Women who experienced a maternal near-miss are at risk of mental health complications and lower quality of life, but long-term consequences are largely unknown. The aim of this study is to assess whether mental health symptoms and quality of life change over time and to examine associations with risk factors among post-partum women. In this cohort study, women with maternal near-miss were matched to women without or with mild complications at Mnazi Mmoja Hospital in Zanzibar. Depressive and post-traumatic stress disorder symptoms, and quality of life were measured at three, six, and twelve-months follow-up. A linear mixed-effects model was used for data analysis. Postpartum women in Zanzibar reported low levels of depressive and post-traumatic stress disorder symptoms. While depressive symptoms and quality of life trajectories were similar among women with and without maternal near-miss, differences for trajectories of post-traumatic stress disorder symptoms and physical quality of life were found. Social support, perinatal loss, and intercurrent illness were strongly associated with both depressive symptoms and quality of life in this group of Islamic women. These findings suggest that social support, embedded in the cultural context, should be considered in helping women cope with mental health issues in the aftermath of severe maternal complications.

中文翻译：

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低收入和中等收入国家孕产妇离婚后一年后妇女的心理健康和生活质量：坦桑尼亚桑给巴尔的案例

经历过孕产妇失踪的妇女面临精神健康并发症和生活质量降低的风险，但是长期后果在很大程度上尚不清楚。这项研究的目的是评估心理健康症状和生活质量是否随时间变化，并检查产后妇女中与危险因素的关系。在这项队列研究中，在桑给巴尔的Mnazi Mmoja医院将产妇未遂的妇女与没有或有轻度并发症的妇女进行了配对。在随访的三个月，六个月和十二个月中测量了抑郁症和创伤后应激障碍的症状以及生活质量。线性混合效应模型用于数据分析。桑给巴尔的产后妇女报告的抑郁和创伤后应激障碍症状水平较低。尽管有和没有孕产妇未命中的妇女的抑郁症状和生活质量轨迹相似，但在创伤后应激障碍症状和身体素质方面却存在差异。在这组伊斯兰妇女中，社会支持，围产期减少和并发疾病与抑郁症状和生活质量密切相关。这些发现表明，在严重的产妇并发症后，应考虑融入文化背景的社会支持，以帮助妇女应对心理健康问题。在这组伊斯兰妇女中，合并症和并发疾病与抑郁症状和生活质量都密切相关。这些发现表明，在严重的产妇并发症后，应考虑融入文化背景的社会支持，以帮助妇女应对心理健康问题。在这组伊斯兰妇女中，合并症和并发疾病与抑郁症状和生活质量都密切相关。这些发现表明，在严重的产妇并发症后，应考虑融入文化背景的社会支持，以帮助妇女应对心理健康问题。