Predictors of Quality of life among infertile women in a south-western Nigerian teaching hospital.

Abstract

Objectives: Infertility has been shown to impact negatively on quality of life of women affected by it. The study evaluated predictors of quality of life among infertile women in a Nigerian teaching hospital. Methods: Quality of life was measured using WHOQOL-BREF tool in 170 women attending the infertility clinic, and socio-demographic characteristics of the women were also recorded. Data was analysed using SPSS 17 and variables were compared using Chi square, Independent T test and ANOVA while logistic regression analysis was used to determine the predictive factors affecting quality of life. Results: Women with secondary infertility obtained higher scores in all the four domains even though they did not achieve statistical significance (p > 0.05) but have significantly higher overall total quality of scores (p < 0.05). Women with post-primary education, who are employed, in a monogamous and legally constituted marriage and with lower duration of infertility, obtained higher scores in all domains except environment (p < 0.05). Multiple regression analysis showed that the higher educational and employment status and legally constituted marriage had a positive impact, whereas prolonged duration of infertility, polygamous family setting and contribution to family upkeep had a negative impact on total QoL scores. Conclusion: Infertility impairs various aspects of quality of life of women. There should be comprehensive evaluation of infertile patients including her social and psychological problems and appropriate counselling offered.