447. Paternal consequences of preeclampsia

Abstract

Women experiencing pre-eclampsia or HELLP syndrome are known to be at increased risk of developing mental health conditions such as posttraumatic stress disorder (PTSD) and postpartum depression. While the role of fathers in the etiology and pathophysiology of pre-eclampsia becomes increasingly clear, the effects of pre-eclampsia on the mental wellbeing of fathers is scarcely researched. A recent meta-analysis on the mental health of fathers demonstrate that 8% of fathers suffers from depression, which is twice the rate of depression in the adult male population. Postpartum posttraumatic stress disorder (PTSD) may also occur in partners. Particularly stressful for fathers in case of severe preeclampsia with preterm birth appears to be the separation from and between mother and child, and starting fatherhood facing existential issues. Research into the paternal consequences of preeclampsia is scarce and warrants further evaluation. In the meantime, qualitative studies point out the important of supporting partners of women with pre-eclampsia during pregnancy and in the postpartum period: by actively involving fathers during the hospitalization and in postnatal care; by normalizing the mental health impact of potentially life-threatening conditions such as pre-eclampsia and HELLP syndrome, also on partners; by monitoring the wellbeing of fathers postpartum, especially in case of preterm birth and in partners with a history of mental disorders; by informing partners of possible mental health consequences; and by validating fathers if they report mental health issues or psychiatric symptoms.