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

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dc.creatorMooij, R.
dc.creatorKapanga, R. R.
dc.creatorMwampagatwa, I. H.
dc.creatorMgalega, G. C.
dc.creatorDillen, J. van
dc.creatorStekelenburg, J.
dc.creatorde Kok, B. C.
dc.date2021-05-13T05:24:07Z
dc.date2021-05-13T05:24:07Z
dc.date2021
dc.date.accessioned2022-10-20T14:01:42Z
dc.date.available2022-10-20T14:01:42Z
dc.descriptionAbstract: Full text article available at https://doi.org/10.1111/tmi.13507
dc.descriptionTo explore the long‐term (perceived) consequences of (severe pre‐) eclampsia in rural Tanzania. 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. 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. 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.
dc.identifierMooij, R., Kapanga, R. R., Mwampagatwa, I. H., Mgalega, G. C., Dillen, J., Stekelenburg, J., & Kok, B. C. (2021). Beyond severe acute maternal morbidity: A mixed‐methods study on the long‐term consequences of (severe pre‐) eclampsia in rural Tanzania. Tropical Medicine & International Health, 26(1), 33-44.
dc.identifierDOI: https://doi.org/10.1111/tmi.13507
dc.identifierhttp://hdl.handle.net/20.500.12661/3059
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3059
dc.languageen
dc.publisherWiley
dc.subjectEclampsia
dc.subjectBlood pressure
dc.subjectMental health
dc.subjectTanzania
dc.subjectSevere eclampsia
dc.subjectMaternal morbidity
dc.subjectHypertensive disorders
dc.subjectPregnancy
dc.subjectPre-eclampsia
dc.titleBeyond severe acute maternal morbidity: a mixed‐methods study on the long‐term consequences of (severe pre‐) eclampsia in rural Tanzania
dc.typeArticle

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