title

کیفیت زندگی بعد از زایمان طبیعی و سزارین: مرور نظامند و متاآنالیز

رضایی, ستار and سلیمی, یحیی and ظهیریان مقدم, تلما and میرزارحیمی, تیبا and مهرتک, محمد and زندیان, حامد (1397) کیفیت زندگی بعد از زایمان طبیعی و سزارین: مرور نظامند و متاآنالیز. International Journal of Human Rights in Healthcare ــ online . شاپا 2056-4902

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Title

Quality of life after vaginal and cesarean deliveries: a systematic review and meta-analysis

English Abstract

Purpose There are so many studies which evaluated the maternal quality of life based on their delivery type with different results. The purpose of this paper is to evaluate the effect of type of delivery on the maternal QOL systematically. Design/methodology/approach In this systematic review, which was conducted for 15 years (2000-2016), the international databases including PubMed, Scopes and ISI and the Persian databases were searched using the following words: quality of life or health-related quality of life, vaginal delivery, cesarean delivery or cesarean section. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was adopted for this study. The quality of articles was assessed by a checklist that has been used in previous studies. All of the data analysis was performed using STATA ver.12. Findings In total, 13 articles were included in the present systematic review and meta-analysis. The overall sample included 8,136 women (3,990 cesareans vs 4,146 vaginal). The results of the random effect model for eight QOL dimensions based on SF-36 questionnaire showed that there was no significant difference between two groups in terms of QOL. But this model for four QOL dimensions of WHOQOL showed that the maternal in two groups had a significant difference in two dimensions of QOL (mental health and total health) and insignificant difference in other dimensions. Research limitations/implications The results of the study may have been affected by the selection of few databases. Therefore, researchers are encouraged to test the proposed propositions in further databases. Practical implications The study results could be helpful to design appropriate policies for maternal based on their type of delivery. Originality/value This systematic review showed that despite the insignificant difference between women with vaginal delivery vs women with cesarean delivery in some aspects of QOL, it can be concluded that health status of women with vaginal delivery is better than women with cesarean delivery, so it should be considered in the setting of appropriate policies and implementation framework to encourage women for choosing the appropriate delivery type.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :ستار رضایی
نویسنده :یحیی سلیمی
نویسنده :تلما ظهیریان مقدم
نویسنده :تیبا میرزارحیمی
نویسنده :محمد مهرتک
نویسنده مسئول :حامد زندیان
Additional Information:Indexed in: ESCI, Scopus, American Sociological Association Publishing Options Database, British Nursing Index, Health Policy Reference Center
کلیدواژه ها (انگلیسی):Systematic review, Quality of life, Cesarean delivery, Vaginal delivery
Subjects:WA Public Health
WA Public Health

WP Gynecology
Divisions:Faculty of Medicine > Department of Science General
Faculty of Medicine > Department of Anesthesiology , Obstetrics & Gynecology
ID Code:10171
Deposited By: Dr Hamed Zandian
Deposited On:05 Apr 1397 09:51
Last Modified:11 May 1397 09:21

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