Revisión sistemática sobre calidad de vida relacionada con la salud en gestantes 2008-2019

  • Jaiberth Cardona Arias Universidad de Antioquia https://orcid.org/0000-0002-7101-929X
  • Luisa Fernanda Román Jurado Universidad Cooperativa de Colombia
  • Leydy Vanessa Suárez Fernández Universidad Cooperativa de Colombia
Palabras clave: Gestación, Calidad de vida, Revisión sistemática, Mujer, Embarazo de alto riesgo

Resumen

Introducción: la gestación es un periodo de importantes cambios fisiológicos, morfológicos y psicológicos que a su vez se asocian con la calidad de vida relacionada con la salud (CVRS).

Objetivo general: describir las publicaciones sobre CVRS de gestantes en el periodo 2008-2019 y analizar sus dimensiones en salud física y mental con el SF-36.

Materiales y métodos: revisión sistemática en MedLine-Pubmed, Scielo y Google Scholar. Se garantizó exhaustividad, reproducibilidad y calidad metodológica. Se estimó la media de salud física y mental del SF-36 con su intervalo de confianza del 95% mediante un meta-análisis de efectos aleatorios.

Resultados: se identificaron 21.683 investigaciones de las cuales 63 cumplieron el protocolo e incluyeron 32.107 gestantes. Los estudios aplicaron 20 escalas de CVRS siendo más frecuente el uso del SF-36, SF-12 y WHOQOLBREF. Los estudios analizaron el perfil de CVRS de la gestante y su relación con otras variables como depresión, ansiedad, estrés, calidad del sueño, actividad física, salud oral, diabetes e HTA. En 17 estudios con 7.849 gestantes sanas que aplicaron el SF-36 o SF-12, el puntaje de CVRS en el componente físico fue 52,7 (IC95%=52,4-53,0) y el mental 54,1 (IC95%=53,8-54,4).

Conclusión: los estudios sobre CVRS en gestantes se concentran en pocos países, con estudios que exploran su correlación con comorbilidades o sintomatologías de salud mental. Se dispone de múltiples escalas siendo más utilizada la SF-36, según esta escala la gestación afecta la CVRS tanto en el componente físico como en el mental.

|Resumen
= 46 veces | PDF
= 80 veces|

Descargas

La descarga de datos todavía no está disponible.

Biografía del autor/a

Jaiberth Cardona Arias, Universidad de Antioquia
Microbiólogo y Bioanalista, MSc Epidemiología, MSc Economía aplicada, PhD (candidato) Salud Pública. Escuela de Microbiología. 
Luisa Fernanda Román Jurado, Universidad Cooperativa de Colombia

Estudiante último año de Medicina. Grupo de investigación Salud y Sostenibilidad. Medellín, Colombia

Leydy Vanessa Suárez Fernández, Universidad Cooperativa de Colombia

Estudiante último año de Medicina. Grupo de investigación Salud y Sostenibilidad. Medellín, Colombia.

Citas

Menendez Guerrero GE, Navas Cabrera I, Hidalgo Rodriguez Y, Espert Castellanos J. El embarazo y sus complicaciones en la madre adolescente. Revista Cubana de Obstetricia y Ginecologia. 2012;38(3):333-42.

Grupo de la OMS sobre la calidad de vida. La gente y la salud. .Que calidad de vida? Rev Int Desarro Sanit. 1996;17(4):385-7.

Schwartzmann L. Calidad de vida relacionada con la salud: aspectos conceptuales. Cienc Enferm. 2003;9(2):9-21.

Patrick D, Erickson P. Health Status and Health Policy: Quality of Life in Health Care Evaluation and Resource Allocation. New York: Oxford University Press; 1993.

Estrada-Mendiola R, Reynaga-Ornelas L, Jimenez- Garza O, Davalos-Perez, Rodriguez-Lugo S. Diferencias en la calidad de vida por trimestre del embarazo en un grupo de adolescentes argentinas. Acta Universitaria. 2014;24(2):57-60. doi: 10.15174/au.2014.724.

Rodrigues PB, Zambaldi CF, Cantilino A, Sougey EB. Special features of high-risk pregnancies as factors in development of mental distress: a review. Trends in Psychiatry and Psychotherapy. 2016;38(3):136-40.

Montoya Arizabaleta AV, Orozco Buitrago L, Aguilar de Plata AC, Mosquera Escudero M, Ramirez-Velez R. Aerobic exercise during pregnancy improves healthrelated quality of life: a randomised trial. Journal of Physiotherapy. 2010;56(4):253-8.

Bai G, Korfage IJ, Groen EH, Jaddoe VWV, Mautner E, Raat H. Associations between Nausea, Vomiting, Fatigue and Health-Related Quality of Life of Women in Early Pregnancy: The Generation R Study. PLOS ONE. 2016;11(11):e0166133.

Munch S, Korst L, Hernandez G, Romero R, Goodwin T. Health-related quality of life in women with nausea and vomiting of pregnancy: the importance of psychosocial context. J Perinatol. 2011;31(1):10-20.

Gharacheh M, Azadi S, Mohammadi N, Montazeri S, Khalajinia Z. Domestic Violence during Pregnancy and Women’s Health-Related Quality of Life. Glob J Health Sci. 2016;8(2):27-34.

O’Connor D, Green S, Higgins JPT (editores). Chapter 5: Defining the review question and developing criteria for including studies. En: Higgins JPT, Green S (editores), Cochrane Handbook of Systematic Reviews of Intervention. Version 5.1.0. The Cochrane Collaboration, 2011. Disponible en: www.cochrane-handbook. org

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097. doi: 10.1371/journal. pmed.1000097

Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al.; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. PLoS Med. 2007;4(10):e297.

Lau Y, Wong DFK, Chan KS. The impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women. Midwifery. 2008;24(1):22-37.

Setse R, Grogan R, Pham L, Cooper LA, Strobino D, Powe NR, et al. Longitudinal Study of Depressive Symptoms and Health-Related Quality of Life During Pregnancy and After Delivery: The Health Status in Pregnancy (HIP) Study. Matern Child Health J. 2009;13(5):577-87.

Couto ER, Couto E, Vian B, Gregorio Z, Nomura ML, Zaccaria R, et al. Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes. Sao Paulo Medical Journal. 2009;127(4):185-9.

Da Costa D, Dritsa M, Verreault N, Balaa C, Kudzman J, Khalife S. Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Arch Womens Ment Health. 2010;13(3):249- 57.

Bijlenga D, Boers KE, Birnie E, Mol B-WJ, Vijgen SCM, Van der Post JAM, et al. Maternal health-related quality of life after induction of labor or expectant monitoring in pregnancy complicated by intrauterine growth retardation beyond 36 weeks. Qual Life Res. 2011;20(9):1427-36.

Tendais I, Figueiredo B, Mota J, Conde A. Physical activity, health-related quality of life and depres27 Hechos Microbiol. 2021;112(1):18-29 sion during pregnancy. Cadernos de Saude Publica. 2011;27(2):219-28.

Dalfra MG, Nicolucci A, Bisson T, Bonsembiante B, Lapolla A, QLISG (Quality of Life Italian Study Group). Quality of life in pregnancy and post-partum: a study in diabetic patients. Qual Life Res. 2012;21(2):291-8.

Liu L, Setse R, Grogan R, Powe NR, Nicholson WK. The effect of depression symptoms and social support on black-white differences in health-related quality of life in early pregnancy: the health status in pregnancy (HIP) study. BMC Pregnancy Childbirth. 2013;13:125.

Dehcheshmeh FS, Salehian T, Parvin N. The effect of spouses’ educational classes held for primiparous women referring to Hajar hospital on their quality of life and pregnancy outcomes. Iran J Nurs Midwifery Res. 2014;19(7 Suppl1):S59-63.

Akmeşe ZB, Oran NT. Effects of Progressive Muscle Relaxation Exercises Accompanied by Music on Low Back Pain and Quality of Life During Pregnancy. Journal of Midwifery & Women’s Health. 2014;59(5):503-9.

Chang S-R, Chen K-H, Lin M-I, Lin H-H, Huang L-H, Lin W-A. A repeated measures study of changes in health-related quality of life during pregnancy and the relationship with obstetric factors. Journal of Advanced Nursing. 2014;70(10):2245-56.

Meneguin S, Xavier C de L, Santana DG de, Meneguin S, Xavier C de L, Santana DG de. Qualidade de vida de cardiopatas durante a gestacao e apos o parto. Acta Paulista de Enfermagem. 2016;29(2):232-8.

Tavoli Z, Tavoli A, Amirpour R, Hosseini R, Montazeri A. Quality of life in women who were exposed to domestic violence during pregnancy. BMC Pregnancy and Childbirth. 2016;16(1):19.

Abbaspoor Z, Razmju PS, Hekmat K. Relation between quality of life and mental health in pregnant women with prior pregnancy loss. Journal of Obstetrics and Gynaecology Research. 2016;42(10):1290-6.

Ali A. Relationship between Unwanted Pregnancy and Health-Related Quality of Life in Pregnant Women. J Coll Physicians Surg Pak. 2016;26(6):507-12.

Do NC, Secher AL, Cramon P, Ringholm L, Watt T, Damm P, et al. Quality of life, anxiety and depression symptoms in early and late pregnancy in women with pregestational diabetes. Acta Obstetricia et Gynecologica Scandinavica. 2017;96(2):190-7.

Vazquez J, Rodriguez Luciano, Ramirez R, Villaverde Carmen, Torres G, Gomez J. Calidad de vida relacionada con la salud en una poblacion de gestantes sanas tras un programa de actividad fisica en el medio acuatico (PAFMAE). Rev. Esp. Salud Publica. 2017;91:e201710042.

Schubert KO, Air T, Clark SR, Grzeskowiak LE, Miller E, Dekker GA, et al. Trajectories of anxiety and health related quality of life during pregnancy. PLOS ONE. 2017;12(7):e0181149.

O’Connor PJ, Poudevigne MS, Johnson KE, de Araujo JB, Ward-Ritacco CL. Effects of resistance training on fatigue-related domains of quality of life and mood during pregnancy: A randomized trial in pregnant women with back pain. Psychosom Med. 2018;80(3):327- 32.

Lacasse A, Berard A. Validation of the nausea and vomiting of pregnancy specific health related quality of life questionnaire. Health Qual Life Outcomes. 2008;6:32.

Mota N, Cox BJ, Enns MW, Calhoun L, Sareen J. The relationship between mental disorders, quality of life, and pregnancy: Findings from a nationally representative sample. Journal of Affective Disorders. 2008;109(3):300-4.

Lacasse A, Rey E, Ferreira E, Morin C, Berard A. Nausea and vomiting of pregnancy: what about quality of life? BJOG: An International Journal of Obstetrics & Gynaecology. 2008;115(12):1484-93.

Moyer CA, Yang H, Kwawukume Y, Gupta A, Zhu Y, Koranteng I, et al. Optimism/pessimism and healthrelated quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States. BMC Pregnancy Childbirth. 2009;9:39.

Nohara M, Miyagi S. Family support and quality of life of pregnant women during pregnancy and after birth. [Nihon kōshū eisei zasshi] Japanese Journal of Public Health. 2009;56:849-62.

Velez RR. Pregnancy and health-related quality of life: A cross sectional study. Colombia Medica. 2011;42(4):476-81.

Lau Y. Traditional Chinese Pregnancy Restrictions, Health-Related Quality of Life and Perceived Stress among Pregnant Women in Macao, China. Asian Nursing Research. 2012;6(1):27-34.

Vinturache A, Stephenson N, McDonald S, Wu M, Bayrampour H, Tough S. Health-related quality of life in pregnancy and postpartum among women with assisted conception in Canada. Fertility and Sterility. 2015;104(1):188-195.e1.

Tan A, Lowe S, Henry A. Nausea and vomiting of pregnancy: Effects on quality of life and day-to-day function. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2018;58(3):278-90.

Bai G, Raat H, Jaddoe VWV, Mautner E, Korfage IJ. Trajectories and predictors of women’s health-related quality of life during pregnancy: A large longitudinal cohort study. PLOS ONE. 2018;13(4):e0194999.

Gezginc K, Uguz F, Karatayli S, Zeytinci E, Aşkin R, Guler O, et al. The impact of obsessive-compulsive disorder in pregnancy on quality of life. International Journal of Psychiatry in Clinical Practice. 2008;12(2):134-7. 28 Román-Jurado, Suárez-Fernández, Cardona Arias

Vallim AL, Osis MJ, Cecatti JG, Baciuk EP, Silveira C, Cavalcante SR. Water exercises and quality of life during pregnancy. Reprod Health. 2011;8:14.

Coban A, Arslan GG, Colakfakioglu A, Sirlan A. Impact on quality of life and physical ability of pregnancy- related back pain in the third trimester of pregnancy. J Pak Med Assoc. 2011;61(11):1122-4.

Moccellin AS, Rett MT, Driusso P. Incontinencia urinaria na gestacao: implicacoes na qualidade de vida. Revista Brasileira de Saude Materno Infantil. 2014;14(2):147-54.

Shishehgar S, Dolatian M, Majd HA, Bakhtiary M. Perceived Pregnancy Stress and Quality of Life amongst Iranian Women. Global Journal of Health Science. 2014;6(4):270.

Mautner E, Greimel E, Trutnovsky G, Daghofer F, Egger JW, Lang U. Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. Journal of Psychosomatic Obstetrics & Gynecology. 2009;30(4):231-7.

Botelho S, Riccetto C, Ribeiro G, Gome J, Brisola M, Herrmann V, et al. Sintomas de vejiga hiperactiva en mujeres en fase gestacional y puerperal: .existe correlacion entre los sintomas y la percepcion de la calidad de vida? Actas Urologicas Espanolas. 2010;34(9):794-7.

Schatz M, Dombrowski MP, Wise R, Lai Y, Landon M, Newman RB, et al. The Relationship of Asthma- Specific Quality of Life During Pregnancy to Subsequent Asthma and Perinatal Morbidity. J Asthma. 2010;47(1):46-50.

Wik HS, Enden TR, Jacobsen AF, Sandset PM. Longterm quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity. Journal of Thrombosis and Haemostasis. 2011;9(10):1931-6.

Wik HS, Jacobsen AF, Sandvik L, Sandset PM. Longterm impact of pregnancy-related venous thrombosis on quality-of-life, general health and functioning: results of a cross-sectional, case–control study. BMJ Open. 2019;2(6). pii: e002048. doi: 10.1136/bmjopen- 2012-002048. Print 2012.

Gilbey P, McGruthers L, Morency A-M, Shrim A. Rhinosinusitis- Related Quality of Life during Pregnancy. Am J Rhinol Allergy. 2012;26(4):283-6.

Guarino L, Scremin F, Borras S. Nivel de informacion y apoyo social como predictoras de la salud y calidad de vida durante el embarazo. Psychologia Avances de la Disciplina. 2013;7(1):13-21.

Cornejo C, Rossi G, Rama A, Gomez-Gutierrez N, Alvaredo G, Squassi A, et al. Oral health status and oral health-related quality of life in pregnant women from socially deprived populations. Acta Odontologica Latinoamericana : AOL. 2013;26:68-74.

Meneguin S, Xavier C de L. Qualidade de vida em gestantes com cardiopatia. Texto & Contexto Enfermagem. 2013;22(3):811-8.

Johnson P, Mount K, Graziano S. Functional bowel disorders in pregnancy: effect on quality of life, evaluation and management. Acta Obstetricia et Gynecologica Scandinavica. 2014;93(9):874-9

Kolu P, Raitanen J, Luoto R. Physical Activity and Health-Related Quality of Life During Pregnancy: A Secondary Analysis of a Cluster-Randomised Trial. Matern Child Health J. 2014;18(9):2098-105.

Lamarca GA, Leal M do C, Leao ATT, Sheiham A, Vettore MV. The different roles of neighbourhood and individual social capital on oral health–related quality of life during pregnancy and postpartum: a multilevel analysis. Community Dentistry and Oral Epidemiology. 2014;42(2):139-50.

Gustafsson MK, Stafne SN, Romundstad PR, Morkved S, Salvesen K, Helvik A-S. The effects of an exercise programme during pregnancy on health-related quality of life in pregnant women: a Norwegian randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology. 2016;123(7):1152-60.

Sut HK, Asci O, Topac N. Sleep Quality and Health- Related Quality of Life in Pregnancy. J Perinat Neonatal Nurs. 2016;34(4):302-9.

Falcao KPM, Antunes TPC, Feitosa A do NA, Victor EG, Sousa MNA de, Abreu LC de, et al. Association between hypertension and quality of life in pregnancy. Hypertension in Pregnancy. 2016;35(3):306-14.

Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Asghari Jafarabadi M, Shiri F, Ghanbari- Homayi S. Feasibility, Reliability, and Validity of the Iranian Version of the Quality of Life Questionnaire for Pregnancy. Iran Red Crescent Med J 2016;18(9):e35382. doi: 10.5812/ircmj.35382.

Sahrakorpi N, Koivusalo SB, Eriksson JG, Kautiainen H, Stach-Lempinen B, Roine RP. Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy. Matern Child Health J. 2017;21(7):1493-9.

Gariepy A, Lundsberg LS, Vilardo N, Stanwood N, Yonkers K, Schwarz EB. Pregnancy context and women’s health-related quality of life. Contraception. 2017;95(5):491-9.

Valencia T, Elizabeth R. Salud bucal y calidad de vida en gestantes del Centro de Salud Cooperativa Universal febrero-julio 2016. Horizonte Medico (Lima). 2017;17(4):35-41.

Ng BK, Kipli M, Abdul Karim AK, Shohaimi S, Abdul Ghani NA, Lim PS. Back pain in pregnancy among office workers: risk factors and its impact on quality of life. Horm Mol Biol Clin Investig. 2017;32(3).

Shah AF, Batra M, Qureshi A. Evaluation of Impact of Pregnancy on Oral Health Status and Oral Health Rela29 Hechos Microbiol. 2021;112(1):18-29 ted Quality of Life among Women of Kashmir Valley. J Clin Diagn Res. 2017;11(5):ZC01-4.

Chung Y-H, Tsai S-T, Liu M-C, Chou F-H. [Testing the Reliability and Validity of the Taiwan Health-Related Quality of Life for Nausea and Vomiting During Pregnancy Scale]. Hu Li Za Zhi. 2017;64(6):45-55

Campolong K, Jenkins S, Clark MM, Borowski K, Nelson N, Moore KM, et al. The association of exercise during pregnancy with trimester-specific and postpartum quality of life and depressive symptoms in a cohort of healthy pregnant women. Arch Womens Ment Health. 2018;21(2):215-24.

Heitmann K, Nordeng H, Havnen GC, Solheimsnes A, Holst L. The burden of nausea and vomiting during pregnancy: severe impacts on quality of life, daily life functioning and willingness to become pregnant again - results from a cross-sectional study. BMC Pregnancy Childbirth. 2017;17(1):75.

Sahrakorpi N, Koivusalo SB, Stach‐Lempinen B, Eriksson JG, Kautiainen H, Roine RP. “The Burden of Pregnancy”; heavier for the heaviest? The changes in Health Related Quality of Life (HRQoL) assessed by the 15D instrument during pregnancy and postpartum in different body mass index groups: a longitudinal survey. Acta Obstetricia et Gynecologica Scandinavica. 2017;96(3):352-8.

Vilagut G, Ferrer M, Rajmil L, Rebollo P, Permanyer- Miralda G, Quintana JM, et al. El Cuestionario de Salud SF-36 espanol: una decada de experiencia y nuevos desarrollos. Gaceta Sanitaria. 2005;19(2):135-50.

Urzua M A, Caqueo-Urizar A. Estructura Factorial y valores de referencia del WHOQoL-Bref en poblacion adulta chilena. Revista medica de Chile. 2013;141(12):1547-54.

Organizacion Mundial de la Salud. Mortalidad materna. [Internet] 2015. [19 de Septiembre de 2019]. Disponible en: https://www.who.int/es/news-room/ fact-sheets/detail/maternal-mortality.

Organizacion Mundial de la Salud. La OMS senala que las embarazadas deben poder tener acceso a una atencion adecuada en el momento adecuado. [Internet] 2016. [19 de Septiembre de 2016]. Disponible en: https://www.who.int/es/news-room/detail/07- 11-2016-pregnant-women-must-be-able-to-accessthe- right-care-at-the-right-time-says-who.

Forger F, Ostensen M, Schumacher A, Villiger P. Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Annals of the Rheumatic Diseases. 2005;64(10):1494-1499.

World Health Organization, United Nations Population Fund, Key Centre for Women’s Health in Society, editores. Mental health aspects of women’s reproductive health: a global review of the literature. Geneva: World Health Organization; 2009. 168 p.

Flores RM. Los trastornos mentales relacionados a la edad reproductiva de la mujer: una nueva propuesta en el campo de la salud mental. Gac Med Mex. 2011;147:33-7.

Oviedo-Caro MA, Bueno-Antequera J, Paris-Garcia F, Munguia-Izquierdo D. Estilo de vida activo en la etapa final de embarazo y su influencia en la salud mental percibida: the PregnActive project. Revista INFAD de Psicologia. 2017;4(1):351.

Giraldo Gallego N, Valencia Acevedo D, Cardona- Arias J. Calidad de vida relacionada con la salud en tuberculosis: Revision sistematica y metanalisis. Infect. 2018;22(3):124-130.

Cardona-Arias J, Higuita-Gutierrez L. Impacto del VIH/SIDA sobre la calidad de vida: metaanalisis 2002- 2012. Rev. Esp. Salud Publica. 2014; 88(1):87-101.

Diaza J, Davilab F, Quintana Lopez G, Brownd P. Evaluacion de la fiabilidad del SF-36 en pacientes colombianos con artritis reumatoide. Rehabilitacion. 2017;79-85.

Vazquez Lara J, Rodriguez Diaz L, Ramirez Rodrigo J, Villaverde Gutierrez C, Torres Luque G, Gomez- Salgado J. Calidad de vida relacionada con la salud en una poblacion de gestantes sanas tras un programa de actividad fisica en el medio acuatico (PAFMAE). Rev Esp. Salud Publica. 2017;91:e201710042.

Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455. doi:10.1186/s12884-018-2087-4.

Mogos MF, August EM, Salinas-Miranda AA, Sultan DH, Salihu HM. A Systematic Review of Quality of Life Measures in Pregnant and Postpartum Mothers. Appl Res Qual Life. 2013;8(2):219-250. doi: 10.1007/s11482- 012-9188-4.

Publicado
2021-05-01
Cómo citar
Cardona AriasJ., Román JuradoL. F., & Suárez FernándezL. V. (2021). Revisión sistemática sobre calidad de vida relacionada con la salud en gestantes 2008-2019. Hechos Microbiológicos, 12(1), 18-29. https://doi.org/10.17533/10.17533/udea.hm.v12n1a03
Sección
Revisiones sistemáticas