Relation between quality of life and mental health in pregnant women with prior pregnancy loss

Abstract The present cross-sectional study examined the actor-partner interdependence effect of fear of COVID-19 among Iranian pregnant women and their husbands and its association with their mental health and preventive behaviours during the first wave of the COVID-19 pandemic in 2020. A total of 290 pregnant women and their husbands (N = 580) were randomly selected from a list of pregnant women in the Iranian Integrated Health System and were invited to respond to psychometric scales assessing fear of COVID-19, depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. The findings demonstrated significant dyadic relationships between husbands and their pregnant wives' fear of COVID-19, mental health, and preventive behaviours. Pregnant wives’ actor effect of fear of COVID-19 was significantly associated with depression, suicidal intention, mental quality of life, and COVID-19 preventive behaviours but not anxiety. Moreover, a husband actor effect of fear of COVID-19 was significantly associated with depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. Additionally, there were significant partner effects observed for both the pregnant wives and their husbands concerning all outcomes. The present study used a cross-sectional design and so is unable to determine the mechanism or causal ordering of the effects. Also, the data are mainly based on self-reported measures which have some limitations due to its potential for social desirability and recall biases. Based on the findings, couples may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women and the foetus.

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Antenatal-Based Pilot Psychosocial Intervention to Enhance Mental Health of Pregnant Women Experiencing Domestic and Family Violence in Nepal

Journal of Interpersonal Violence ◽

10.1177/0886260520948151 ◽

2020 ◽

pp. 088626052094815

Author(s):

Diksha Sapkota ◽

Kathleen Baird ◽

Amornrat Saito ◽

Pappu Rijal ◽

Debra Anderson

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Social Support ◽

Pregnant Women ◽

Family Violence ◽

Outcome Measures ◽

Psychosocial Intervention ◽

Control Group

Survivors of domestic and family violence (DFV) report poorer quality of life and worsening mental health. This study evaluated the effect of a counseling and education intervention on the mental health and help-seeking behaviors among pregnant women living with DFV. A parallel pilot randomized controlled trial was performed among 140 pregnant women attending an antenatal clinic of a tertiary hospital of Nepal. Using computer-generated random numbers, participants were randomized to the intervention group (a counseling session, an information booklet about DFV, and contact details of the counselor) or a control group (usual care plus a booklet containing contact details of local DFV support services). Outcome measures included mental health, quality of life (QOL), self-efficacy, social support, and safety planning behaviors. Analyses followed intention-to-treat, using the generalized estimating equation model. Intervention participants showed significant improvements in anxiety (β = −3.24, p < .001) and depression (β = −3.16, p < .001) at postintervention. Such improvements were also sustained at follow-up assessment ( p < .001). Significant group and time interaction for QOL, social support, use of safety behaviors, and self-efficacy ( p < .05) revealed a greater increase in these outcome measures among intervention participants at both follow-up assessments compared with the control group. This pilot integrated intervention showed promising outcomes in improving the mental health, social support, and the use of safety behaviors among women with DFV. This intervention could be incorporated into regular antenatal care as a strategy to identify and support victims of DFV. Larger controlled trials with longer follow-up are needed to support and expand on the current findings regarding the effectiveness of a psychosocial intervention targeting victims of DFV in resource-constrained settings.

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Water Exercise and Quality of Life in Pregnancy: A Randomised Clinical Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041288 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1288

Author(s):

Raquel Rodríguez-Blanque ◽

María José Aguilar-Cordero ◽

Ana Eugenia Marín-Jiménez ◽

María José Menor-Rodríguez ◽

Maria Montiel-Troya ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Physical Activity ◽

Clinical Trial ◽

Physical Exercise ◽

Pregnant Women ◽

Randomised Clinical Trial ◽

Water Exercise ◽

In Pregnancy

Background: Physical exercise helps to maintain a healthy lifestyle and its practice is recommended for women during pregnancy as a means of limiting the negative effects on the body that may take place and to optimise well-being, mood and sleep patterns, as well as encouraging daily physical activity, enhancing the ability to work and preventing pregnancy-related complications. Aim: To analyse the quality of life in pregnancy for women who complete a programme of moderate physical activity in water, following a designed method that the woman can perform physical exercise safely during pregnancy called the SWEP (study of water exercise during pregnancy) method. Materials and methods: A randomised clinical trial was performed. One hundred and twenty-nine pregnant women were randomly assigned either to an exercise class following the SWEP method (EG, n = 65) or to a control group (CG, n = 64). The trial began in week 20 of pregnancy (May 2016) and ended in week 37 (October 2016). Heath-related quality of life (HRQoL) was evaluated with the SF36v2 health questionnaire at weeks 12 and 35 of pregnancy. Results: The HRQoL score decreased significantly between weeks 12 and 35 of gestation, except for the mental health component, which in the CG fell by −3.28 points and in the EG increased slightly (p > 0.05). Among the CG, the score for the mental health component at week 35 was ≤42, indicating a positive screening risk of depression (39.20 ± 4.16). Conclusions: Physical activity programmes in water, such as SWEP, enhance the HRQoL of pregnant women.

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Domestic and Family Violence and its Association with Mental Health Among Pregnant Women Attending Antenatal Care in a Tertiary Hospital of Eastern Nepal

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v19i1.2508 ◽

2021 ◽

Vol 19 (1) ◽

pp. 115-121

Author(s):

Diksha Sapkota ◽

Debra Anderson ◽

Amornrat Saito ◽

Kathleen Baird

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Social Support ◽

Pregnant Women ◽

Family Violence ◽

Tertiary Hospital ◽

Face To Face ◽

Health Quality ◽

Relationship Of

Background: Pregnancy has been identified as a vulnerable period for both the initiation and escalation in severity of domestic and family violence. There is a significant dearth of scholarly literature documenting the relationship of domestic and family violence with the mental health and quality of life among pregnant women of Nepal.Methods: Baseline data of 140 women enrolled in a trial of a psychosocial intervention for abused pregnant women were analysed. Face-to-face interviews were conducted using standardised scales. Prevalence of domestic and family violence and mental health conditions were estimated and inferential statistics were used to assess the association of domestic and family violence with mental health, quality of life, social support, and use of safety behaviours.Results: The lifetime prevalence of domestic and family violence was found to be 27.7% (n = 173), followed by 17.1% of women (n = 107) fearing someone in their family. Domestic and family violence in the last 12 months was significantly associated with anxiety (p = 0.001), depression (p = 0.005), quality of life (p < 0.05), and perceived social support (p = 0.001). Use of safety behaviours (p = 0.037) was significantly low among women reporting domestic and family violence in the past year as well as during the current pregnancy (p = 0.017).Conclusions: There exists a high psychological morbidity among pregnant women exposed to domestic and family violence. The findings support the need of implementing a screening and support intervention for abused women seeking antenatal services. Keywords: Association; domestic violence; mental health; observational study; prevalence

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The association between social capital and quality of life among a sample of Iranian pregnant women

BMC Public Health ◽

10.1186/s12889-019-7848-0 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Masoumeh RezaeiNiaraki ◽

Sadaf Roosta ◽

Zainab Alimoradi ◽

Kelly-Ann Allen ◽

Amir H. Pakpour

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Social Capital ◽

Physical Health ◽

Pregnant Women ◽

Cross Sectional Study ◽

Physical And Mental Health ◽

Cross Sectional ◽

Unit Increase

Abstract Background Quality of life (QoL) is a multidimensional concept that is affected by various factors. According to the literature, social capital is one of the key determinants of QoL that improves the living conditions of the entire community. This study aimed to investigate the association between social capital and QoL in pregnant women. Methods This cross-sectional study included 240 pregnant women with a mean age of 27.98 years who were referred to healthcare centers in Qazvin, Iran. A two-stage random sampling method was used to select the health centers and participants. Social capital, QoL, demographic and obstetric characteristics were assessed. Results The mean scores of social capital, physical and mental dimensions of quality of life were 67.43, 70.2 and 71.88 respectively. All dimensions of social capital except for family and friends’ connection and tolerance of diversity had positive significant correlations with the physical and mental health dimensions of quality of life (r = 0.17 to 0.28 p < 0.05). A univariate regression model revealed that social capital had a significant association with both the physical health (B = 0.40, 95% CI: 0.19–0.61, p < 0.001) and mental health (B = 0 .44, 95% CI: 0.18–0.58, p < 0.001) dimensions of pregnant women’s quality of life. In the adjusted model, each unit increase of social capital increased pregnant women’s QoL in both the physical health and mental health dimensions. Conclusion Social capital has a significant association with women’s QoL during pregnancy. Therefore, QoL during pregnancy could be improved by considering physical, psychological and social components of their healthcare.

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Domestic violence and its relationship with quality of life in pregnant women during the outbreak of COVID-19 disease

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03579-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Somayyeh Naghizadeh ◽

Mojgan Mirghafourvand ◽

Roghaye Mohammadirad

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Domestic Violence ◽

Pregnant Women ◽

Linear Model ◽

Health Department ◽

General Linear Model ◽

General Linear ◽

The Mean

Abstract Background During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic. Methods This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information. Results According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (β = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002). Conclusions The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.

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