical, obstetric and socioeconomic status at baseline. HRQoL and EPDS were re-assessed at 30 weeks of gestation, and 6 weeks, 3 and 12 months postpartum. RESULTS: Of the invited 750 mothers, 325 (43%) returned the questionnaires and at least one follow-up questionnaire. At baseline, mean 15D scores decreased with increasing BMI but the difference was not statistically significant when adjusted for age, educational attainment, parity or EPDS-scores (0.929, 0.921 and 0.916, p = 0.16). During the course of pregnancy, the HRQoL of all women decreased but this decrease was significantly greater in the obese group (-0.088; 95% CI -0.110 to -0.065) than in the other groups [-0.054 (95% CI -0.062 to -0.045) and -0.051 (95% CI -0.068 to -0.033), p = 0.019]. Within 3 months postpartum the mean HRQoL recovered in all BMI groups to baseline levels, irrespective of the mode of delivery or pregnancy-related complications. CONCLUSION: The burden of pregnancy is heavier for the heaviest.
Authors: Jenny A Cresswell; Kelli D Barbour; Doris Chou; Affette McCaw-Binns; Veronique Filippi; Jose Guilherme Cecatti; Maria Barreix; Max Petzold; Nenad Kostanjsek; Sara Cottler-Casanova; Lale Say Journal: BMC Pregnancy Childbirth Date: 2020-09-07 Impact factor: 3.007