BACKGROUND The purpose of this study was to evaluate the maternal omentin-1 level, quality of life and marital satisfaction of women with cesarean and vaginal delivery. METHODS This prospective cohort study was conducted on 45 women with elective cesarean delivery and 45 women with vaginal delivery who referred to a public hospital in Tehran, Iran. Maternal omentin-1 level was measured by ELISA kits within 24 h after delivery. The maternal quality of life and marital satisfaction in the third trimester of pregnancy and at 12 weeks postpartum were measured using WHOQOL-BREF and the Kansas marital satisfaction questionnaires, respectively. For making between-groups and within-groups comparison, independent samples t-test, paired samples t-test and chi-square test were applied accordingly. RESULTS The level of maternal omentin-1 was reported to be higher in vaginal delivery group compared to the cesarean group (p = 0.02). No significant difference was found in the quality of life between the two groups in the third trimester of pregnancy and at 12 weeks postpartum period. However, women in both groups had lower scores in physical dimension at 12 weeks postpartum compared to the third trimester of their pregnancy [mean ± SD in vaginal group = 59.28 ± 15.5 vs. 64.44 ± 15.05, p = 0.003 and mean ± SD in cesarean group = 60.07 ± 14.84 vs. 66.50 ± 11.32, p <  0.001]. The results of paired samples t-test indicated that women in NVD group had significantly higher psychological wellbeing at 12 weeks postpartum compared to the third trimester of pregnancy [mean ± SD 68.9 ± 16.82 vs. 65.73 ± 16.87, p = 0.001]. There was no significant difference in marital satisfaction between the two groups at 12 weeks postpartum (P = 0.07). The results of paired samples t-test showed that women in CS group had significantly lower marital satisfaction at 12 weeks postpartum compared to the third trimester of pregnancy [mean SD 18.86 ± 2.04 vs. 19.28 ± 1.79, p = 0.01]. CONCLUSIONS Our findings demonstrated that women with NVD had higher omentin-1 level than women with CS. No significant difference was found in quality of life and marital satisfaction between NVD and CS and omentin-1 level. High level of omentin-1 in NVD may act as a protective factor for mother against metabolic disorders.

中文翻译：

---

产妇omentin-1水平，生活质量和婚姻满意度与分娩方式的关系：一项前瞻性队列研究。

背景技术本研究的目的是评估剖宫产和阴道分娩妇女的产妇omentin-1水平，生活质量和婚姻满意度。方法这项前瞻性队列研究是针对45名选择剖宫产的妇女和45名阴道分娩的妇女进行的，这些妇女被转诊至伊朗德黑兰的一家公立医院。分娩后24小时内通过ELISA试剂盒测量母体omentin-1水平。分别使用WHOQOL-BREF和堪萨斯州的婚姻满意度调查表对妊娠中期和产后12周的孕产妇生活质量和婚姻满意度进行了测量。为了进行组间和组内比较，相应地应用独立样本t检验，成对样本t检验和卡方检验。结果据报道，与剖宫产组相比，阴道分娩组中母亲omentin-1的水平更高（p = 0.02）。两组在妊娠晚期和产后12周的生活质量上无显着差异。但是，两组妇女在产后12周时的体形尺寸得分均比其妊娠中期低[阴道组的平均值±SD = 59.28±15.5与64.44±15.05，p = 0.003，剖宫产平均值±SD组= 60.07±14.84与66.50±11.32，p <0.001]。配对样本t检验的结果表明，与妊娠中期相比，NVD组的妇女在产后12周的心理健康水平明显更高[平均值±SD 68.9±16.82与65.73±16.87，p = 0.001]。两组在产后12周的婚姻满意度上无显着差异（P = 0.07）。配对样本t检验的结果表明，CS组的妇女在产后12周的婚姻满意度明显低于妊娠中期[平均SD 18.86±2.04对19.28±1.79，p = 0.01]。结论我们的研究结果表明，NVD患者的omentin-1水平高于CS患者。NVD和CS与omentin-1水平之间的生活质量和婚姻满意度没有显着差异。NVD中高水平的omentin-1可能充当母亲抵抗代谢异常的保护因子。配对样本t检验的结果表明，CS组的妇女在产后12周的婚姻满意度明显低于妊娠中期[平均SD 18.86±2.04对19.28±1.79，p = 0.01]。结论我们的研究结果表明，NVD患者的omentin-1水平高于CS患者。NVD和CS与omentin-1水平之间的生活质量和婚姻满意度没有显着差异。NVD中高水平的omentin-1可能充当母亲抵抗代谢异常的保护因子。配对样本t检验的结果表明，CS组的妇女在产后12周的婚姻满意度明显低于妊娠中期[平均SD 18.86±2.04对19.28±1.79，p = 0.01]。结论我们的研究结果表明，NVD患者的omentin-1水平高于CS患者。NVD和CS与omentin-1水平之间的生活质量和婚姻满意度没有显着差异。NVD中高水平的omentin-1可能充当母亲抵抗代谢异常的保护因子。NVD和CS与omentin-1水平之间的生活质量和婚姻满意度没有显着差异。NVD中高水平的omentin-1可能充当母亲抵抗代谢异常的保护因子。NVD和CS与omentin-1水平之间的生活质量和婚姻满意度没有显着差异。NVD中高水平的omentin-1可能充当母亲抵抗代谢异常的保护因子。