title: Maternal quality of life during the transition to motherhood.
abstract: BACKGROUND
  One of the elements of the broadening focus of health care beyond its traditional and restricted concept has been the increasing adoption quality of life approach to health care research and practice.
  
  
  OBJECTIVE
  To investigate the QOL of women in the third trimester of pregnancy and at 8 weeks postpartum and factors associated with the overall QOL.
  
  
  METHODS
  Three hundred and fifty seven pregnant women attending urban health centers in Shahroud city, located in Northeast of Iran, completed the World Health Organization Quality of Life questionnaire (WHOQOL)-BREF and General Health Questionnaire (GHQ28) in the third trimester of pregnancy and at 8 weeks postpartum. Also, breastfeeding difficulties were assessed at 4 weeks postpartum. Statistical analysis was performed using SPSS 18 for descriptive statistics, paired t-test, linear regression and multiple regression analysis.
  
  
  RESULTS
  There were significant differences between the ante-and postnatal periods in mean scores in the physical (P < 0.001) and social relationship (P = 0.033) aspects of QOL. Multiple regression analysis revealed that factor adversely affected the global score of the QOL in the antenatal period was antepartum psychological disorders. Factors that adversely affected the global score of QOL in the postnatal period were postpartum psychological disorders, breastfeeding difficulties, multiparity, higher pregnancy weight gain, and cesarean.
  
  
  CONCLUSIONS
  Results indicated that in this low risk group of women physical health and social relationship improved from pregnancy to postpartum. Interventions to promote psychological status during pregnancy and early postpartum should be designed.
authors.affiliation: School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, IR Iran.
authors.forename: Forough
authors.initials: F
authors.lastname: Mortazavi
authors.affiliation: School of Medicine, Golestan University of Medical Sciences, Gorgan, IR Iran.
authors.forename: Seyed Abbas
authors.initials: SA
authors.lastname: Mousavi
authors.affiliation: Department of Community Medicine, School of Medicine, Yasuj University of Medical Sciences, Yasuj, IR Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Chaman
authors.affiliation: Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IR Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Khosravi
keywords: Postpartum Period; Pregnancy; Quality of Life; Women