Journal List > J Korean Acad Nurs > v.43(1) > 1002888

TOOLS
Yeo and Chun: Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women after Birth
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2013; 43(1): 11-19.

Published online: 28 February 2013

DOI: https://doi.org/10.4040/jkan.2013.43.1.11

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

Jung Hee Yeo1, Nami Chun2

1Department of Nursing, Dong-A University, Busan, Korea.

2Department of Nursing, Sungshin Women's University, Seoul, Korea.

Address reprint requests to: Chun, Nami. Department of Nursing, Sungshin Women's University, Unjung Green Campus Mia-dong Gangbuk-gu, Seoul 142-732, Korea. Tel: +82-10-5112-0724, Fax: +82-2-920-2092, nmchun@sungshin.ac.kr

Received 19 April 2012       Accepted 13 September 2012

© 2013 Korean Society of Nursing Science

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

Figures and Tables

Table 1
Quality of Life in Women after Birth by Women's Characteristics (N=211)
jkan-43-11-i001

*M±SD=31.30±3.29; †n=205 (noted discrepancy in number due to 6 missing data).

Table 2
Descriptive Statistics of Main and Exogenous Variables (N=211)
jkan-43-11-i002
Table 3
Correlation between Main, Exogenous Variables and Quality of Life (N=211)
jkan-43-11-i003
Table 4
Factors Influencing Quality of Life in Women after Birth (N=205)
jkan-43-11-i004

Reference group: *highschool; †no; ‡no; §cesarean section; ∥mixed.

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. http://dx.doi.org/10.1177/0884217505279995.
2. Cho YS. The effects of the husband's emotional support on the prevention of postpartum depression: Using an experimental teaching intervention. 1988. Seoul: Ewha Womans University;Unpublished doctoral dissertation.
3. 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. http://dx.doi.org/10.4069/kjwhn.2011.17.2.118.
4. 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. http://dx.doi.org/10.1192/bjp.150.6.782.
5. Coyle SB. Health-related quality of life of mothers: A review of the research. Health Care Women Int. 2009. 30(6):484–506. http://dx.doi.org/10.1080/07399330902801260.
6. 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. http://dx.doi.org/10.1007/s00737-005-0108-6.
7. 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. http://dx.doi.org/10.1111/j.1365-2702.2006.01911.x.
8. 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.
9. Gamble J, Creedy DK. A counselling model for postpartum women after distressing birth experiences. Midwifery. 2009. 25(2):e21–e30. http://dx.doi.org/10.1016/j.midw.2007.04.004.
10. Hardin AM, Buckner EB. Characteristics of a positive experience for women who have unmedicated childbirth. J Perinat Educ. 2004. 13(4):10–16. http://dx.doi.org/10.1624/105812404x6180.
11. Hill PD, Aldag JC. Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs. 2007. 36(4):328–334. http://dx.doi.org/10.1111/j.1552-6909.2007.00164.x.
12. Howell EA, Mora P, Leventhal H. Correlates of early postpartum depressive symptoms. Matern Child Health J. 2006. 10(2):149–157. http://dx.doi.org/10.1007/s10995-005-0048-9.
13. 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.
14. 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.
15. Marut JS, Mercer RT. Comparison of primiparas' perceptions of vaginal and cesarean births. Nurs Res. 1979. 28(5):260–266. http://dx.doi.org/10.1097/00006199-197909000-00002.
16. 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. http://dx.doi.org/10.1370/afm.519.
17. Murray L, Cooper PJ. Postpartum depression and child development. 1997. New York: Guilford Press.
18. 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.
19. 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.
20. Park YJ, Shin HJ, Ryu HS, Cheon SH, Moon SH. The predictors of postpartum depression. J Korean Acad Nurs. 2004. 34(5):722–728.
21. Reeder SJ, Martin LL, Koniak-Griffin D. Maternity nursing:Family, newborn, and women's health care. 1997. 18th ed. Philadelphia: Lippincott Williams & Wilkins.
22. Soper DS. A-priori sample size calculator for hierarchical multiple regression (online software). 2012. Retrieved March 3, 2012. from http://www.danielsoper.com/statcalc3/.
23. 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.
24. Tuohy A, McVey C. Experience of pregnancy and delivery as predictors of postpartum depression. Psychol Health Med. 2008. 13(1):43–47. http://dx.doi.org/10.1080/13548500701294531.
25. 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. http://dx.doi.org/10.1016/j.midw.2010.05.014.
26. 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). 1993. Geneva: World Health Organization.
27. 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.
28. Yoon JW. A prospective model of subjective life quality of clinical nurses. 2009. Daegu: Keimyung University;Unpublished doctoral dissertation.
29. Zubaran C, Foresti K. Investigating quality of life and depressive symptoms in the postpartum period. Women Birth. 2011. 24(1):10–16. http://dx.doi.org/10.1016/j.wombi.2010.05.002.
TOOLS
Similar articles