{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T08:22:18Z","timestamp":1791102138078,"version":"4.1.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2013,6,2]],"date-time":"2013-06-02T00:00:00Z","timestamp":1370131200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Preterm birth is a significant cause of newborn morbidity and mortality and strains society\u2019s healthcare resources due to its long-term effects on the health of the newborn. Prenatal maternal quality of life (QoL) may be related to the occurrence of preterm birth and low birthweight infants. Few studies, however, have investigated maternal QoL, especially throughout the continuum of pregnancy and the immediate postpartum period. Therefore, the purposes of this longitudinal study were to measure the levels of QoL during and immediately after pregnancy in women with uncomplicated pregnancies, investigate the relationships between the dimensions of QoL, and determine whether prenatal QoL can predict preterm birth and low birthweight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using convenience sampling in one hospital in Taiwan, we recruited 198 pregnant women without pregnancy complications after 24 gestational weeks and followed up monthly until one-month postpartum. The Duke Health Profile was used to measure QoL. Data were analyzed using descriptive statistics, the Mann\u2013Whitney<jats:italic>U<\/jats:italic>test, the Kruskal-Wallis test, generalized estimation equations, Pearson correlations, and hierarchical logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pregnant women did not perceive that they had a high level of QoL. Women at late pregnancy experienced a significant decrease in their level of physical and general health. After childbirth, although the mothers had better physical health, they had poorer social health. Poor QoL at late pregnancy predicted preterm birth. Employment, parity, educational level, and happiness about pregnancy were related to prenatal maternal QoL; employment was a factor related to postpartum maternal QoL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early assessment of QoL, including its dimensions, of pregnant women may help us to understand women\u2019s health status. Based on this understanding, healthcare professionals can develop interventions to promote pregnant women\u2019s QoL and to lessen the occurrence of preterm birth and low birthweight infants. Further, an emphasis on the positive aspects of pregnancy may increase maternal QoL.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-2393-13-124","type":"journal-article","created":{"date-parts":[[2013,6,2]],"date-time":"2013-06-02T16:14:10Z","timestamp":1370189650000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Prediction of maternal quality of life on preterm birth and low birthweight: a longitudinal study"],"prefix":"10.1186","volume":"13","author":[{"given":"Panchalli","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shwu-Ru","family":"Liou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching-Yu","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2013,6,2]]},"reference":[{"key":"776_CR1","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1542\/peds.2006-2386","volume":"120","author":"RB Russell","year":"2007","unstructured":"Russell RB, Green NS, Steiner CA, Meikle S, Howse JL, Poschman K, Dias T, Potetz L, Davidoff MJ, Damus K, Petrini JR: Cost of hospitalization for preterm and low birth weight infants in the United States. Pediatr. 2007, 120: e1-e9. 10.1542\/peds.2006-2386.","journal-title":"Pediatr"},{"key":"776_CR2","first-page":"6","volume-title":"Born Too Soon: The Global Action Report on Preterm Birth","author":"H Blencowe","year":"2012","unstructured":"Blencowe H, Cousens S, Chou D, Oestergaard MZ, Say L, Moller AB, Kinney M, Lawn J: 15 million preterm births: priorities for action based on national, regional and global estimates. Born Too Soon: The Global Action Report on Preterm Birth. Edited by: Howson CP, Kinney MV, Lawn JE. 2012, Geneva: World Health Organization, 6-31."},{"key":"776_CR3","unstructured":"Health Statistics Database. https:\/\/olap.bhp.doh.gov.tw\/search\/ShowReport.aspx?mode=7&tarId=106&year=99&com_year=100&ftype=&fvals=&fpage=0&CityWhere=&CityName=&chart=0&addType=&NoLevel=1,"},{"issue":"9606","key":"776_CR4","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/S0140-6736(08)60074-4","volume":"371","author":"R Goldenberg","year":"2008","unstructured":"Goldenberg R, Culhane J, Iams J, Romero R: Epidemiology and causes of preterm birth. Lancet. 2008, 371 (9606): 75-84. 10.1016\/S0140-6736(08)60074-4.","journal-title":"Lancet"},{"key":"776_CR5","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1111\/j.1365-2702.2010.03532.x","volume":"20","author":"I Gungor","year":"2011","unstructured":"Gungor I, Oskay U, Beji N: Biopsychosocial risk factors for preterm birth and postpartum emotional well-being: a case\u2013control study on Turkish women without chronic illnesses. J Clin Nurs. 2011, 20: 653-665. 10.1111\/j.1365-2702.2010.03532.x.","journal-title":"J Clin Nurs"},{"key":"776_CR6","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1080\/00016340600566121","volume":"85","author":"Y Neggers","year":"2006","unstructured":"Neggers Y, Goldenberg R, Cliver S, Hauth J: The relationship between psychosocial profile, health practices, and pregnancy outcomes. Acta Obstet Gynecol Scand. 2006, 85: 277-285. 10.1080\/00016340600566121.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"776_CR7","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1186\/1471-2458-7-192","volume":"7","author":"C Nobile","year":"2007","unstructured":"Nobile C, Raffaele G, Altomare C, Pavia M: Influence of maternal and social factors as predictors of low birth weight in Italy. BMC Publ Health. 2007, 7: 192-200. 10.1186\/1471-2458-7-192.","journal-title":"BMC Publ Health"},{"key":"776_CR8","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.ijnurstu.2009.06.002","volume":"47","author":"PJ Chang","year":"2010","unstructured":"Chang PJ, Tseng YC, Chuang CH, Chen YC, Hsieh WS, Hurng BS, Lin SJ, Chen PC: Use of Sheng-Hua-Tang and health-related quality of life in postpartum women: a population-based cohort study in Taiwan. Int J Nurs Stud. 2010, 47: 13-19. 10.1016\/j.ijnurstu.2009.06.002.","journal-title":"Int J Nurs Stud"},{"key":"776_CR9","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1111\/j.1479-828X.2010.01204.x","volume":"50","author":"D Gartland","year":"2010","unstructured":"Gartland D, Brown S, Donath S, Perlen S: Women's health in early pregnancy: Findings from an Australian nulliparous cohort study. Aust N Z J Obstet Gynaicol. 2010, 50: 413-418. 10.1111\/j.1479-828X.2010.01204.x.","journal-title":"Aust N Z J Obstet Gynaicol"},{"key":"776_CR10","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/j.midw.2010.02.008","volume":"27","author":"Y Lau","year":"2011","unstructured":"Lau Y, Yin L: Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery. 2011, 27: 668-673. 10.1016\/j.midw.2010.02.008.","journal-title":"Midwifery"},{"issue":"5","key":"776_CR11","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1007\/s10995-008-0392-7","volume":"13","author":"R Setse","year":"2009","unstructured":"Setse R, Grogan R, Pham L, Cooper L, Strobino D, Powe N, Nicholson W: Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study. Matern Child Health J. 2009, 13 (5): 577-587. 10.1007\/s10995-008-0392-7.","journal-title":"Matern Child Health J"},{"issue":"3","key":"776_CR12","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1111\/j.1365-2702.2006.01911.x","volume":"17","author":"C De Tychey","year":"2008","unstructured":"De Tychey C, Brian\u00e7on S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, Messembourg C, Girvan F, Rosati A, Thockler A, Vincent S: Quality of life, postnatal depression and baby gender. J Clin Nurs. 2008, 17 (3): 312-322.","journal-title":"J Clin Nurs"},{"key":"776_CR13","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1016\/j.midw.2010.05.014","volume":"27","author":"J Webster","year":"2011","unstructured":"Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L: Quality of life and depression following childbirth: impact of social support. Midwifery. 2011, 27: 745-749. 10.1016\/j.midw.2010.05.014.","journal-title":"Midwifery"},{"issue":"4","key":"776_CR14","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1080\/02646830802408506","volume":"26","author":"C Hellmers","year":"2008","unstructured":"Hellmers C, Schuecking B: Primiparae's well-being before and after birth and relationship with preferred and actual mode of birth in Germany and the USA. J Reprod Infant Psychol. 2008, 26 (4): 351-372. 10.1080\/02646830802408506.","journal-title":"J Reprod Infant Psychol"},{"issue":"4","key":"776_CR15","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1111\/j.1552-6909.2007.00164.x","volume":"36","author":"P Hill","year":"2007","unstructured":"Hill P, Aldag J: Maternal perceived quality of life following childbirth. J Obstet Gynecol Neonatal Nurs. 2007, 36 (4): 328-334. 10.1111\/j.1552-6909.2007.00164.x.","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"issue":"3","key":"776_CR16","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s00737-009-0104-3","volume":"13","author":"D Da Costa","year":"2010","unstructured":"Da Costa D, Dritsa M, Verreault N, Balaa C, Kudzman J, Khalif\u00e9 S: Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Arch Women Ment Health. 2010, 13 (3): 249-257. 10.1007\/s00737-009-0104-3.","journal-title":"Arch Women Ment Health"},{"key":"776_CR17","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.srhc.2010.12.003","volume":"2","author":"E Schytt","year":"2011","unstructured":"Schytt E, Hildingsson I: Physical and emotional self-rated health among Swedish women and men during pregnancy and the first year of parenthood. Sex Reprod Health. 2011, 2: 57-64. 10.1016\/j.srhc.2010.12.003.","journal-title":"Sex Reprod Health"},{"key":"776_CR18","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1177\/01939459922044153","volume":"21","author":"BK Haas","year":"1999","unstructured":"Haas BK: A multidisciplinary concept analysis of quality of life. West J Nurs Res. 1999, 21: 728-742. 10.1177\/01939459922044153.","journal-title":"West J Nurs Res"},{"key":"776_CR19","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1111\/j.1447-0756.2008.00870.x","volume":"35","author":"B Ak\u00fdn","year":"2009","unstructured":"Ak\u00fdn B, Ege E, Ko\u00e7odlu D, Demir\u00f6ren N, Y\u00fdlmaz S: Quality of life and related factors in women, aged 15\u201349 in the 12-month post-partum period in Turkey. J Obstet Gynaecol Res. 2009, 35: 86-93. 10.1111\/j.1447-0756.2008.00870.x.","journal-title":"J Obstet Gynaecol Res"},{"key":"776_CR20","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1046\/j.1525-1446.1999.00114.x","volume":"16","author":"MT Tarkka","year":"1999","unstructured":"Tarkka MT, Paunonen M, Laippala P: Social support provided by public health nurses and the coping of first-time mothers with child care. Public Health Nurs. 1999, 16: 114-119. 10.1046\/j.1525-1446.1999.00114.x.","journal-title":"Public Health Nurs"},{"key":"776_CR21","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1046\/j.1322-7114.2003.00410.x","volume":"9","author":"C Turner","year":"2003","unstructured":"Turner C, Boyle F, O\u2019Rourke P: Mothers\u2019 health post-partum and their patterns of seeking vaccination for their infants. Int J Nurs Pract. 2003, 9: 120-126. 10.1046\/j.1322-7114.2003.00410.x.","journal-title":"Int J Nurs Pract"},{"key":"776_CR22","doi-asserted-by":"publisher","first-page":"1312","DOI":"10.2105\/AJPH.92.8.1312","volume":"92","author":"RS Kahn","year":"2002","unstructured":"Kahn RS, Zuckerman B, Bauchner H, Homer CJ, Wise PH: Women\u2019s health after pregnancy and child outcomes at age 3 years: a prospective cohort study. Am J Public Health. 2002, 92: 1312-1318. 10.2105\/AJPH.92.8.1312.","journal-title":"Am J Public Health"},{"key":"776_CR23","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/BF00300458","volume":"38","author":"JS Larson","year":"1996","unstructured":"Larson JS: The World Health Organization's definition of health: social versus spiritual health. Soc Indic Res. 1996, 38: 181-192. 10.1007\/BF00300458.","journal-title":"Soc Indic Res"},{"key":"776_CR24","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1186\/1471-2458-11-196","volume":"11","author":"S Brown","year":"2011","unstructured":"Brown S, Yelland J, Sutherland G, Baghurst P, Robinson J: Stressful life events, social health issues and low birthweight in an Australian population-based birth cohort: challenges and opportunities in antenatal care. BMC Publ Health. 2011, 11: 196-207. 10.1186\/1471-2458-11-196.","journal-title":"BMC Publ Health"},{"key":"776_CR25","doi-asserted-by":"publisher","first-page":"93","DOI":"10.3109\/01674829609025669","volume":"17","author":"KM Paarlberg","year":"1996","unstructured":"Paarlberg KM, Vingerhoets AJJM, Passchier J, Heinen AGJJ, Dekker GA, van Geijn HP: Psychosocial factors as predictors of maternal well-being and pregnancy-related complaints. J Psychosom Obstet Gynaecol. 1996, 17: 93-102. 10.3109\/01674829609025669.","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"776_CR26","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","volume":"41","author":"F Faul","year":"2009","unstructured":"Faul F, Erdfelder E, Buchner A, Lang AG: Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009, 41: 1149-1160. 10.3758\/BRM.41.4.1149.","journal-title":"Behav Res Methods"},{"key":"776_CR27","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.1097\/00005650-199011000-00007","volume":"28","author":"GR Parkerson","year":"1990","unstructured":"Parkerson GR, Broadhead WE, Tse CKJ: The Duke Health Profile: A 17-item measure of health and dysfunction. Medical Care. 1990, 28: 1056-1072. 10.1097\/00005650-199011000-00007.","journal-title":"Medical Care"},{"issue":"1","key":"776_CR28","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","volume":"112","author":"J Cohen","year":"1992","unstructured":"Cohen J: A power primer. Psychol Bull. 1992, 112 (1): 155-159.","journal-title":"Psychol Bull"},{"key":"776_CR29","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1034\/j.1600-0412.2001.080003213.x","volume":"80","author":"A Rodriguez","year":"2001","unstructured":"Rodriguez A, Bohlin G, Lindmark G: Symptoms across pregnancy in relation to psychosocial and biomedical factors. Acta Obstet Gynecol Scand. 2001, 80: 213-223. 10.1034\/j.1600-0412.2001.080003213.x.","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"3","key":"776_CR30","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1177\/070674371205700305","volume":"57","author":"A Bowen","year":"2012","unstructured":"Bowen A, Bowen R, Butt P, Rahman K, Muhajarine N: Patterns of depression and treatment in pregnant and postpartum women. Can J Psychiatry. 2012, 57 (3): 161-167.","journal-title":"Can J Psychiatry"},{"issue":"2","key":"776_CR31","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1111\/j.1479-828X.2009.00966.x","volume":"49","author":"Y Qiao","year":"2009","unstructured":"Qiao Y, Wang J, Li J, Ablat A: The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant women in Shanghai. Aust N Z J Obstet Gynaecology. 2009, 49 (2): 185-190. 10.1111\/j.1479-828X.2009.00966.x.","journal-title":"Aust N Z J Obstet Gynaecology"},{"key":"776_CR32","first-page":"387","volume":"3","author":"CL Dennis","year":"2007","unstructured":"Dennis CL, Fung K, Grigoriadis S, Robinson GE, Romans S, Ross L: Traditional postpartum practices and rituals: a qualitative systematic review. Womens Health. 2007, 3: 387-502.","journal-title":"Womens Health"},{"key":"776_CR33","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1080\/07399330590917771","volume":"26","author":"SSK Leung","year":"2005","unstructured":"Leung SSK, Arthur D, Martinson IM: Perceived stress and support of the Chinese postpartum ritual \u201cdoing the month. Health Care Women Int. 2005, 26: 212-224. 10.1080\/07399330590917771.","journal-title":"Health Care Women Int"},{"key":"776_CR34","doi-asserted-by":"publisher","first-page":"25","DOI":"10.2174\/1874434600903010025","volume":"3","author":"P Kirkpatrick","year":"2009","unstructured":"Kirkpatrick P, van Teijlingen E: Lost in translation; reflecting on a model to reduce translation and interpretation bias. The Open Nurs J. 2009, 3: 25-32. 10.2174\/1874434600903010025.","journal-title":"The Open Nurs J"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-13-124.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2393-13-124\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-13-124","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-13-124.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T15:21:55Z","timestamp":1715440915000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/1471-2393-13-124"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,2]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["776"],"URL":"https:\/\/doi.org\/10.1186\/1471-2393-13-124","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,2]]},"assertion":[{"value":"21 August 2012","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2013","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2013","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"124"}}