Self-reported quality of life before, during, and after pregnancy in women with CHD
(2023) In Cardiology in the Young p.1-6- Abstract
- Background:
Adults with CHD are a growing patient group and childbirth is a relatively new phenomenon. EQ-5D is commonly used to measure health-related quality of life. We sought to investigate EQ-5D status before, during, and after pregnancy in women with CHD.
Methods:
We identified 128 pregnancies in 86 CHD women giving birth in Skåne County during 2009–2021. Repeated measures ANOVA was performed to test for differences between the five EQ-5D domains, EQ-VAS, and EQ-index over time points before, the second trimester, the third trimester, and after pregnancy.
Results:
Mean age at estimated childbirth was 30.3 (± 4.7) years; 56.25% of births were vaginal deliveries and 43.75% were Caesarean sections. The... (More) - Background:
Adults with CHD are a growing patient group and childbirth is a relatively new phenomenon. EQ-5D is commonly used to measure health-related quality of life. We sought to investigate EQ-5D status before, during, and after pregnancy in women with CHD.
Methods:
We identified 128 pregnancies in 86 CHD women giving birth in Skåne County during 2009–2021. Repeated measures ANOVA was performed to test for differences between the five EQ-5D domains, EQ-VAS, and EQ-index over time points before, the second trimester, the third trimester, and after pregnancy.
Results:
Mean age at estimated childbirth was 30.3 (± 4.7) years; 56.25% of births were vaginal deliveries and 43.75% were Caesarean sections. The cohort consisted of patients with double outlet right ventricle (4.7%), transposition (Mustard/Senning 2.3%, arterial switch 4.7%), aortic anomalies (19.5%), Fallot’s anomaly (16.4%), single ventricle (3.9%), shunt lesions (11.7%), cardiomyopathies (4.7%), coronary anomalies (1.6%), arrythmias (0.8%), and valve lesions: aortic (19.5%), mitral (5.5%), and pulmonary (4.7%). The women reported significantly worse mobility (p = 0.007) and higher pain/discomfort (p = 0.049) at trimester 3 compared to before pregnancy. The women had lower EQ-5D index during trimester 3 compared to after pregnancy (p = 0.004). We saw worse mobility during Tri 2 comparing multiparity with primiparity (p = 0.046). Looking at delivery mode, we noted significantly higher anxiety/depression before pregnancy (p =0.023) in women that had a Caesarean section.
Conclusions:
In this study, women with CHD reported worse mobility and a higher pain level during Tri 3, although the overall health-related quality of life is acceptably high. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/073ac556-53d0-4fad-ba01-dc86ceb6756b
- author
- Wedlund, Frida LU and Hlebowicz, Joanna LU
- organization
- publishing date
- 2023-05-03
- type
- Contribution to journal
- publication status
- epub
- subject
- in
- Cardiology in the Young
- pages
- 1 - 6
- publisher
- Cambridge University Press
- external identifiers
-
- pmid:37132200
- scopus:85178391008
- ISSN
- 1467-1107
- DOI
- 10.1017/S104795112300080X
- language
- English
- LU publication?
- yes
- id
- 073ac556-53d0-4fad-ba01-dc86ceb6756b
- date added to LUP
- 2023-05-04 17:05:27
- date last changed
- 2024-03-29 04:01:08
@article{073ac556-53d0-4fad-ba01-dc86ceb6756b, abstract = {{Background:<br/>Adults with CHD are a growing patient group and childbirth is a relatively new phenomenon. EQ-5D is commonly used to measure health-related quality of life. We sought to investigate EQ-5D status before, during, and after pregnancy in women with CHD.<br/><br/>Methods:<br/>We identified 128 pregnancies in 86 CHD women giving birth in Skåne County during 2009–2021. Repeated measures ANOVA was performed to test for differences between the five EQ-5D domains, EQ-VAS, and EQ-index over time points before, the second trimester, the third trimester, and after pregnancy.<br/><br/>Results:<br/>Mean age at estimated childbirth was 30.3 (± 4.7) years; 56.25% of births were vaginal deliveries and 43.75% were Caesarean sections. The cohort consisted of patients with double outlet right ventricle (4.7%), transposition (Mustard/Senning 2.3%, arterial switch 4.7%), aortic anomalies (19.5%), Fallot’s anomaly (16.4%), single ventricle (3.9%), shunt lesions (11.7%), cardiomyopathies (4.7%), coronary anomalies (1.6%), arrythmias (0.8%), and valve lesions: aortic (19.5%), mitral (5.5%), and pulmonary (4.7%). The women reported significantly worse mobility (p = 0.007) and higher pain/discomfort (p = 0.049) at trimester 3 compared to before pregnancy. The women had lower EQ-5D index during trimester 3 compared to after pregnancy (p = 0.004). We saw worse mobility during Tri 2 comparing multiparity with primiparity (p = 0.046). Looking at delivery mode, we noted significantly higher anxiety/depression before pregnancy (p =0.023) in women that had a Caesarean section.<br/><br/>Conclusions:<br/>In this study, women with CHD reported worse mobility and a higher pain level during Tri 3, although the overall health-related quality of life is acceptably high.}}, author = {{Wedlund, Frida and Hlebowicz, Joanna}}, issn = {{1467-1107}}, language = {{eng}}, month = {{05}}, pages = {{1--6}}, publisher = {{Cambridge University Press}}, series = {{Cardiology in the Young}}, title = {{Self-reported quality of life before, during, and after pregnancy in women with CHD}}, url = {{http://dx.doi.org/10.1017/S104795112300080X}}, doi = {{10.1017/S104795112300080X}}, year = {{2023}}, }