Abstract
Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies. To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia. This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period. There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study. According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.
Highlights
Preeclampsia is a serious complication during pregnancy that influences maternal and fetal physical health, and has maternal mental health outcomes such as anxiety
Considering the effects of anxiety on mother and fetus, especially in pregnant women with preeclampsia, this study aimed to evaluate the effectiveness of psycho-educational counseling on anxiety in pregnant
The main purpose of this research was to determine the effects of psychoeducational counseling on anxiety levels in pregnant women with preeclampsia
Summary
Preeclampsia is a serious complication during pregnancy that influences maternal and fetal physical health, and has maternal mental health outcomes such as anxiety. There are many stressors for fetal health that make a person susceptible to mental disorders such as anxiety.[3] Preeclampsia is one of these stressors and is an independent risk factor for the development of anxiety.[4] A pregnancy-related disorder, preeclampsia may affect all organs in the body and is diagnosed in the presence of high blood pressure and excess protein in the urine (proteinuria) after 20 weeks of pregnancy After diagnosis of this condition, immediate treatment and examination of the mothers, as well as prevention of its complications, such as maternal seizure, are of great importance.[5] Preeclampsia is associated with high maternal mortality and serious complications, as well as risk of perinatal death, premature birth, and intrauterine growth restriction. Unexpected medical interventions, and sometimes fear of death, lead to anxiety and severe fear in mothers.[7]
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