Journal of Womens Health, Issues and Care ISSN: 2325-9795

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Research Article, J Womens Health Issues Care Vol: 6 Issue: 6

Long-Term Mental and Physical Quality of Life after Radical and Conservative Surgeries and in Relation to Childbirth in Patients with Severe Endometriosis

Betto E1, Zarbo C2*, Verrengia A1, Malandrino C1, Secomandi R1, Trezzi G1, Bosisio C1, Rabboni M3, Compare A2, Frigerio L1

1Department of Obstetrics & Gynaecology, Hospital Papa Giovanni XXIII, Bergamo, Italy

2Department of Human and Social Science, University of Bergamo, Bergamo, Italy

3Department of Psychiatry, Hospital Papa Giovanni XXIII, Bergamo, Italy

*Corresponding Author : Dr. Cristina Zarbo
Department of Human and Social Science, University of Bergamo, Bergamo, Italy
Tel: +39 3896875449
E-mail: [email protected]

Received: September 08, 2016 Accepted: October 12, 2017 Published: October 19, 2017

Citation: Betto E, Zarbo C, Verrengia A, Malandrino C, Secomandi R, et al. (2017) Long-Term Mental and Physical Quality of Life after Radical and Conservative Surgeries and in Relation to Childbirth in Patients with Severe Endometriosis. J Womens Health, Issues Care 6:6. doi: 10.4172/2325-9795.1000290

Abstract

Aim: This study aimed to investigate which surgery (conservative, radical) is the most effective in improving quality of life and if childbirth after conservative one affects outcomes.

Method: 79 women who underwent radical or conservative surgery for severe endometriosis were assessed by means of a semistructured interview and completed the SF-36.

Results: Our findings showed that in the whole model of Hierarchical multiple linear regression analyses, surgery group explained significantly 10.7% of variance for bodily pain, 7.2% for general health, and 7.9% for vitality, independently of age and months spent since surgery. Groups of childbirth differed significantly for vitality (p .018, Cohen’s d .939) and role emotional (p .034, Cohen’s d .786).

Discussion: Findings suggested that women with endometriosis who underwent radical surgery showed better quality of life in long term, independently of age and time spent since treatment. Moreover, women who gave birth to a child had a better mental quality of life, especially concerning vitality and role limitations due to emotional problems.

Keywords: Endometriosis; Quality of life; Childbirth; Surgery; Mental health

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