Quality of Life Research

, Volume 28, Issue 11, pp 2989–3004 | Cite as

Measuring perinatal and postpartum quality of life of women and associated factors in semi-urban Bangladesh

  • Rashidul Alam MahumudEmail author
  • Nausad Ali
  • Nurnabi Sheikh
  • Raisul Akram
  • Khorshed Alam
  • Jeff Gow
  • Abdur Razzaque Sarker
  • Marufa Sultana



The objective of this study was to measure the health-related quality of life (HRQoL) among pregnant women in the perinatal and postpartum periods and determine influencing factors that predict their HRQoL.


The study was conducted among pregnant women who live in a semi-urban area of Chandpur, Bangladesh. A total of 465 women were recruited. The EuroQoL 5-Dimension 3-Level (EQ-5D-3L) and EuroQoL visual analog scale (EQ-VAS) instruments were used to measure the HRQoL of participants. Two-sample mean test (t test) was performed to examine the changes in HRQoL between the perinatal and postnatal periods of the same individuals. Multivariate linear regression was employed to identify the factors influencing HRQoL during the two periods.


Overall, the HRQoL scores improved significantly from the perinatal (0.49) to postpartum (0.86) period. Approximately 58% of women experienced moderate or extreme levels of health problems during the perinatal period regardless of their health status. However, most women had significantly improved health status in the postpartum period. Gestational weight gain and recommended postnatal care were significantly associated with improved HRQoL. Factors that negatively influenced changes in HRQoL included adolescent motherhood, caesarean delivery, inadequate antenatal care consultations and living in a poor household, during both the perinatal and postpartum periods.


Overall health status is found to be poor among women during the perinatal period compared with the postpartum period. The study indicates that interventions to address the influencing factors are needed to ensure better quality of life for women both pre- and post-birth. Community-based initiatives, such as awareness building, might address negative factors and subsequently improve health status and reduce adverse health outcomes related to pregnancy and postnatal care.


EQ-5D-3L EQ-VAS Health-related quality of life Pregnancy Bangladesh 



We would like to thank the funding body “Grand Challenges Explorations of the Bill & Melinda Gates Foundation”. We would like to thank the women who participated in this study. Finally, we would like to gratefully acknowledge that study participant recruitment was facilitated and supported by the Maternal and Child Welfare Centre (MCWC), Chandpur, Bangladesh.

Author contributions

Conceptualised the study: RAM, ARS and MS. Contributed data extraction and analyses: RAM, under the guidance of ARS, KA and JG. Result interpretation: RAM, under the guidance of ARS, KA, JG and MS. Prepared the first draft: RAM. Contributed during the conceptualisation and interpretation of results and substantial revision: RAM, NA, NS, RA, ARS, MS, KA and JG. Revised and finalised the final draft manuscript: RAM, NA, NS, RA, ARS, MS, KA and JG. All authors read and approved the final version of the manuscript.


The present study was funded by Grand Challenges Explorations of the Bill and Melinda Gates Foundation and Grant Number was OPP1118550.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Health Economics and Policy Research, Centre for Health, Informatics and Economic ResearchUniversity of Southern QueenslandToowoombaAustralia
  2. 2.School of CommerceUniversity of Southern QueenslandToowoombaAustralia
  3. 3.Health Economics and Financing ResearchInternational Centre for Diarrhoeal Disease Research, BangladeshDhakaBangladesh
  4. 4.School of Accounting, Economics and FinanceUniversity of KwaZulu-NatalDurbanSouth Africa
  5. 5.Population Studies DivisionBangladesh Institute of Development Studies (BIDS)DhakaBangladesh
  6. 6.Department of Management ScienceUniversity of Strathclyde Business SchoolGlasgowUK
  7. 7.Nutrition and Clinical Services DivisionInternational Centre for Diarrheal Disease Research, Bangladesh (icddr,b)DhakaBangladesh
  8. 8.School of Health & Social DevelopmentDeakin UniversityMelbourneAustralia

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