Background
Methods
Search strategy
Study selection
Quality assessment and synthesis
Reference | Country | Population and study design | Aspect of pregnancy and childbirth assessed | Setting or level of care | Aim of study | Tools used in study to assess health outcomes |
---|---|---|---|---|---|---|
Fletcher et al. (2015) [15] | UK | 273 women admitted to hospital with hyperemesis gravidarum were randomised to receive either individualised or usual care and advice. | Pregnancy - Antenatal care | Hospital in-patient | Using HIS to tailor advice on hyperemesis to individual women’s needs and reduce hospital admissions. | • Hyperemesis Impact of Symptoms (HIS) • SF-36 • EQ-5D-3 L • Pregnancy Unique Quantification of Emesis (PUQE) |
Kopec et al. (2015) [12] | Poland | 205 women with gestational diabetes treated at a clinic in Poland were assessed twice during pregnancy with an average eight-week interval. | Pregnancy - Diabetes in pregnancy | Clinic | Investigate changes in PROs (particularly psychological and social) of women with GDM during pregnancy and identify factors associated with distress. | • SF-8 (short version of the SF-36) • Hospital Anxiety and Depression Scales (HADS) • Problem Areas in Diabetes (PAID) |
Symon et al. (2015) [17] | UK | Tool was posted to 678 women recruited to a RCT of self-hypnosis for pain during birth to assess as part of a 10-page pack. | Childbirth – not specified | Home | Assess the feasibility and acceptability of using the Mother Generated Index and compare its findings with other QoL tools. | • Mother Generated Index (MGI) • EQ-5D-3 L • Edinburgh Postnatal Depression Scale (EPDS) • State Trait Anxiety Inventory (STAI) |
Thompson et al. (2011) [13] | Australia & New Zealand | A multi-centre cohort study including 206 women with significant primary postpartum haemorrhage (>1500mls). | Postnatal – Postpartum haemorrhage | Home | To describe the physical and psychological outcomes of women who had experienced a significant primary postpartum haemorrhage. | • Edinburgh Postnatal Depression Scale (EPDS) • State-Trait Anxiety Inventory (STAI) • PTSD checklist • Milligan’s postpartum fatigue scale • SF-36 |
Visser et al. (2018) [14] | Netherlands | A retrospective, cross-sectional survey of 372 women who had experienced major obstetric haemorrhage (>2500mls) in six hospitals. | Maternity –Major obstetric haemorrhage | Home | To explore patients’ experience and outcomes following major obstetric haemorrhage and to investigate which patients are most at risk of negative sequelae. | • Study specific (based on Consumer Assessment of Healthcare Providers and Systems) |
Yawn et al. (2012) [16] | USA | 2343 women between 5 and 12 weeks postnatal, whose general practice was randomly allocated to provide either ‘usual care’ or the intervention package. | Maternity – Postnatal depression | Primary care | Determine the effect of a primary care based screening, diagnosis and management intervention on postnatal depression in women 5–12 weeks postpartum. | • Edinburgh Postnatal Depression Scale (EPDS) • 9-item Patient Health Questionnaire (PHQ-9) |
Tool | Number of questions | Areas covered by tool | Topics covered |
---|---|---|---|
Hyperemesis Impact of Symptoms (HIS) [15] | 10 | Physical & psychological | Nausea, vomiting, tiredness, emotional state, anxiety |
Pregnancy Unique Quantification of Emesis and Nausea (PUQE) [15] | 3 | Physical | Nausea, vomiting, retching |
5 + 1 | Generic | ||
36 | Generic | ||
Hospital Anxiety & Depression Scale (HADS) [12] | 14 | Psychological | Anxiety, depression |
Problem Areas in Diabetes (PAID) [8] | 20 | Psychological | Anxiety, depression, loneliness, anger |
SF8 [12] | 8 | Generic | |
Study specific [12] | Physical and social | Pain, fatigue, diet, exercise, insulin injection frequency | |
Mother Generated Index (MGI) [7] | Open | N/A | |
10 | Psychological | Postnatal depression | |
Psychological | Anxiety | ||
Milligan’s postpartum fatigue scale [13] | Physical & psychological | Fatigue | |
PTSD checklist [13] | Physical & psychological | Post-traumatic stress disorder | |
9-item Patient Health Questionnaire (PHQ-9) [16] | 10 | Psychological | Severe depression |
Study specific [14] | 44 | Physical & psychological |