Key result
Cardiac anxiety, multiparity, and no prior cardiac surgery strongly predict lower postpartum QoL in heart disease.
Why the study?
Postpartum quality of life in women with heart disease has been neglected, prompting an evaluation integrating medical data and subjective characteristics to improve clinical communication and treatment.
Observational (n=105)
Postpartum women with heart disease experience reduced quality of life and high rates of depression and anxiety, highlighting the need for comprehensive mental and physical health management during maternity care.
Warrants mental health screening in postpartum cardiac patients; leaves open whether interventions improve QoL.
BACKGROUND Postpartum quality of life (QoL) in women with heart disease has been neglected. AIM To improve clinical communication and treatment, we integrated medical data and subjective characteristics to study postpartum QoL concerns. METHODS The study assessed QoL 6 wk after birth using the 12-Item Short-Form Health Survey. The Edinburgh Postnatal Depression Scale, Cardiac Anxiety Questionnaire, European Heart Failure Self-Care Behavior Scale, and a self-designed questionnaire based on earlier research were also used to assess patient characteristics. Patient data were collected. Prediction models were created using multiple linear regression. RESULTS This retrospective study examined postpartum QoL in 105 cardiac patients. Postpartum QoL scores were lower (90.69 ± 13.82) than those of women without heart disease, with physical component scores (41.09 ± 9.91) lower than mental component scores (49.60 ± 14.87). Postpartum depression (33.3%), moderate anxiety (37.14%), pregnancy concerns (57.14%), offspring heart problems (57.14%), and life expectancy worries (48.6%) were all prevalent. No previous cardiac surgery, multiparity, higher sadness and cardiac anxiety, and fear of unfavorable pregnancy outcomes were strongly related to lower QoL (R2 = 0.525). CONCLUSION Postpartum QoL is linked to physical and mental health in women with heart disease. Our study emphasizes the need for healthcare workers to recognize the unique characteristics of these women while developing and implementing comprehensive management approaches during their maternity care.
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Liu et al. (2024) conducted an observational in Heart disease in postpartum women (n=105). Predictors of postpartum QoL vs. Women without heart disease was evaluated on Postpartum quality of life (QoL) score (R2 0.525). Postpartum quality of life in women with heart disease was low (mean score 90.69), with no previous cardiac surgery, multiparity, and cardiac anxiety strongly predicting lower QoL (R2=0.525).
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