Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries
Authors: Fobelets, Maaike
Beeckman, Katrien
Buyl, Ronald
Daly, Déirdre
Sinclair, Marlene
Healy, Patricia
Grylka, Susanne
Nicoletti, Jane
Gross, Mechthild Maria
Morano, Sandra
Putman, Koen
DOI: 10.1111/birt.12324
Published in: Birth: Issues in Perinatal Care
Issue Date: 2017
Publisher / Ed. Institution: Wiley
ISSN: 0730-7659
1523-536X
Language: English
Subjects: Obstetric delivery; Perinatal care; Pregnancy; Quality of life; MeSH; HRQoL
Subject (DDC): 618: Gynecology, obstetrics and midwifery
Abstract: Background: How a woman gives birth can affect her health‐related quality of life (HRQoL). This study explored HRQoL at 3 months postpartum in women with a history of one previous cesarean in three European countries. Methods: A prospective longitudinal survey, embedded within a cluster randomized trial in three countries, exploring women's postnatal HRQoL up to 3 months postpartum. The Short‐Form Six‐Dimensions (SF‐6D) was used to measure HRQoL, and multivariate analyses were used to examine the relationship with mode of birth. Results: Complete data were available from 880 women. Women with a spontaneous vaginal birth had the highest HRQoL scores, whereas women with an emergency repeat cesarean (P = .01) had the lowest. Postnatal readmission of the mother (P = .03), having public health insurance (P = .04), and a low antenatal HRQoL score (P < .01) contributes to poorer HRQoL scores. More specifically, women with a spontaneous vaginal birth had significantly higher HRQoL scores on the vitality dimension compared with women with an emergency repeat cesarean (P = .04). Conclusions: In women with low‐risk factors, repeat cesareans result in a poorer HRQoL compared with vaginal birth. When there are no contraindications for vaginal birth, women with a history of one previous cesarean should be encouraged to give birth vaginally rather than have an elective repeat cesarean.
URI: https://digitalcollection.zhaw.ch/handle/11475/1946
Fulltext version: Published version
License (according to publishing contract): Not specified
Departement: School of Health Sciences
Organisational Unit: Institute of Midwifery and Reproductive Health (IHG)
Appears in collections:Publikationen Gesundheit

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Fobelets, M., Beeckman, K., Buyl, R., Daly, D., Sinclair, M., Healy, P., Grylka, S., Nicoletti, J., Gross, M. M., Morano, S., & Putman, K. (2017). Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries. Birth: Issues in Perinatal Care. https://doi.org/10.1111/birt.12324
Fobelets, M. et al. (2017) ‘Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries’, Birth: Issues in Perinatal Care [Preprint]. Available at: https://doi.org/10.1111/birt.12324.
M. Fobelets et al., “Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries,” Birth: Issues in Perinatal Care, 2017, doi: 10.1111/birt.12324.
FOBELETS, Maaike, Katrien BEECKMAN, Ronald BUYL, Déirdre DALY, Marlene SINCLAIR, Patricia HEALY, Susanne GRYLKA, Jane NICOLETTI, Mechthild Maria GROSS, Sandra MORANO und Koen PUTMAN, 2017. Mode of birth and postnatal health-related quality of life after one previous cesarean in three European countries. Birth: Issues in Perinatal Care. 2017. DOI 10.1111/birt.12324
Fobelets, Maaike, Katrien Beeckman, Ronald Buyl, Déirdre Daly, Marlene Sinclair, Patricia Healy, Susanne Grylka, et al. 2017. “Mode of Birth and Postnatal Health-Related Quality of Life after One Previous Cesarean in Three European Countries.” Birth: Issues in Perinatal Care. https://doi.org/10.1111/birt.12324.
Fobelets, Maaike, et al. “Mode of Birth and Postnatal Health-Related Quality of Life after One Previous Cesarean in Three European Countries.” Birth: Issues in Perinatal Care, 2017, https://doi.org/10.1111/birt.12324.


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