Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum.

Hutchens, J; Frawley, J; Sullivan, EA

Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum.

Hutchens, J Frawley, J

Sullivan, EA

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Publisher:: BioMed Central
Publication Type:: Journal Article
Citation:: BMC Pregnancy and Childbirth, 2022, 22, (1), pp. 1-10
Issue Date:: 2022-10-28

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Field	Value	Language
dc.contributor.author	Hutchens, J
dc.contributor.author	Frawley, J https://orcid.org/0000-0001-6037-0140
dc.contributor.author	Sullivan, EA
dc.date.accessioned	2022-11-24T05:07:01Z
dc.date.available	2022-10-12
dc.date.available	2022-11-24T05:07:01Z
dc.date.issued	2022-10-28
dc.identifier.citation	BMC Pregnancy and Childbirth, 2022, 22, (1), pp. 1-10
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/163727
dc.description.abstract	PURPOSE: Cardiac disease is a leading cause of maternal morbidity and mortality yet there is limited research on women's experiences and quality of life (QoL) outcomes. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 months postpartum (CDPP). METHODS: This exploratory descriptive study recruited 43 women with acquired, genetic and congenital CDPP. Patient reported outcomes measures (PROMs) used were: WHOQoL-Bref, a Kansas City Cardiac Questionnaire (KCCQ), the Depression, Anxiety and Stress Scales-21 (DASS-21), the Cardiac Anxiety Questionnaire (CAQ) plus newly developed questions. RESULTS: Women reported low health satisfaction (51.7/100), physical health (55.2/100) and low HRQoL (63.1/100). Women had clinically significant scores for depression (24%), anxiety (22%) and stress (19.5%) (DASS-21) and 44.5% scored at least moderate anxiety on the CAQ. Most women (83.7%) were advised to avoid pregnancy which 88.9% found "upsetting" to "devastating"; 10.0% were offered counselling. Most women were concerned about reduced longevity (88.1%), offspring developing a cardiac condition (73.8%), and the limitations on enjoyment of life (57.1%). Women missed medical appointments due to cost (25.03%) and difficulty arranging childcare (45.5%). CONCLUSION: The majority of women reported inadequate information and counselling support, with women with CDPP having sustained impaired QoL and mental health outcomes. The new and modified questions relating to mothering and children reflected the primacy of mothering to women's identity and needs.
dc.format	Electronic
dc.language	eng
dc.publisher	BioMed Central
dc.relation.ispartof	BMC Pregnancy and Childbirth
dc.relation.isbasedon	10.1186/s12884-022-05123-x
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Anxiety
dc.subject.mesh	Child
dc.subject.mesh	Depression
dc.subject.mesh	Female
dc.subject.mesh	Heart Diseases
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health
dc.subject.mesh	Postpartum Period
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Life
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Pregnancy
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Quality of Life
dc.subject.mesh	Mental Health
dc.subject.mesh	Postpartum Period
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Anxiety
dc.subject.mesh	Heart Diseases
dc.subject.mesh	Depression
dc.subject.mesh	Humans
dc.subject.mesh	Heart Diseases
dc.subject.mesh	Depression
dc.subject.mesh	Anxiety
dc.subject.mesh	Mental Health
dc.subject.mesh	Postpartum Period
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Life
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Surveys and Questionnaires
dc.title	Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum.
dc.type	Journal Article
utslib.citation.volume	22
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-24T05:06:57Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	22
utslib.citation.issue	1

Abstract:

PURPOSE: Cardiac disease is a leading cause of maternal morbidity and mortality yet there is limited research on women's experiences and quality of life (QoL) outcomes. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 months postpartum (CDPP). METHODS: This exploratory descriptive study recruited 43 women with acquired, genetic and congenital CDPP. Patient reported outcomes measures (PROMs) used were: WHOQoL-Bref, a Kansas City Cardiac Questionnaire (KCCQ), the Depression, Anxiety and Stress Scales-21 (DASS-21), the Cardiac Anxiety Questionnaire (CAQ) plus newly developed questions. RESULTS: Women reported low health satisfaction (51.7/100), physical health (55.2/100) and low HRQoL (63.1/100). Women had clinically significant scores for depression (24%), anxiety (22%) and stress (19.5%) (DASS-21) and 44.5% scored at least moderate anxiety on the CAQ. Most women (83.7%) were advised to avoid pregnancy which 88.9% found "upsetting" to "devastating"; 10.0% were offered counselling. Most women were concerned about reduced longevity (88.1%), offspring developing a cardiac condition (73.8%), and the limitations on enjoyment of life (57.1%). Women missed medical appointments due to cost (25.03%) and difficulty arranging childcare (45.5%). CONCLUSION: The majority of women reported inadequate information and counselling support, with women with CDPP having sustained impaired QoL and mental health outcomes. The new and modified questions relating to mothering and children reflected the primacy of mothering to women's identity and needs.

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http://hdl.handle.net/10453/163727