Poor health-related quality of life after severe preeclampsia

Meeke Hoedjes, Durk Berks, Ineke Vogel, Arie Franx, Johannes J Duvekot, Eric A P Steegers, Hein Raat

Research output: Contribution to journalArticleScientificpeer-review

23 Citations (Scopus)

Abstract

BACKGROUND: Preeclampsia is a major complication of pregnancy associated with increased maternal morbidity and mortality, and adverse birth outcomes. The objective of this study was to describe changes in all domains of health-related quality of life between 6 and 12 weeks postpartum after mild and severe preeclampsia; to assess the extent to which it differs after mild and severe preeclampsia; and to assess which factors contribute to such differences.

METHODS: We conducted a prospective multicenter cohort study of 174 postpartum women who experienced preeclampsia, and who gave birth between February 2007 and June 2009. Health-related quality of life was measured at 6 and 12 weeks postpartum by the RAND 36-item Short-Form Health Survey (SF-36). The population for analysis comprised women (74%) who obtained scores on the questionnaire at both time points.

RESULTS:   Women who experienced severe preeclampsia had a lower postpartum health-related quality of life than those who had mild preeclampsia (all p < 0.05 at 6 wk postpartum). Quality of life improved on almost all SF-36 scales from 6 to 12 weeks postpartum (p < 0.05). Compared with women who had mild preeclampsia, those who experienced severe preeclampsia had a poorer mental quality of life at 12 weeks postpartum (p < 0.05). Neonatal intensive care unit admission and perinatal death were contributing factors to this poorer mental quality of life.

CONCLUSIONS: Obstetric caregivers should be aware of poor health-related quality of life, particularly mental health quality of life in women who have experienced severe preeclampsia (especially those confronted with perinatal death or their child's admission to a neonatal intensive care unit), and should consider referral for postpartum psychological care.

Original languageEnglish
Pages (from-to)246-55
Number of pages10
JournalBirth
Volume38
Issue number3
DOIs
Publication statusPublished - Sep 2011
Externally publishedYes

Keywords

  • Adolescent
  • Adult
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care, Neonatal
  • Mental Health
  • Perinatal Mortality
  • Postpartum Period/psychology
  • Pre-Eclampsia
  • Pregnancy
  • Prospective Studies
  • Quality of Life/psychology
  • Regression Analysis
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Young Adult

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  • Cite this

    Hoedjes, M., Berks, D., Vogel, I., Franx, A., Duvekot, J. J., Steegers, E. A. P., & Raat, H. (2011). Poor health-related quality of life after severe preeclampsia. Birth, 38(3), 246-55. https://doi.org/10.1111/j.1523-536X.2011.00477.x