The impact of severe preeclampsia on maternal quality of life
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Preeclampsia (PE) is a serious life event that can change women’s psychological profile. The aim of this study was to evaluate the physical and mental health-related quality of life (HR-QoL) in women after PE and the impact of contributing factors.
Ninety-five women who had suffered from PE answered the Short-Form-12 Health Survey on general state of health. Comparison was made with the reference values and among the study cohorts, namely mild (14.7 %), severe (74.7 %) and superimposed PE (10.5 %). Medical parameters were evaluated as additional factors, and age served as covariate.
Quality of mental life was significantly worse in all patients (p < 0.01), especially in those after severe PE (p < 0.01) compared to the reference range. These women demonstrated significantly worse results than those affected by the mild form (p = 0.03). Women who had had superimposed PE were neither physically nor mentally impaired compared to the standard population values (p = 0.94 and p = 0.90, respectively). After controlling for medical parameters and age, differences remained statistically significant. Multiparous women scored significantly worse on the mental scale than primiparous (p = 0.02), and pregnant women scored significantly worse than non-pregnant women on the physical level (p = 0.04).
This study shows that women who have suffered from severe PE are substantially reduced in their mental quality of life. An extensive medical care including HR-QoL parameters might improve pregnancy outcome.
- Sibai, B. M. (2011). Management of late preterm and early-term pregnancies complicated by mild gestational hypertension/pre-eclampsia. Seminars in Perinatology, 35(5), 292–296. CrossRef
- Ghulmiyyah, L., & Sibai, B. (2012). Maternal mortality from preeclampsia/eclampsia. Seminars in Perinatology, 36(1), 56–59. CrossRef
- Publications Committee, & Sibai, B. M. (2011). Evaluation and management of severe preeclampsia before 34 weeks’ gestation. American Journal of Obstetrics and Gynecology, 205(3), 191–198. CrossRef
- Dalfra, M. G., Nicolucci, A., Bisson, T., Bonsembiante, B., Lapolla, A., & Qlisg, (2012). Quality of life in pregnancy and post-partum: a study in diabetic patients. Quality of Life Research, 21(2), 291–298. CrossRef
- Nicholson, W. K., Setse, R., Hill-Briggs, F., Cooper, L. A., Strobino, D., & Powe, N. R. (2006). Depressive symptoms and health-related quality of life in early pregnancy. Obstetrics and Gynecology Science, 107(4), 798–806. CrossRef
- Jansen, A. J., Duvekot, J. J., Hop, W. C., Essink-Bot, M. L., Beckers, E. A., Karsdorp, V. H., et al. (2007). New insights into fatigue and health-related quality of life after delivery. Acta Obstetricia et Gynecologica Scandinavica, 86(5), 579–584. CrossRef
- Da Costa, D., Dritsa, M., Verreault, N., Balaa, C., Kudzman, J., & Khalife, S. (2010). Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Archives of Women’s Mental Health, 13(3), 249–257. CrossRef
- Roes, E. M., Raijmakers, M. T., Schoonenberg, M., Wanner, N., Peters, W. H., & Steegers, E. A. (2005). Physical well-being in women with a history of severe preeclampsia. Journal of Maternal-Fetal and Neonatal Medicine, 18(1), 39–45. CrossRef
- Kim, C., Brawarsky, P., Jackson, R. A., Fuentes-Afflick, E., & Haas, J. S. (2005). Changes in health status experienced by women with gestational diabetes and pregnancy-induced hypertensive disorders. Journal of Women’s Health (Larchmt), 14(8), 729–736. CrossRef
- Rep, A., Ganzevoort, W., Bonsel, G. J., Wolf, H., & de Vries, J. I. (2007). Psychosocial impact of early-onset hypertensive disorders and related complications in pregnancy. American Journal of Obstetrics and Gynecology, 197(2), 158. e151–156. CrossRef
- The World Health Organization Quality of Life assessment (WHOQOL). (1995). Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409. CrossRef
- What quality of life? The WHOQOL Group. World Health Organization Quality of Life Assessment. (1996). World Health Forum, 17(4), 354–356.
- Hoedjes, M., Berks, D., Vogel, I., Franx, A., Duvekot, J. J., Steegers, E. A., et al. (2011). Poor health-related quality of life after severe preeclampsia. Birth, 38(3), 246–255. CrossRef
- Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136. CrossRef
- Emmanuel, E., St John, W., & Sun, J. (2012). Relationship between social support and quality of life In Childbearing women during the Perinatal Period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(6), E62–E70. CrossRef
- Bijlenga, D., Boers, K. E., Birnie, E., Mol, B. W., Vijgen, S. C., Van der Post, J. A., et al. (2011). Maternal health-related quality of life after induction of labor or expectant monitoring in pregnancy complicated by intrauterine growth retardation beyond 36 weeks. Quality of Life Research, 20(9), 1427–1436. CrossRef
- Bullinger, M., & Kirchberger, I. (1998). Der SF-12, In SF-36 Fragebogen zum Gesundheitszustand. Handanweisungen. (Vol. 65–71): Hogrefe Verlag: Göttingen Bern Toronto Seattle.
- Khanna, D., & Tsevat, J. (2007). Health-related quality of life–an introduction. The American Journal of Managed Care, 13(Suppl 9), S218–S223.
- RCOG. (2011). Scientific Advisory Committee—Opinion Paper 24, Reproductive Ageing: Royal College of Obstetricians and Gynaecologists.
- Mautner, E., Greimel, E., Trutnovsky, G., Daghofer, F., Egger, J. W., & Lang, U. (2009). Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. Journal of Psychosomatic Obstetrics and Gynaecology, 30(4), 231–237. CrossRef
- Haas, J. S., Jackson, R. A., Fuentes-Afflick, E., Stewart, A. L., Dean, M. L., Brawarsky, P., et al. (2005). Changes in the health status of women during and after pregnancy. Journal of General Internal Medicine, 20(1), 45–51. CrossRef
- Symon, A., MacDonald, A., & Ruta, D. (2002). Postnatal quality of life assessment: Introducing the mother-generated index. Birth, 29(1), 40–46. CrossRef
- Adams, S. S., Eberhard-Gran, M., Sandvik, A. R., & Eskild, A. (2012). Mode of delivery and postpartum emotional distress: A cohort study of 55,814 women. British Journal of Obstetrics and Gynaecology, 119(3), 298–305. CrossRef
- Sword, W., Landy, C. K., Thabane, L., Watt, S., Krueger, P., Farine, D., et al. (2011). Is mode of delivery associated with postpartum depression at 6 weeks: A prospective cohort study. British Journal of Obstetrics and Gynaecology, 118(8), 966–977. CrossRef
- Mautner, E., Stern, C., Deutsch, M., Greimel, E., Lang, U., & Cervar-Zivkovic, M. (2012). The impact of resilience on the psychological outcomes in women after hypertensive pregnancy disorders. Article in press.
- Rijnders, M., Baston, H., Schonbeck, Y., van der Pal, K., Prins, M., Green, J., et al. (2008). Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the Netherlands. Birth, 35(2), 107–116. CrossRef
- Trutnovsky, G., Panzitt, T., Magnet, E., Stern, C., Lang, U., & Dorfer, M. (2012). Gestational diabetes: Women’s concerns, mood state, quality of life and treatment satisfaction. Journal of Maternal-Fetal and Neonatal Medicine, 25(11), 2464–2466. CrossRef
- Poel, Y. H., Swinkels, P., & de Vries, J. I. (2009). Psychological treatment of women with psychological complaints after pre-eclampsia. Journal of Psychosomatic Obstetrics and Gynaecology, 30(1), 65–72.
- Wilson, W. A., Gharavi, A. E., Koike, T., Lockshin, M. D., Branch, D. W., Piette, J. C., et al. (1999). International consensus statement on preliminary classification criteria for definite antiphospholipid syndrome: Report of an international workshop. Arthritis and Rheumatism, 42(7), 1309–1311. CrossRef
- Miyakis, S., Lockshin, M. D., Atsumi, T., Branch, D. W., Brey, R. L., Cervera, R., et al. (2006). International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). Journal of Thrombosis and Haemostasis, 4(2), 295–306.
- Brown, M. A., Lindheimer, M. D., de Swiet, M., Van Assche, A., & Moutquin, J. M. (2001). The classification and diagnosis of the hypertensive disorders of pregnancy: statement from the International Society for the Study of Hypertension in Pregnancy (ISSHP). Hypertens Pregnancy, 20(1), IX–XIV.
- Practice, A. C. (2002). ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. American College of Obstetricians and Gynecologists. International Journal of Gynaecology and Obstetrics, 77(1), 67–75.
- The impact of severe preeclampsia on maternal quality of life
Quality of Life Research
Volume 23, Issue 3 , pp 1019-1026
- Cover Date
- Print ISSN
- Online ISSN
- Springer International Publishing
- Additional Links
- Health-related quality of life
- Hypertensive pregnancy disorders
- Mild preeclampsia
- Severe preeclampsia
- Industry Sectors
- Author Affiliations
- 1. Department of Obstetrics and Gynaecology, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria
- 2. University Clinic of Medical Psychology and Psychotherapy, Research Unit of Behavioural Medicine, Health Psychology and Empirical Psychosomatics, Medical University of Graz, Roseggerweg 50, 8036, Graz, Austria