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Psychosocial burden of preeclampsia and eclampsia on women and their families in a Tertiary Hospital in Ghana
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Garden City University, Nursing and Midwifery, Kumasi, Ghana
Eur J Midwifery 2026;10(Supplement 1):A52
ABSTRACT
BACKGROUND:
Pre-eclampsia is a hypertensive disorder that develops after 20 weeks of pregnancy. It may progress to eclampsia. These disorders account for 14% maternal mortality globally, and 18% in Ghana. Biomedical aspect of these conditions has been widely studied, but there is a dearth of research on the psychosocial burden of these conditions on women and their families.
OBJECTIVES:
To assess the psychosocial burden of preeclampsia and eclampsia on women and their families in a Tertiary Hospital in Ghana.
METHODS:
Concurrent triangulation mixed-methods design was used. Total population study was conducted with 52 participants, comprising all 26 pregnant and puerperal women managed for either preeclampsia or recovered from eclampsia, and a family member each (26) in the quantitative part of the study. Fourteen of these women and their family members (28) were selected purposively for the qualitative aspect of the study. Following ethical approval, quantitative data were collected using the modified Zarit Burden Questionnaire, while in-depth interviews were used for the collection of qualitative data from 14 women and 11 family members, determined by data saturation. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed thematically.
RESULTS:
Qualitative data analysis revealed these themes from the women: emotional distress, feeling of hopelessness, fear of unknown outcomes, and burden on family relationships. Quantitatively, 80% of the women were emotionally distabilised by their diagnosis and afraid of future pregnancies; 92% reported strained family relationships; family members (100%) were emotionally distressed about the diagnosis, and 100% were financially and physically burdened, respectively.
CONCLUSIONS:
Preeclampsia/eclampsia goes beyond the biomedical burden. It also substantially exerts psychosocial burdens on both the women and their families.
KEY MESSAGE:
Biopsychosocial care is imperative for mothers with preeclampsia/eclampsia. Attention should also be given to the psychosocial needs of their families to enhance their support for these mothers to strengthen family-centred care.
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