Psychosocial impact of early-onset hypertensive disorders and related complications in pregnancy.

A. Rep, W. Ganzevoort, G.J. Bonsel, H. de Wolf, J.I. de Vries

    Research output: Contribution to JournalArticleAcademicpeer-review


    Objective: The objective of the study was to examine the psychosocial impact of severe hypertensive disorders during pregnancy. Study Design: All women (n = 216) in a prospective study cohort with severe hypertensive disorders of pregnancy were invited at term age, 3 months, and 1 year postterm to complete the 90-item Symptom Check List (SCL-90) questionnaire for assessment of their psychosocial condition. The association of hypothesized determinants was tested by binary logistic analysis. Results: Psychosocial impact decreased over time in all women (P < .01). Women with an adverse infant outcome had a worse score at term age (P = .04). The only parameter relating significantly to SCL-90 score in multivariate analysis was gestational age at inclusion. One year postterm, 72% resumed work and 9% were still on sick leave. Conclusion: Severe hypertensive disorders of pregnancy have a high psychological impact, especially when gestational age at onset of disease is below 30 weeks or if adverse infant outcome occurs. © 2007 Mosby, Inc. All rights reserved.
    Original languageEnglish
    Pages (from-to)158.e1-158.e6
    JournalAmerican Journal of Obstetrics and Gynecology
    Publication statusPublished - 2007


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