Evidence map›Paper›PMID 40934181›Full record

ArticlePLOS global public health2025

How maternal morbidities impact women's quality of life during pregnancy and postpartum in sub-Saharan Africa and South Asia: A qualitative study.

Martha Ali Abdulai, Priyanka Adhikary, Sasha G Baumann, Muslima Ejaz, Jenifer Oviya Priya, M Bridget Spelke, Victor Akelo, Kwaku Poku Asante, Bitanya M Berhane, Shruti Bisht and 25 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Martha Ali AbdulaiResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, Kintampo North Municipality, Bono East Region, Ghana.
Priyanka AdhikaryImplementation Science Domain, Society for Applied Studies, New Delhi, India.
Sasha G BaumannDepartment of Global Health, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0000-0002-3554-7669
Muslima EjazDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Jenifer Oviya PriyaCommunity Health and Development, Christian Medical College Vellore, Vellore, India.
M Bridget SpelkeDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America.ORCID https://orcid.org/0000-0002-5950-8197
Victor AkeloCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Kwaku Poku AsanteResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, Kintampo North Municipality, Bono East Region, Ghana.
Bitanya M BerhaneDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0009-0007-5338-203X
Shruti BishtImplementation Science Domain, Society for Applied Studies, New Delhi, India.
Ellen Boamah-KaaliResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, Kintampo North Municipality, Bono East Region, Ghana.
Gabriela Diaz-GuzmanDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0009-0000-3141-5266
Anne George CherianCommunity Health and Development, Christian Medical College Vellore, Vellore, India.
Zahra HoodbhoyDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Margaret P KasaroDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Amna KhanDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Janae KuttamperoorDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.
Dorothy LallCommunity Health and Development, Christian Medical College Vellore, Vellore, India.ORCID https://orcid.org/0000-0002-2776-2182
Gifta Priya ManohariCommunity Health and Development, Christian Medical College Vellore, Vellore, India.
Sarmila MazumderImplementation Science Domain, Society for Applied Studies, New Delhi, India.
Karen McDonnellDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.
Mahya MehrihajmirDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.
Wilbroad MutaleSchool of Public Health, University of Zambia, Lusaka, Zambia.
Winnie K MwebiaCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Imran NisarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-2378-4720
Kennedy OcholaCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Peter OtienoCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.ORCID https://orcid.org/0000-0002-2668-1428
Gregory OumaCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Piya PatelDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0009-0003-0690-3171
Winifreda PhiriUniversity of North Carolina-Global Projects Zambia, Lusaka, Zambia.
Neeraj SharmaImplementation Science Domain, Society for Applied Studies, New Delhi, India.ORCID https://orcid.org/0000-0003-1006-6321
Emily R SmithDepartment of Global Health, George Washington University, Washington, District of Columbia, United States of America.
Charlotte TawiahResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, Kintampo North Municipality, Bono East Region, Ghana.
Natalie J ValloneDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.
Allison C SylvetskyDepartment of Exercise and Nutrition Sciences, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0000-0003-0424-2798

Funding

A Career Development Award in Global Postpartum HealthK01TW012426 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mae Bridget Spelke · 2022 to 2026
$922k
FIC NIH HHS K01 TW012426Gates Foundation INV-002220Gates Foundation INV-003601Gates Foundation INV-031954Gates Foundation INV-037626Gates Foundation INV-041999Gates Foundation INV-043092
6 · The paper itself

Abstract

Maternal morbidities present a major burden to the health and well-being of childbearing women. However, their impacts on women's functional health are not well understood. This work aims to describe how maternal morbidities affect women's quality of life (QoL) in pregnancy and the postpartum period . This qualitative study involved 118 pregnant and 135 postpartum women at six study sites in Kenya, Ghana, Zambia, Pakistan, and India. Data were collected between December 2023 and June 2024. Participants were selected via purposive sampling, with consideration of age, trimester, and time since delivery. A total of 23 focus group discussions with pregnant and late postpartum (≥6 months) participants and 48 in-depth interviews with early postpartum (≤6 weeks) participants were conducted using semi-structured guides. Data were analyzed using a collaborative, inductive, thematic approach. Four overarching themes were identified and were cross-cutting irrespective of continent or country : (1) physical and emotional challenges pose a barrier to daily activities; (2) lack of social support detracts from women's QoL; (3) receipt of social support mitigates adverse impacts of maternal morbidities on QoL; and (4) economic challenges exacerbate declines in women's QoL during pregnancy and postpartum. Physical and emotional morbidities related to childbearing severely limited women's ability to complete daily tasks and adversely impacted their perceived QoL. Social and financial support from the baby's father, family and/or in-laws, community members, and healthcare providers are important to mitigate the impacts of pregnancy and postpartum challenges on women's health and well-being.

Identifiers

PMID40934181
PMCPMC12425202

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.