Does health-related quality of life change across pregnancy trimesters? A systematic review and meta-analysis.
Purpose: This study aimed to systematically review and synthesize existing evidence on health-related quality of life (HRQOL) across pregnancy trimesters, identifying consistent temporal patterns and domain-specific trajectories in maternal well-being. Methods: Five databases (PubMed, EMBASE, CINAHL...
| Publicado en: | Women's Health Nursing Vol. 31; no. 4; pp. 320 - 335 |
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| Autores principales: | , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Korean Academy of Women's Health Nursing
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190872030&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190872030 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 30227666 NRKY jtl: Women's Health Nursing issn: 30227666 maglogo: N pubinfo: dt: Dec2025 vid: 31 iid: 4 pid: 42056 pub: Korean Academy of Women's Health Nursing place: Seoul, <Blank> artinfo: ui: 190872030 190872030 190872030 10.4069/whn.2025.12.02.1 190872030 ppf: 320 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Does health-related quality of life change across pregnancy trimesters? A systematic review and meta-analysis. aug: au: Shin, Hyunjeong Cho, Inhae Kim, Sung-Jin affil: Department of Nursing, Korea University, Seoul, Korea sug: subj: Pregnancy Trimesters Psychosocial Factors Quality of Life Psychosocial Factors Human Systematic Review Meta Analysis Pregnancy Female PubMed Embase CINAHL Database Checklists Questionnaires Expectant Mothers Psychosocial Factors Mental Health Physical Fitness Psychometrics Treatment Effect Heterogeneity Fetal Development Ethnological Research Funding Source Female ab: Purpose: This study aimed to systematically review and synthesize existing evidence on health-related quality of life (HRQOL) across pregnancy trimesters, identifying consistent temporal patterns and domain-specific trajectories in maternal well-being. Methods: Five databases (PubMed, EMBASE, CINAHL Complete, APA PsycArticles, and RISS) were searched to retrieve English and Korean articles published between January 2001 and May 2023. Two reviewers independently screened and appraised studies using the Joanna Briggs Institute critical appraisal tools. A meta-analysis was performed using STATA 17.0 (StataCorp LLC.), with pairwise comparisons of standardized mean differences used to evaluate trimester-specific variations. Subgroup analyses were performed based on measurement instruments and HRQOL domains (mental vs. physical health). Results: A total of 13 studies involving 4,809 pregnant participants were included. Overall HRQOL showed no significant differences between the first and second trimesters or between the first and third trimesters. However, HRQOL scores in the third trimester were significantly lower than those in the second trimester (Hedges' g=-0.42; 95% confidence interval, -0.77 to -0.06). Subgroup analyses revealed that the choice of measurement instruments significantly influenced the detection of changes in HRQOL. Mental health scores improved in mid-pregnancy and remained relatively stable, whereas physical health scores declined after mid-pregnancy, reaching their lowest point in the third trimester. Conclusion: HRQOL during pregnancy follows distinct temporal patterns, emphasizing the need for trimester-specific maternal care strategies. Early pregnancy may require greater emphasis on mental health support, while late pregnancy may benefit from interventions targeting physical discomfort and functional limitations. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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