The impact of severe preeclampsia on maternal quality of life

Qual Life Res. 2014 Apr;23(3):1019-26. doi: 10.1007/s11136-013-0525-3. Epub 2013 Oct 1.

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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Analysis of Variance
  • Austria / epidemiology
  • Cohort Studies
  • Delivery, Obstetric / methods
  • Female
  • Humans
  • Linear Models
  • Maternal Welfare*
  • Parity
  • Pre-Eclampsia / epidemiology
  • Pre-Eclampsia / psychology*
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Outcome
  • Pregnancy Trimesters
  • Prenatal Diagnosis / methods
  • Quality of Life*
  • Reference Values
  • Severity of Illness Index*
  • Sickness Impact Profile*
  • Surveys and Questionnaires
  • Young Adult