What the study found
The review found that postpartum recovery is influenced by multiple antenatal and pregnancy-related factors. The factors most consistently linked with poorer recovery were previous pain, high body mass index, and mental health problems during pregnancy.
Why the authors say this matters
The authors conclude that understanding these factors may help improve maternal health, return to work, and social participation. They suggest that a personalized, biopsychosocial approach to care may improve maternal health outcomes and social participation.
What the researchers tested
The researchers conducted a systematic review of studies on antenatal and pregnancy-related factors associated with maternal morbidity beyond 6 weeks postpartum. They searched PubMed, Embase, and Web of Science up to October 2024 and included cohort studies, randomized controlled trials, and cross-sectional studies in women aged 18 or older who delivered live-born singletons.
What worked and what didn't
Previous pain, high body mass index, and antenatal mental health problems were consistently associated with poorer recovery outcomes. Physical activity, social support, and psychological resilience were generally protective factors. Recovery outcomes included persistent pain, mental health problems, functional ability, and urinary incontinence.
What to keep in mind
The review included 56 studies, but most focused on physical or mental health rather than functional ability, and no studies explicitly examined social participation. The review is based on studies published in English or Dutch and limited to women with live-born singleton deliveries and at least 6 weeks of postpartum follow-up.
Key points
- The review included 56 studies on antenatal and pregnancy-related factors affecting postpartum recovery.
- Previous pain, high body mass index, and antenatal mental health problems were consistently linked to poorer recovery.
- Physical activity, social support, and psychological resilience were generally protective factors.
- Only 9 studies assessed functional ability, and no studies explicitly examined social participation.
- The review included studies with at least 6 weeks of postpartum follow-up in women aged 18 or older with live-born singletons.
Disclosure
- Research title:
- Postpartum recovery is linked to multiple antenatal factors
- Authors:
- Zayël Frijmersum, Eva van der Meij, Ralph De Vries, Johannes R. ANEMA, Judith A.F. HUIRNE, Petra C.A.M. Bakker
- Institutions:
- Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam
- Publication date:
- 2026-01-27
- OpenAlex record:
- View
Get the weekly research newsletter
Stay current with peer-reviewed research without reading academic papers — one filtered digest, every Friday.

