Above all, there seem to be an overall trend of decreasing physical QOL over the course of pregnancy, while psychological QOL often is shown to be stable or even increase [ 5 ].
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The sentences
The environmental domain showed different patterns when using the original and proposed items; in the first case showing small and only occasionally significant positive associations with all three outcomes, in the second case again showing small and marginally significant, but negative associations with all three outcomes.