Stefan Köhler|Kristi Sidney Annerstedt|Vishal Diwan|Lars Lindholm|Bharat Randive|Kranti Vora|Ayesha De Costa
Postpartum quality of life in Indian women after vaginal birth and cesarean section: a pilot study using the EQ-5D-5L descriptive system
Heidelberg University|University Hospital Heidelberg|Karolinska Institutet|Karolinska Institutet|Umeå University|Ruxmaniben Deepchand Gardi Medical College|Indian Institute of Public Health Gandhinagar|Karolinska Institutet
little evaluation postpartum quality life qol women india association mode birth study piloted use generic eq5d5l questionnaire assess postpartum qol experienced rural indian womena convenience sample rural women gave birth health facility gujarat madhya pradesh recruited pilot study qol measured three interviews within 30 days birth using eq5d5l questionnaire patientlevel qualityadjusted life days qalds estimated multivariate regression used adjust selected baseline characteristicsfortysix women cesarean section 178 vaginal birth 17 public private health facilities studied postpartum qol groups improved interviews 1 3 comparing vaginal cesarean births indicated vaginal birth group higher qol 03 days postpartum 028 vs 057 37 days postpartum 059 vs 081 p 0001 likely report slight problems 4 5 health dimensions mobility selfcare usual activities pain discomfort p 004 interviews 1 2 postpartum qol converged still differed groups time interview 3 2130 days postpartum 085 vs 093 p 0001 women reported problems end first postpartum month difference ability perform usual activities persisted p 0001 result fewer qalds attained women cesarean section group day 1 day 21 postpartum 131 vs 166 qalds p 0001 subgroup analysis showed episiotomy vaginal birth also associated reduced qol postpartum lesser extent cesarean section similar results obtained adjusting socioeconomic pregnancy birth characteristics postpartum qol already ceased statistically different groups interview 3vaginal births even episiotomy associated higher postpartum qol cesarean births among indian women pilot study finding expected results suggests eq5d5l questionnaire suitable instrument assess postpartum qol indian women