title: Comparing the postpartum quality of life between six to eight weeks and twelve to fourteen weeks after delivery in iran.
abstract: BACKGROUND
  Women during the postpartum period experience many physiological, psychological, and social changes. Quality of life (QOL) is a sense of well-being and arises from satisfaction or dissatisfaction with various aspects of life including health, employment, socioeconomic state, psychological-emotional state, and family. Moreover, QOL is an important criteria for assessing healthcare system.
  
  
  OBJECTIVE
  The purpose of this study was to compare the postpartum QOL between six to eight and 12 to 14 weeks after delivery in women referred to public health centers in Dezful City, Iran, in 2011.
  
  
  METHODS
  This study was a longitudinal study. The study participants were 150 postpartum women referred to public health centers. Quota method was used for sampling. Data collection tools in this study were demographic questionnaire, Edinburgh Postnatal Depression Scale (EPDS), short form health survey questionnaire (SF-36), and Specific Quality of Life after Delivery Questionnaire. Data were analyzed using SPSS.
  
  
  RESULTS
  The results showed that the mean scores of various dimensions of the SF-36 were significantly higher at 12 to 14 weeks than at six to eight weeks (P < 0.001). The postpartum mean depression score was significantly higher at six to eight weeks than at 12 to 14 weeks (P < 0.001). The mean score of QOL questionnaires at 12 to 14 weeks were increased in all dimensions in comparison with six to eight weeks; however, this increase was significant only in dimension of the mother's feelings toward herself, her husband, and others (P < 0.001).
  
  
  CONCLUSIONS
  Because enormous changes develop in postpartum women, we suggest supportive measures for mother by her mother-in-law, family, and caregivers to improve the QOL and health status of the mother and her child.
authors.affiliation: Department of Midwifery, Dezful University of Medical Sciences, Dezful, IR Iran.
authors.forename: Nosrat
authors.initials: N
authors.lastname: Bahrami
authors.affiliation: Department of Reproductive Health, Shahroud University of Medical Sciences, Shahroud, IR Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Karimian
authors.affiliation: Department of Statistics, Dezful University of Medical Sciences, Dezful, IR Iran.
authors.forename: Somayeh
authors.initials: S
authors.lastname: Bahrami
authors.affiliation: School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, IR Iran.
authors.forename: Nahid
authors.initials: N
authors.lastname: Bolbolhaghighi
keywords: Depression; Postnatal; Quality of Life