Happiest Baby On the Block - Learn proven techniques for calming even the fussiest baby in this two-hour class. Attend before the birth or bring your baby to class within the first three weeks after birth.
Labor & Birth Preparation Three-week Series - Expectant parents will gain confidence and feel better prepared to welcome their baby into the world by attending this program. Learn about common hospital birth practices, pain management options and spend time each week practicing labor support techniques.
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Labor & Birth Preparation Refresher - This class is perfect for expectant couples who have attended prenatal classes in the past and are preparing for the birth of another baby. Updates about labor and birth practices and labor support techniques will be presented.
Labor & Birth Preparation Online e-Class - Perfect alternative for busy couples and moms on pregnancy bed rest. Registration includes eight weeks of access to self-learning modules customized for women giving birth at Mercy.
Emotionally, in the first weeks after birth you may have the baby blues or feel jittery, excited, overwhelmed or frustrated. Hang in there. Gradually over time, the symptoms will recede, you will start bonding with your baby, and you will feel like having sex again.
Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncomplicated pregnancy and to assess its associated socio-demographic, physical and psychological factors in developed countries.
Health-related quality of life refers to the subjective assessment of patients regarding the physical, mental and social dimensions of well-being. Improving the quality of life of pregnant women requires better identification of their difficulties and guidance which offers assistance whenever possible.
Pregnancy is a period of transition with important physical and emotional changes [3]. Even in uncomplicated pregnancies, these changes can affect the quality of life of pregnant women and affect both maternal and infant health (pregnancy monitoring, pregnancy outcomes, maternal postpartum health, and the psychomotor development of the infant) [4,5,6,7,8]. Health professionals in the field of prenatal maternal and child health try to satisfy their patients with respect to their experience during preconception and pregnancy periods [2]. Traditionally used pregnancy outcome measures, such as morbidity and mortality rates, remain essential. However, they are not sufficient on their own because population health should be assessed, not only on the basis of saving lives, but also in terms of improving quality of life [2, 9].
The article selection is described in Fig. 1. Of the 1487 articles retrieved, 37 were selected for our analysis (Fig. 1 and Table 1). The methodological quality was rated from 11 to 22 in the selected articles. The selected articles were published between 2001 and 2016. The samples of pregnant women included in the studies varied between 55 and 12,056 women. Concerning the design of the selected studies, twenty were cross-sectional studies [16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35], four were case-controlled studies [36,37,38], and fourteen were longitudinal cohort studies [14, 39,40,41,42,43,44,45,46,47,48,49,50,51]. Thirteen studies were conducted during the first trimester of pregnancy [17, 20, 22, 23, 26, 30, 38,39,40, 44,45,46,47], eleven were from the second trimester [14, 16, 24, 35, 38,39,40,41, 45, 46, 48], eighteen were from the 3rd trimester [14, 18, 19, 27, 29, 31, 33, 34, 37,38,39,40,41,42, 46, 48,49,50] and six studies focused on the entire pregnancy [25, 28, 32, 36, 43, 51]. In measuring the quality of life, nineteen studies used SF-36 [14, 17,18,19, 21, 22, 25,26,27, 30, 33, 34, 38,39,40,41, 44, 46, 51], twelve studies used SF-12 [16, 20, 23, 24, 28, 29, 35, 42, 43, 46, 48, 50], two studies used the WHOQOL Brief [32, 47], one study used The Duke Health Profile [49], and another Nottingham Health Profile [31].
The PCS values ranged from 48 to 61 during the 1st trimester; between 39 and 55 during the 2nd trimester; between 37.5, and 47.5 during the 3rd trimester. For SF-12, values ranged from 44 to 46 in the 1st trimester, 43 and 50 in the 2nd trimester and 41 and 45 in the 3rd trimester. The results of the studies indicated a decrease in physical quality of life throughout pregnancy, particularly related to decreased physical activity and functional limitations (related to physical health and physical pain). In terms of prevalence, the Haas et al. study in 2005 showed an increase in pregnant women with poor physical quality of life during pregnancy: 9% of pregnant women in the second trimester, and 13% in the third trimester [14]. The proportion of pregnant women reporting generally poor health (score 0 to 50) increased from 15.5 to 20.1 and 26.9% and then decreased to 21% in the postpartum period [49].
The MCS values were as follows for the SF-36: in the 1st trimester values between a minimum of 51 and a maximum of 58; in the 2nd trimester between 49 and 62; in the 3rd trimester between 49.5 and 66. In parallel with SF-12, the MCS was between 47 and 48 in the first trimester, between 49 and 52 in the second trimester and 50 and 54 in the third trimester. In five studies, the quality of mental life of the pregnant women increased or remained stable over the course of the trimesters (Fig. 2).
Eight studies have shown that symptoms of depression, anxiety, and stress were factors that had a strong negative impact on the quality of life of pregnant women. Sexual and domestic violence was linked to a lower quality of life, as well as the experience of life-threatening events and the experience of infertility. Happiness at being pregnant and being optimistic were factors related to a better quality of life.
Pregnant women, especially during the third trimester, had significantly lower quality of life scores than non-pregnant women of the same age. Physically, the quality of life decreased significantly during the course of the trimesters. On a psychological level, several studies reported an increase in quality of life relative to mental health during pregnancy, and in others psychological stability was seen. Many factors were associated with the quality of life in pregnant women. Some factors associated with higher well-being were socio-demographic (first-time pregnancy, a favourable socio-economic status, social support, partner support). Similarly, the desire to be pregnant and moderate physical activity were factors associated with a positive quality of life. A lesser quality of life was attributed to physical factors, (such as complications during pregnancy, medically assisted reproduction, obesity prior to conception, physical symptoms such as nausea and vomiting, sleep difficulties), and otherwise attributed to psychological factors, (such as anxiety and stress during pregnancy and depressive symptoms).
Your doctor may also order a non-stress test and a 41 weeks pregnant ultrasound, to be sure baby is still doing okay in there. This will probably help both of you make the decision of whether or not to induce.
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