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Quality of Life and Psychological Distress in Women With Recurrent Miscarriage: A Comparative Study Publisher Pubmed



Tavoli Z1 ; Mohammadi M2 ; Tavoli A3 ; Moini A1 ; Effatpanah M4 ; Khedmat L5 ; Montazeri A6
Authors
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Authors Affiliations
  1. 1. Tehran University of Medical Science, Department of Obstetrics and Gynecology, School of Medicine, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, School of Medicine, Tehran, Iran
  3. 3. Alzahra University, Department of Psychology, Faculty of Educational Sciences and Psychology, Tehran, Iran
  4. 4. Tehran University of Medical Science, Department of Psychiatry, School of Medicine, Tehran, Iran
  5. 5. Tehran University of Medical Science, Department of Community Medicine, School of Medicine, Tehran, Iran
  6. 6. Iranian Institute for Health Sciences Research, ACECR, Population Health Research Group, Health Metrics Research Centre, Tehran, Iran

Source: Health and Quality of Life Outcomes Published:2018


Abstract

Background: This study aimed to evaluate quality of life and psychological distress in Iranian women with recurrent miscarriage and to compare it in women without miscarriage. Methods: This was a comparative study of quality of life among women with and without recurrent miscarriage. Cases were selected from patients with complain of recurrent miscarriage and comparison group were selected from women attending to two teaching hospitals for annual screening. Quality of life (QOL) was measured using the 36-Item Short Form Survey (SF-36). In addition the Hospital Anxiety and Depression Scale (HADS) were used to measure anxiety and depression. Comparison was made between two groups using the independent samples t-test and chi-square. Results: In all 105 women with recurrent miscarriage and 105 healthy women were studied. The socio-demographic status for both groups was similar. Women with recurrent miscarriage showed a significant higher degree of psychological distress [mean (SD) anxiety score was: 10.6 (2.3) vs. 9.1 (2.2), P < 0.0001; and mean (SD) depression score was: 11.0 (2.3) vs. 9.5 (1.9), P < 0.0001]. In addition women with recurrent miscarriage reported significantly lower level of quality of life in all domains (role physical, general health, vitality, social functioning, role emotional, and mental health, all P values < 0.0001), except for physical functioning (P = 0.06) and bodily pain (P = 0.17). Conclusion: The findings demonstrated that women with recurrent miscarriage reported extensive functional disability, and lower level of well-being compared to women without recurrent miscarriage. The findings have some implications for prenatal care and suggest that appropriate treatment of recurrent miscarriage is essential. © 2018 The Author(s).
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