Evaluation of Quality of Life in Japanese Normal Pregnant Women

DOI 機関リポジトリ HANDLE
  • HAMA Kouko
    Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences Siebold University of Nagasaki Mie University Graduate School of Medicine
  • TAKAMURA Noboru
    Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences
  • HONDA Sumihisa
    Research Center for Tropical Infectious Diseases, Institute of Tropical Medicine, Nagasaki University
  • ABE Yasuyo
    Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences
  • YAGURA Chiaki
    Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences
  • MIYAMURA Tsunetake
    Miyamura Hospital
  • OBAMA Masahiko
    Obama Ladies Clinic
  • MORISAKI Masayuki
    Takara Maternity Clinic
  • IMAMURA Sadaomi
    Imamura Women's Hospital
  • AOYAGI Kiyoshi
    Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences

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To evaluate QOL changes during pregnancy in developed country, we analyzed 159 pregnant Japanese women (67 nulliparous and 92 multiparous) who had no complications during pregnancy. Subjects were asked to complete the Medical Outcomes Study Short Form (SF-36) every 4 weeks up to 24 weeks of gestation, and every 2 weeks from 24 weeks of gestation until delivery. Subscales that reflect “Physical functioning (p‹0.001)”, “Role-physical (p‹0.001)” and “Bodily pain (p‹0.001)” showed significant declines throughout the entire pregnancy. On the other hand, subscales that reflect “Vitality,” “General health” and “Mental health” did not change substantially with gestational age. Furthermore, subscales that reflect “Physical functioning,” “Role physical,” “General health” showed no significant differences between nulliparous and multiparous women. Although subscales that reflect “Bodily pain,” “Vitality,” “Social functioning,” “Role emotional” and “Mental health” showed significant differences between nulliparous and multiparous women, these subscales showed significant interactions. Our results suggest that pregnant women need support, regardless of the number of deliveries. Appropriate supports to pregnant women will be available to improve the birth rate in developed countries.

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