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The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis
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Evans, Kate, Fraser, Hannah, Uthman, Olalekan A., Osokogu, Osemeke, Johnson, Samantha Ann and Al-Khudairy, Lena (2022) The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 22 (1). p. 149. doi:10.1186/s12884-022-04473-w ISSN 1471-2393.
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WRAP-effect-mode-delivery-health-related-quality-of-life-mothers-22.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (3373Kb) | Preview |
Official URL: https://doi.org/10.1186/s12884-022-04473-w
Abstract
Background: Previous research is inconclusive on the effects of mode of delivery on maternal health-related quality-of-life (HRQoL). We conducted a systematic review and meta-analysis to assess the current evidence for associations between mode of delivery and postpartum health-related quality-of-life. Methods: Electronic databases MEDLINE ALL (OVID), Web of Science, The Cochrane Library, CINAHL and EMBASE (OVID) were searched for English written articles investigating the relationship between mode of delivery and quality-of-life published form inception to 15th October 2020. Two reviewers independently screened titles and abstracts, assessed full texts, and extracted data. Meta-analysis was conducted where possible. Results: Twenty-one studies, including 19,879 women, met the inclusion criteria. A meta-analysis of 18 studies found HRQoL scores were significantly higher for women after vaginal delivery in comparison to caesarean (emergency and elective combined) (Effect Size (ES) 0.17, 95% CI 0.01–0.25, n = 7665) with highest scores after assisted vaginal delivery (ES 0.21, 95% CI 0.13–0.30, n = 2547). Physical functioning (ES 11.18, 95% CI = 2.29–20.06, n = 1746), physical role (ES 13.10, 95% CI = 1.16–25.05, n = 1471), vitality (ES 6.31, 95% CI = 1.14–10.29, n = 1746) and social functioning (ES 5.69, 95% CI = 1.26–10.11, n = 1746) were significantly higher after vaginal delivery compared to caesarean. Conclusions: Health-related quality-of-life scores were higher for women after vaginal delivery in comparison to caesarean section. Consequently, women should be encouraged to deliver vaginally where possible. The findings of this research should be available to the relevant population to help support informed choice.
| Item Type: | Journal Article | |||||||||||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | |||||||||||||||
| SWORD Depositor: | Library Publications Router | |||||||||||||||
| Library of Congress Subject Headings (LCSH): | Systematic reviews (Medical research), Meta-analysis, Childbirth, Cesarean section, Mothers -- Medical care, Maternal health services, Mothers -- Health and hygiene, New mothers -- Health and hygiene, Well-being, Pregnancy | |||||||||||||||
| Journal or Publication Title: | BMC Pregnancy and Childbirth | |||||||||||||||
| Publisher: | BioMed Central | |||||||||||||||
| ISSN: | 1471-2393 | |||||||||||||||
| Official Date: | 22 February 2022 | |||||||||||||||
| Dates: |
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| Volume: | 22 | |||||||||||||||
| Number: | 1 | |||||||||||||||
| Page Range: | p. 149 | |||||||||||||||
| DOI: | 10.1186/s12884-022-04473-w | |||||||||||||||
| Status: | Peer Reviewed | |||||||||||||||
| Publication Status: | Published | |||||||||||||||
| Reuse Statement (publisher, data, author rights): | ** From Springer Nature via Jisc Publications Router ** History: received 23-08-2021; accepted 11-02-2022; registration 15-02-2022; pub-electronic 22-02-2022; online 22-02-2022; collection 12-2022. ** Licence for this article: http://creativecommons.org/licenses/by/4.0/ | |||||||||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||||||||
| Date of first compliant deposit: | 27 September 2022 | |||||||||||||||
| Date of first compliant Open Access: | 27 September 2022 | |||||||||||||||
| RIOXX Funder/Project Grant: |
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