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Mautner, E; Egger, JW; Daghofer, F; Lang, U; Greimel, E.
Medical and Psychosocial Risk Factors for Depression and Decreased Quality of Life in Pregnancy and Postpartum
GEBURTSH FRAUENHEILK. 2010; 70(4): 298-303. [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Egger Josef Wilhelm
Greimel Elfriede Renate
Lang Uwe
Mautner Eva
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Abstract:
Pregnancy, birth and the postpartum period are critical life events for women leading to physiological, emotional and social changes. The aim of the study was to explore psychosocial and medical risk factors for decreased quality of life and depressive symptoms in women during pregnancy and postpartum. The study group included 105 women. Health-related quality of life was measured using the WHO-QOL-BREF questionnaire and depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS). Data were collected prospectively at 3 assessment points (24-37 weeks' gestation, 2-5 days postpartum and 3-4 months postpartum). Statistical analyses were performed using ANOVA and MANCOVA to explore quality of life and mood disturbances. Risk factors for decreased quality of life during pregnancy were risk of preterm delivery and hypertensive disorders, poor social support, and an unwanted pregnancy. Immediately after birth, risk factors were preterm delivery, depressive symptoms in pregnancy and fear of childbirth. Three to four months postpartum, risk factors for decreased quality of life and depressive symptoms were poor social support, depressive symptoms in pregnancy and younger age. It is important to pay attention to these risk factors to be able to offer good care and treatment to women during pregnancy and postpartum where necessary. If indicated, psychological support should be offered.

Find related publications in this database (Keywords)
quality of life
depressive symptoms
pregnancy
birth
postpartum
risk factors
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