Vol 12: Long-term impact of intrauterine fetal death on quality of life and depression: a case-control study.Reportar como inadecuado



 Vol 12: Long-term impact of intrauterine fetal death on quality of life and depression: a case-control study.


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This article is from BMC Pregnancy and Childbirth, volume 12.AbstractBackground: Intrauterine fetal death IUFD is a serious incidence that has been shown to impact mothers’ psychological well-being in the short-term. Long-term quality of life QOL and depression after IUFD is not known. This study aimed to determine the association between intrauterine fetal death and long-term QOL, well-being, and depression. Methods: Analyses were performed on collected data among 106 women with a history of intrauterine fetal death IUFD and 262 women with live births, 5–18 years after the event. Univariable and multivariable linear and logistic regression models were used to quantify the association between previous fetal death and long-term QOL, well-being and depression. QOL was assessed using the QOL Index QLI, symptoms of depression using the Center for Epidemiological Studies Depression Scale CES-D, and subjective well-being using the General Health Questionnaire 20 GHQ-20. Results: More of the cases had characteristics associated with lower socioeconomic status and did not rate their health as good as did the controls. The QLI health and functioning subscale score was slightly but significantly lower in the cases than in the controls 22.3. vs 23.5, P = .023. The CES-D depressed affect subscale score 2.0 vs 1.0, P = 0.004 and the CES-D global score 7.4 vs 5.0, P = .017 were higher in the cases. Subjective well-being did not differ between groups 20.6 vs 19.4, P = .094. After adjusting for demographic and health-related variables, IUFD was not associated with global QOL P = .674, subjective well-being P = .700, or global depression score adjusted odds ratio = 0.77, 95% confidence interval 0.37–1.57. Conclusions: Women with previous IUFD, of which the majority have received short-term interventions, share the same level of long-term QOL, well-being and global depression as women with live births only, when adjusted for possible confounders. Trial registration: The study was registered at http:-www.clinicaltrials.gov, with registration number NCT 00856076.



Autor: Gravensteen, Ida Kathrine; Helgadottir, Linda Bj?rk; Jacobsen, Eva-Marie; Sandset, Per Morten; Ekeberg, ?ivind

Fuente: https://archive.org/







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