J Korean Acad Nurs. 2013 Feb;43(1):11-19. Korean.
Published online Feb 28, 2013.
© 2013 Korean Society of Nursing Science
Original Article

Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women after Birth

Jung Hee Yeo,1 and Nami Chun2
    • 1Department of Nursing, Dong-A University, Busan, Korea.
    • 2Department of Nursing, Sungshin Women's University, Seoul, Korea.
Received April 19, 2012; Accepted September 13, 2012.

Abstract

Purpose

The purpose of this study was to identify influence of childbirth experience and postpartum depression on quality of life in women after birth.

Methods

Two hundred and eleven postpartum women were asked to complete the questionnaires on their childbirth experience during their admission and on their postpartum depression and quality of life between one to three weeks after birth. Initial data were collected from February 1 to May 30, 2011 at two obstetric hospitals in Busan, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression.

Results

The women's childbirth experience and postpartum depression were identified as factors influencing quality of life after birth. The model explained 50% of the variables.

Conclusion

Results suggest that childbirth educators should include strategies to increase a positive childbirth experience and to decrease postpartum depression in their education programs in order to improve women's quality of life.

Keywords
Quality of life; Parturition; Depression; Postpartum

Tables

Table 1
Quality of Life in Women after Birth by Women's Characteristics (N=211)

Table 2
Descriptive Statistics of Main and Exogenous Variables (N=211)

Table 3
Correlation between Main, Exogenous Variables and Quality of Life (N=211)

Table 4
Factors Influencing Quality of Life in Women after Birth (N=205)

Notes

This study was supported by the Dong-A University research fund in 2009.

References

    1. Beck CT, Indman P. The many faces of postpartum depression. J Obstet Gynecol Neonatal Nurs 2005;34(5):569–576.
    1. Cho YS. In: The effects of the husband's emotional support on the prevention of postpartum depression: Using an experimental teaching intervention. Seoul: Ewha Womans University; 1988.
      Unpublished doctoral dissertation.
    1. Choi SY, Gu HJ, Ryu EJ. Effects of fatigue and postpartum depression on maternal perceived quality of life (MAPP-QOL) in early postpartum mothers. Korean J Women Health Nurs 2011;17(2):118–125.
    1. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987;150:782–786.
    1. Coyle SB. Health-related quality of life of mothers: A review of the research. Health Care Women Int 2009;30(6):484–506.
    1. Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalifé S. Health-related quality of life in postpartum depressed women. Arch Womens Ment Health 2006;9(2):95–102.
    1. de Tychey C, Briancon S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, et al. Quality of life, postnatal depression and baby gender. J Clin Nurs 2008;17(3):312–322.
    1. Dunbar GC, Stoker MJ, Hodges TCP, Beaumont G. The development of SBQOL-a unique scale for measuring quality of life. British J Med Econ 1992;2:65–74.
    1. Gamble J, Creedy DK. A counselling model for postpartum women after distressing birth experiences. Midwifery 2009;25(2):e21–e30.
    1. Hardin AM, Buckner EB. Characteristics of a positive experience for women who have unmedicated childbirth. J Perinat Educ 2004;13(4):10–16.
    1. Hill PD, Aldag JC. Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs 2007;36(4):328–334.
    1. Howell EA, Mora P, Leventhal H. Correlates of early postpartum depressive symptoms. Matern Child Health J 2006;10(2):149–157.
    1. Kim JI. A validation study on the translated Korean version of the Edinbergh postnatal depression scale. Korean J Women Health Nurs 2006;12(3):204–209.
    1. Kwon M, Kim HW, Kim NS, Jang JA. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. J Korean Acad Child Health Nurs 2006;12(3):314–321.
    1. Marut JS, Mercer RT. Comparison of primiparas' perceptions of vaginal and cesarean births. Nurs Res 1979;28(5):260–266.
    1. McGovern P, Dowd B, Gjerdingen D, Gross CR, Kenney S, Ukestad L, et al. Postpartum health of employed mothers 5 weeks after childbirth. Ann Fam Med 2006;4(2):159–167.
    1. Murray L, Cooper PJ. In: Postpartum depression and child development. New York: Guilford Press; 1997.
    1. Oh HE, Sim GS, Kim JS. The effects of prenatal education on primiparas' perception of delivery experience, self-confidence and satisfaction in maternal role performance. Korean J Women Health Nurs 2002;8(2):268–277.
    1. Oh JH, Lee HH, Kim YK, Min J, Park KO. The effect ofchildbirth education and family participated delivery in a labor-delivery-recovery room on primiparas' anxiety, labor pain and perception of childbirth experience. Clin Nurs Res 2006;12(2):145–156.
    1. Park YJ, Shin HJ, Ryu HS, Cheon SH, Moon SH. The predictors of postpartum depression. J Korean Acad Nurs 2004;34(5):722–728.
    1. Reeder SJ, Martin LL, Koniak-Griffin D. In: Maternity nursing:Family, newborn, and women's health care. 18th ed. Philadelphia: Lippincott Williams & Wilkins; 1997.
    1. Soper DS. A-priori sample size calculator for hierarchical multiple regression (online software). 2012 [Retrieved March 3, 2012].
    1. Symon A, MacKay A, Ruta D. Postnatal quality of life: A pilot study using the Mother-Generated Index. J Adv Nurs 2003;42(1):21–29.
    1. Tuohy A, McVey C. Experience of pregnancy and delivery as predictors of postpartum depression. Psychol Health Med 2008;13(1):43–47.
    1. Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L. Quality of life and depression following childbirth: Impact of social support. Midwifery 2011;27(5):745–749.
    1. World Health Organization Division of Mental Health. WHOQOL study protocol: The development of the World Health Organization quality of life assessment instruments (MNG/PSF/93.9). Geneva: World Health Organization; 1993.
    1. Yoon JS, Kook SH, Lee MS. A preliminary study on Korean version of the SmithKline Beecham 'quality of life' scale (KvSBQOL). J Korean Neuropsychiatr Assoc 1998;37(2):280–294.
    1. Yoon JW. In: A prospective model of subjective life quality of clinical nurses. Daegu: Keimyung University; 2009.
      Unpublished doctoral dissertation.
    1. Zubaran C, Foresti K. Investigating quality of life and depressive symptoms in the postpartum period. Women Birth 2011;24(1):10–16.

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