Quality Status Determinants in Pregnant Women

Introduction. Health-related quality of life is a multi-dimensional concept that has dimensions of physical, psychological, emotional and social performance and is affected by demographic, social, economic, cultural and health and disease variables. Since many factors can affect the quality of life of pregnant women, the purpose of this study is to determine the determinants of quality of life in pregnant women.Material and Method. This cross-sectional study was carried out on 394 pregnant women referring to comprehensive health centers in Qazvin in 2017. After determining the list of centers, 10 centers were selected using cluster random sampling and sampling was done in the centers with simple sampling. Inclusion criteria were including intrauterine pregnancy, gestational age 14-42 weeks, no history of chronic medical problems such as diabetes, cardiovascular disease, blood pressure, kidney, etc., and non-complications of pregnancy such as abortion, gestational diabetes, preeclampsia and the exclusion criterion was the lack of completion of the questionnaires. After obtaining consent from qualified people, demographic, socio-economic and midwifery questionnaires, as well as HFIAS and SF-36 were completed by them. Data were analyzed using Stata 12 software and linear regression. Initially, using univariate analysis were examined the relationship between variables such as age, education, spouse, spouse s job, number of pregnancies, place of residence, gestational age, unwanted or unwanted pregnancy, embryos, food security status, smoking, status Housing, economic status and BMI with quality of life. Then variables with p-value less than 0.2 were entered into multivariate analysis. A significant level of 0.05 was considered.Results. Among the variables of food security status, age, number of pregnancies, place of residence and BMI that came into the model, the food security status was a determinant of quality of life in pregnancy. So that the quality of life score in women with mild food insecurity declined by 5.03 score [95% CI: (-9.36, -0.67), p= 0.02], in women with moderate food insecurity declined by 10.06 score [95% CI: (-16.14, -3.99), p= 0.001] and in women with sever food insecurity declined by 13.8 score [95% CI: (-19.18, -8.42), p< 0.0001] compared to women with food security status.Conclusion. One of the risk factors associated with a decrease in quality of life in pregnant women is the severity of food insecurity. Because the decline in quality of life can be accompanied by adverse outcomes in the mother and the fetus, it is necessary to improve the nutritional status of pregnant women.

Keywords:

Food security , pregnancy , quality of life