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. 2007 Aug;197(2):158.e1-6.
doi: 10.1016/j.ajog.2007.03.045.

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

Annelies Rep  1 , Wessel Ganzevoort, Gouke J Bonsel, Hans Wolf, Johanna I P de Vries
Affiliations

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

Annelies Rep et al. Am J Obstet Gynecol. 2007 Aug.

Abstract

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.

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