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.
KeywordsHealth-related quality of life Hypertensive pregnancy disorders Mild preeclampsia Severe preeclampsia
Health-related quality of life
German SF-12 Short-Form Health Survey
World Health Organization
- HELLP syndrome
Haemolysis, elevated liver enzymes, low platelets syndrome
- PCS, MCS
Physical and mental component summary scores
Intensive care unit
We would like to thank Fedor Daghofer, PhD, for the statistical analysis and Andrew Peaston, B.Sc., for language editing.
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