An exploratory study to evaluate the utility of an adapted Mother Generated Index (MGI) in assessment of postpartum qual
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BioMed Central
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An exploratory study to evaluate the utility of an adapted Mother Generated Index (MGI) in assessment of postpartum quality of life in India Jitender Nagpal†1,2, Rinku Sen Gupta Dhar†3, Swati Sinha†3, Vijaylakshmi Bhargava†3, Aarti Sachdeva†2 and Abhishek Bhartia*2 Address: 1Department of Pediatrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India, 2Department of Clinical Epidemiology Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India and 3Department of Gynecology and Obstetrics Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India Email: Jitender Nagpal - [email protected]; Rinku Sen Gupta Dhar - [email protected]; Swati Sinha - [email protected]; Vijaylakshmi Bhargava - [email protected]; Aarti Sachdeva - [email protected]; Abhishek Bhartia* - [email protected] * Corresponding author †Equal contributors
Published: 2 December 2008 Health and Quality of Life Outcomes 2008, 6:107
doi:10.1186/1477-7525-6-107
Received: 12 August 2008 Accepted: 2 December 2008
This article is available from: http://www.hqlo.com/content/6/1/107 © 2008 Nagpal et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Given the postulated advantages of mother generated index (MGI) in incorporating the patients' viewpoint and in the absence of a validated India specific postpartum quality of life assessment tool we proposed to evaluate the utility of an adapted Mother-Generated-Index in assessing postpartum quality of life (PQOL) in India. Methods: The study was integrated into a community survey conducted in one district of Delhi by two-stage cluster randomized sampling to recruit women who delivered in the last 6 months. PQOL was assessed using MGI. Physical morbidity and Edinburgh- postnatal-depression-scale (EPDS) were also recorded for validation purposes. Results: All subjects (249 of 282 eligible) participating in the survey were approached for the MGI evaluation which could be administered to 195 subjects due to inadequate comprehension or refusal of consent. A trend towards lower scores in lower socioeconomic stratum was observed (Primary index score-2.9, 3.7 and 4.0 in lower, middle and higher strata; Secondary Index Score2.6, 3.2 and 3.0 in lower, middle and higher strata). 59.4% mothers had scores suggestive of possible depression (EPDS; n = 172). Primary index score had a good correlation with validator scores like EPDS (p = 0.024) and number of physical problems (p = 0.022) while the secondary index score was only associated with EPDS score (p = 0.020). Conclusion: The study documents that
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