[Experience of pregnancy for women with pregnancy-induced hypertension]. 2011

M Rauchfuss, and J Enderwitz, and B Maier, and J Frommer
Medizinische Klinik mit Schwerpunkt Psychosomatik und Psychotherapie, Charité-Universitätsmedizin Berlin, Germany. martina.rauchfuss@charite.de

OBJECTIVE The experience of pregnancy for women with pregnancy-induced hypertension (PIH) is compared to the experience of women with a normal pregnancy course in order to gain insights into the development of PIH and possible strategies for prevention and care. METHODS This study was performed as a retrospective investigation of 21 women - 10 with PIH and as control group 11 with uncomplicated pregnancies - between 5 and 13 months after delivery by means of an interview relating to their experience of pregnancy. The interviews were evaluated by qualitative text analysis with categorisation. The specific categories "planning of pregnancy", "affective complaints", "significant others", "work" and "out-patient care" were compared between cases. RESULTS The interviews with women with PIH revealed a significantly more conflict-shaken pregnancy, often unplanned and undesired. Also during pregnancy there were severe conflicts with relevant third persons. A weak expression of their emotions was observed. Additionally, the majority of women reported a rather disturbed relationship with their physicians. CONCLUSIONS Stress and PIH are intertwined. This is presented in the literature available about this subject. Qualitative research produces only contextual and subjective evidence, nevertheless this is the most concrete base that one can obtain. Only a readiness to deal with conflicts developing during pregnancy and the expression of also negative emotions towards relevant third persons would be helpful to cope with one's own negative feelings. CONCLUSIONS The practical impact on care for women with PIH is awareness for their underlying conflicts, weak emotional expressivity and provision of an adequate supply of psychological support.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010817 Physician-Patient Relations The interactions between physician and patient. Doctor-Patient Relations,Doctor Patient Relations,Physician Patient Relations,Physician Patient Relationship,Doctor Patient Relation,Doctor-Patient Relation,Physician Patient Relation,Physician Patient Relationships,Physician-Patient Relation,Relation, Doctor Patient,Relation, Doctor-Patient,Relation, Physician Patient,Relation, Physician-Patient,Relations, Doctor Patient,Relations, Doctor-Patient,Relations, Physician Patient,Relations, Physician-Patient,Relationship, Physician Patient,Relationships, Physician Patient
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D005260 Female Females
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000342 Affective Symptoms Mood or emotional responses dissonant with or inappropriate to the behavior and/or stimulus. Alexithymia,Emotional Disturbances,Affective Symptom,Alexithymias,Disturbance, Emotional,Disturbances, Emotional,Emotional Disturbance,Symptom, Affective,Symptoms, Affective
D015897 Comorbidity The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.

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