Yıl 2018, Cilt 4, Sayı 4, Sayfalar 390 - 398 2018-10-04

Nausea and vomiting in pregnant adolescents: impact on health-related quality of life

Elif Yılmaz [1] , Betül Tokgöz [2] , Çağanay Soysal [3] , Seda Şahin Aker [4] , Tuncay Küçüközkan [5]

91 214

Objective: To determine the impact of the presence and severity of nause and vomiting in pregnancy (NVP) on health-related quality of life in pregnant adolescents.

Methods: Two hundred and fifty adolescent pregnant women were included in this study. The Rhodes test was performed to determine the severity of nausea and vomiting, and the self-reported 36-Item Short Form Survey (SF-36) Scale was administered. The study was divided into four groups according to nausea severity (no, mild, moderate, severe) groups and SF-36 scores were compared among the groups.

Results: Of the 250 pregnant women included in the study, 74.5% of women reported NVP. Low scores on the SF-36 were found for all items with increasing severity of NVP, with the lowest scores in the severe NVP group and the highest scores in the group with no NVP (p = 0.001). Multivariable analyses showed that severity of NVP was the most important factor for both the physical (PCS) and mental component summary (MCS) scales. The number of living children was significantly associated with lower PCS scores and being unable to share problems with spouse/relatives was correlated with lower MCS scores.

Conclusion: The negative impact of nausea and vomiting on health-related quality of life, emphasises the importance of psychological support and optimal management of NVP in pregnant adolescents. 

Adolescent, pregnancy, nausea, vomiting, health-related quality of life
  • [1] The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995;41:1403-9.
  • [2] Calou CGP, Pinherio AKB, Castro RCMB, de Oliveira MF, de Souza Aquino P, Antezana F. Health related quality of life of pregnant women and associated factors: an integrative review. Health 2014;6:2375-87.
  • [3] Ramirez-Velez R. Pregnancy and health-related quality of life: A cross sectional study. Colombia Médica 2011;42:476-81.
  • [4] Otchet F, Carey MS, Adam L. General health and psychological symptom status in pregnancy and the puerperium: what is normal? Obstet Gynecol 1999;94:935-41.
  • [5] Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, et al. Changes in the health status of women during and after pregnancy. J Gen Intern Med 2005;20:45-51.
  • [6] Smith C, Crowther C, Beilby J, Dandeaus J. The impact of nausea and vomiting on women: a burden of early pregnancy. Aust NZ J Obstet Gynaecol 2000;40:397-401.
  • [7] Lacasse A, Rey E, Ferreira E, Romero R, Goodwin TM. Nausea and vomiting of pregnancy: what about quality of life? BJOG. 2008;115:1484-93.
  • [8] Munch S, Korst LM, Hernandez GD, Romero R, Goodwin TM. Health-related quality of life in women with nausea and vomiting of pregnancy: the importance of psychosocial context. J Perinatol 2011;31:10-20.
  • [9] Verberg MF, Gillott DJ, Al-Fardan N, Grudzinskas JG. Hyperemesis gravidarum, a literature review. Hum Reprod Update 2005;11:527-39.
  • [10] Yilmaz E, Yilmaz Z, Cakmak B, Karsli MF, Gultekin IB, Guneri Dogan N, et al. Nausea and vomiting in early pregnancy of adolescents: relationship with depressive symptoms. J Pediatr Adolesc Gynecol 2016:29:65-8.
  • [11] O'Brien B, Naber S. Nausea and vomiting during pregnancy: effects on the quality of women's lives. Birth 1992;19:138-43.
  • [12] Veenendaal MV, Van Abeelen AF, Painter RC, Van der Post JA, Roseboom TJ. Consequences of hyperemesis gravidarum for offspring: a systematic review and meta-analysis. BJOG 2011;118:1302.
  • [13] McCarthy FP, Lutomski JE, Greene RA. Hyperemesis gravidarum: current perspectives. Int J Womens Health 2014;6:719-25.
  • [14] Rhodes V, Watson P, Johnson M. Development of reliable and valid measures of nausea and vomiting. Cancer Nurs 1984;7:33-41.
  • [15] Koren G, Magee L, Attard C, Kohli M, Atanackovic G, Bishai R, et al. A novel method for the evaluation of the severity of nausea and vomiting of pregnancy. Eur J Obstet Gynecol Reprod Biol 2001;94:31-6.
  • [16] Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83.
  • [17] Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Healty Survey: Manual and Interpretation Guide. New England Medical Center, Boston: The Health Institute; 1993.
  • [18] Kocyigit H, Aydemir O, Fisek G. [Reliability and Validity of Turkish Version of Short Form-36]. İlaç ve Tedavi Dergisi 1999;12:102-6. [Article in Turkish]
  • [19] Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006;6:247.
  • [20] Lee NM, Saha S. Nausea and vomiting of pregnancy. Gastroenterol Clin North Am 2011;40:309-34.
  • [21] Chou FH, Avant KC, Kuo SH, Fetzer SJ. Relationships between nausea and vomiting, perceived stress, social support, pregnancy planning, and psychosocial adaptation in a sample of mothers: a questionnaire survey. Int J Nurs Stud 2008;45:1185-91.
  • [22] Louik C, Hernandez-Diaz S, Werler MM, Mitchell AA. Nausea and vomiting in pregnancy: maternal characteristics and risk factors. Paediatr Perinat Epidemiol 2006;20:270-8.
  • [23] Temming L, Franco A, Istwan N, Rhea D, Desch C, Stanziano G, et al. Adverse pregnancy outcomes in women with nausea and vomiting of pregnancy. J Matern Fetal Neonatal Med 2014;27:84-8.
  • [24] Kramer J, Bowen A, Stewart N, Muharajine N. Nausea and vomiting of pregnancy: prevalance, severity and relation to psychosocial health. MCN Am J Matern Child Nurs 2013;38:21-7.
  • [25] Taşdemir S, Balci E, Günay O. Comparison of life quality of pregnant adolescents with that of pregnant adults in Turkey. Ups J Med Sci 2010;15:275-81.
  • [26] Hueston WJ, Kasik-Miller S. Changes in functional health status during normal pregnancy. J Fam Pract 1998; 47:209-12.
  • [27] Mckee MD, Cunningnam M, Jankowski KR, Zayas L. Health related functional status in pregnancy: relationship to depression and social support in a multi ethnic population. J Obst Gynecol 2001;97:988-993.
  • [28] O'Brien B, Naber S. Nausea and vomiting during pregnancy: effects on the quality of women's lives. Birth 1992;19:138-43.
  • [29] Vellacott D, Cooke EJA, James CE. Nausea and vomiting in early pregnancy. Int J Gyn Obst 1988;27:57-62.
  • [30] Attard CL, Kohli MA, Coleman S, Bradley C, Hux M, Atanackovic G, et al. The burden of illness of severe nausea and vomiting of pregnancy in the United States. Am J Obstet Gynecol 2002;186(5 Suppl Understanding):S220-7.
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Yazarlar

Yazar: Elif Yılmaz
Kurum: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital, Ankara
Ülke: Turkey


Yazar: Betül Tokgöz
Kurum: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital, Ankara
Ülke: Turkey


Yazar: Çağanay Soysal
Kurum: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital, Ankara
Ülke: Turkey


Yazar: Seda Şahin Aker
Kurum: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital, Ankara
Ülke: Turkey


Yazar: Tuncay Küçüközkan
Kurum: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital, Ankara
Ülke: Turkey


Bibtex @araştırma makalesi { eurj353985, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2018}, volume = {4}, pages = {390 - 398}, doi = {10.18621/eurj.353985}, title = {Nausea and vomiting in pregnant adolescents: impact on health-related quality of life}, key = {cite}, author = {Soysal, Çağanay and Küçüközkan, Tuncay and Şahin Aker, Seda and Yılmaz, Elif and Tokgöz, Betül} }
APA Yılmaz, E , Tokgöz, B , Soysal, Ç , Şahin Aker, S , Küçüközkan, T . (2018). Nausea and vomiting in pregnant adolescents: impact on health-related quality of life. The European Research Journal, 4 (4), 390-398. DOI: 10.18621/eurj.353985
MLA Yılmaz, E , Tokgöz, B , Soysal, Ç , Şahin Aker, S , Küçüközkan, T . "Nausea and vomiting in pregnant adolescents: impact on health-related quality of life". The European Research Journal 4 (2018): 390-398 <http://dergipark.gov.tr/eurj/issue/32988/353985>
Chicago Yılmaz, E , Tokgöz, B , Soysal, Ç , Şahin Aker, S , Küçüközkan, T . "Nausea and vomiting in pregnant adolescents: impact on health-related quality of life". The European Research Journal 4 (2018): 390-398
RIS TY - JOUR T1 - Nausea and vomiting in pregnant adolescents: impact on health-related quality of life AU - Elif Yılmaz , Betül Tokgöz , Çağanay Soysal , Seda Şahin Aker , Tuncay Küçüközkan Y1 - 2018 PY - 2018 N1 - doi: 10.18621/eurj.353985 DO - 10.18621/eurj.353985 T2 - The European Research Journal JF - Journal JO - JOR SP - 390 EP - 398 VL - 4 IS - 4 SN - -2149-3189 M3 - doi: 10.18621/eurj.353985 UR - http://dx.doi.org/10.18621/eurj.353985 Y2 - 2018 ER -
EndNote %0 The European Research Journal Nausea and vomiting in pregnant adolescents: impact on health-related quality of life %A Elif Yılmaz , Betül Tokgöz , Çağanay Soysal , Seda Şahin Aker , Tuncay Küçüközkan %T Nausea and vomiting in pregnant adolescents: impact on health-related quality of life %D 2018 %J The European Research Journal %P -2149-3189 %V 4 %N 4 %R doi: 10.18621/eurj.353985 %U 10.18621/eurj.353985
ISNAD Yılmaz, Elif , Tokgöz, Betül , Soysal, Çağanay , Şahin Aker, Seda , Küçüközkan, Tuncay . "Nausea and vomiting in pregnant adolescents: impact on health-related quality of life". The European Research Journal 4 / 4 (Ekim 2018): 390-398. http://dx.doi.org/10.18621/eurj.353985