Weitere Artikel dieser Ausgabe durch Wischen aufrufen
Stern Christina and Trapp Eva-Maria have contributed equally to this article.
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.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
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
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
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.
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. PubMedCentralPubMedCrossRef
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. PubMed
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. PubMedCrossRef
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.
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. PubMed
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. PubMedCrossRef
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. PubMed
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
- Springer International Publishing
Neuer Inhalt/© Stellmach, Neuer Inhalt/© Maturus, Pluta Logo/© Pluta