Beyond severe acute maternal morbidity: a mixed-methods study on the long-term consequences of (severe pre-)eclampsia in rural Tanzania

R Mooij*, R R Kapanga, I H Mwampagatwa, G C Mgalega, J van Dillen, J Stekelenburg, B C de Kok

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)
38 Downloads (Pure)

Abstract

Objectives To explore the long-term (perceived) consequences of (severe pre-)eclampsia in rural Tanzania.

Methods Women were traced for this mixed-methods study 6-7 years after the diagnosis of (severe pre-)eclampsia. Demographic and obstetric characteristics were noted, and blood pressure was recorded. Questionnaires were used to assess physical and mental health. The qualitative part consisted of semi-structured interviews (SSI). A reference group consisted of women without hypertensive disorders of pregnancy.

Results Of 74 patients, 25 (34%) were available for follow-up, and 24 were included. Five (20%) had suffered from (pre-)eclampsia twice. Hypertension was more common after (pre-)eclampsia than in the reference group (29% vs. 13%). Thirteen women (56%) had feelings of anxiety and depression, compared to 30% in the reference group. In SSIs, experiences during the index pregnancy were explored, as well as body functions, reproductive life course and limitations in daily functioning, which were shown to be long-lasting.

Conclusions Women who suffered from (severe pre-)eclampsia may experience long-term sequelae, including hypertension, depression and anxiety. Women lack information about their condition, and some are worried to conceive again. To address their specific needs, a strategy along the continuum of care is needed for women following a complicated pregnancy, starting with a late postnatal care visit 6 weeks after giving birth.

Original languageEnglish
Pages (from-to)33-44
Number of pages12
JournalTropical Medicine & International Health
Issue number1
Early online date5-Nov-2020
DOIs
Publication statusPublished - Jan-2021

Keywords

  • eclampsia
  • blood pressure
  • mental health
  • Tanzania
  • SEVERE OBSTETRIC COMPLICATIONS
  • QUALITY-OF-LIFE
  • HYPERTENSIVE DISORDERS
  • BLOOD-PRESSURE
  • WOMENS HEALTH
  • FOLLOW-UP
  • PREECLAMPSIA
  • PREGNANCY
  • RISK

Cite this