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Quality of Life Research

, Volume 23, Issue 3, pp 1019–1026 | Cite as

The impact of severe preeclampsia on maternal quality of life

  • Christina SternEmail author
  • Eva-Maria Trapp
  • Eva Mautner
  • Maria Deutsch
  • Uwe Lang
  • Mila Cervar-Zivkovic
Article

Abstract

Purpose

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.

Methods

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.

Results

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).

Conclusions

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.

Keywords

Health-related quality of life Hypertensive pregnancy disorders Mild preeclampsia Severe preeclampsia 

Abbreviations

HR-QoL

Health-related quality of life

PE

Preeclampsia

SF-12

German SF-12 Short-Form Health Survey

WHO

World Health Organization

HELLP syndrome

Haemolysis, elevated liver enzymes, low platelets syndrome

PCS, MCS

Physical and mental component summary scores

BP

Blood pressure

ICU

Intensive care unit

M

Mean

SD

Standard deviation

Notes

Acknowledgements

We would like to thank Fedor Daghofer, PhD, for the statistical analysis and Andrew Peaston, B.Sc., for language editing.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Christina Stern
    • 1
    Email author
  • Eva-Maria Trapp
    • 2
  • Eva Mautner
    • 1
  • Maria Deutsch
    • 1
  • Uwe Lang
    • 1
  • Mila Cervar-Zivkovic
    • 1
  1. 1.Department of Obstetrics and GynaecologyMedical University of GrazGrazAustria
  2. 2.University Clinic of Medical Psychology and Psychotherapy, Research Unit of Behavioural Medicine, Health Psychology and Empirical PsychosomaticsMedical University of GrazGrazAustria

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