Araştırma Makalesi
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Preeklampsi Tanısı Alan Kadınların Gebelik ve Doğum Sonrası Deneyimleri: Nitel Bir Çalışma

Yıl 2024, , 218 - 228, 15.11.2024
https://doi.org/10.17942/sted.1370061

Öz

Amaç: Bu çalışmanın amacı preeklampsi tanısı alan kadınların gebelik ve doğum sonrası deneyimlerini belirlemektir.
Yöntem: Araştırma nitel tasarımla yürütülmüştür. Veriler İstanbul’da bir üniversite hastanesinde, doğumu takip eden ilk altı ayda preeklampsi tanısıyla doğum yapan 18 kadınla yarı yapılandırılmış form kullanılarak yüz yüze veya çevrimiçi görüşme yoluyla toplandı. Bulgular içerik analizi kullanılarak analiz edilmiştir.
Bulgular: Katılımcıların yaş ortalaması 30,1±4,1 bulundu. Katılımcıların %61,1’i preterm doğum yapmış, %88,8’i hastanede 2-6 gün kalmıştı. Doğumdan sonra geçen süre ortalama 90,3±44,6 gün olup; katılımcılar preeklampsi tanısını ortalama 28,5±3,8 haftada almıştı. Araştırmada nitel görüşmeler sonucunda eş tema belirlendi: “preeklampsi tanısına tepki”, “preeklampsinin doğum sonrası etkileri”, “bilgi toplama”, “sosyal destek” ve “yaşam tarzı değişiklikleri ve gebelik niyeti”.
Sonuç: Preeklampsi tanısı kadınların gebelik ve doğum sonrası dönemdeki deneyimlerini etkilemektedir. Sonuçlar, kadınların bu dönemde multidisipliner yaklaşımla profesyonel yardıma ihtiyaç duyduğunu göstermiştir.

Kaynakça

  • Chappell LC, Cluver CA, Kingdom J, Tong S. Pre-eclampsia. Lancet. 2021;24(398):341-54.
  • Ramos JGL, Sass N, Costa SHM. Preeclampsia. Rev Bras Ginecol Obstet. 2017;39(9):496-512.
  • Keskinkılıç B, Engin-Üstün Y, Sanisoğlu S. et al. Maternal mortality due to hypertensive disorders in pregnancy, childbirth, and the puerperium between 2012 and 2015 in Turkey: A nationbased study. J Turk Ger Gynecol Assoc. 2017;18(1):20-5.
  • Ma’ayeh M, Rood KM, Kniss D, Costantine MM. Novel interventions for the prevention of preeclampsia. Curr Hypertens Rep. 2020;22(2):17-31.
  • Huynh K. Treatment of mild chronic hypertension in pregnancy reduces pre-eclampsia risk Nat Rev Cardiol. 2022;19(6):350.
  • Roberts L, Davis GK, Homer CSE. Depression, anxiety, and post-traumatic stress disorder following a hypertensive disorder of pregnancy: A narrative literature review. Front Cardiovasc Med. 2019;6(147):1-14.
  • Malik A, Jee B, Gupta SK. Preeclampsia: Disease biology and burden, its management strategies with reference to India. Pregnancy Hypertens. 2019;15:23-31.
  • Caropreso L, de Azevedo Cardoso T, Eltayebani M, Frey BN. Preeclampsia as a risk factor for postpartum depression and psychosis: A systematic review and meta-analysis. Arch Womens Ment Health. 2020;23(4):493-505.
  • de Havenon A, Delic A, Stulberg E, Stoddard G, Hanson H, Theilen L. Association of preeclampsia with ıncident stroke in later life among women in the Framingham Heart Study. JAMA Netw Open. 2021;4(4):1-9.
  • United Nations International Children’s Emergency Fund. UNICEF Data. Available from: https://data.unicef.org/topic/maternalhealth/antenatal-care/. Accessed July 16, 2022
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması. Türkiye: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK; 2018.
  • World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience: summary: Highlights and key messages from the World Health Organization’s 2016 global recommendations for routine antenatal care; 2018. (No. WHO/RHR/18.02).
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Kadın ve Üreme Sağlığı Dairesi Başkanlığı Doğum Öncesi Bakım Yönetim Rehberi. Ankara: 2018. ISBN: 978-975-590-686-7
  • Andersson ME, Rubertsson C, Hansson SR. The experience of provided information and care during pregnancy and postpartum when diagnosed with preeclampsia: A qualitative study. Eur J Midwifery, 2021;8(5):37-46.
  • Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017;56:29-34.
  • Muswazi M, Nhamo E. Note taking: A lesson for novice qualitative researchers. Int J Res Method Educ. 2013;2(3):13-7.
  • Harding T, Whitehead D. Elsevier‐Mosby: Nursing & midwifery research: Methods and appraisal for evidence‐based practice; 2013. Analysing data in qualitative research. In Z. Schneider, D. Whitehead, G. LoBiondo‐Wood, & J. Haber (Eds.), pp. 141–160.
  • Johnston A, Kelly SE, Hsieh SC. Systematic reviews of clinical practice guidelines: A methodological guide. J Clin Epidemiol. 2019;108:64-76.
  • Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud. 2020;108:1-6.
  • Booth A, Hannes K, Harden A, Noyes J, Harris J. Wiley: Guidelines for reporting health research: A user’s manual; 2014. COREQ (consolidated criteria for reporting qualitative studies). In D. Moher, D. G. Altman, K. F. Schulz, I. Simera, & E. Wager (Eds.), pp. 214-26.
  • Commons KG, Cholanians AB, Babb JA, Ehlinger DG. The rodent forced swim test measures stress-coping strategy, not depression-like behavior. ACS Chem Neurosci. 2017;8(5):955-60.
  • East C, Conway K, Pollock W, Frawley N, Brennecke S. Women’s experiences of preeclampsia: Australian action on preeclampsia survey of women and their confidants. J Pregnancy. 2011;1-6.
  • Bergman L, Cluver C, Carlberg N, Belfort M, Tolcher MC, Panerai RB, et al. Cerebral perfusion pressure and autoregulation in eclampsia- a case control study. Am J Obstet Gynecol. 2021;225(2):185-9.
  • Kay VR, Rätsep MT, Figueiró-Filho EA, Croy BA. Preeclampsia may influence offspring neuroanatomy and cognitive function: A role for placental growth factor. Biol Reprod. 2019;101(2):271-83.
  • Abedian Z, Soltani N, Mokhber N, Esmaily H. Depression and anxiety in pregnancy and postpartum in women with mild and severe preeclampsia. Iran J Nurs Midwifery Res. 2015;20(4):454-9.
  • Almli I, Haugdahl HS, Sandsæter HL, Rich-Edwards JW, Horn, J. Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: A qualitative study of the partner’s role. BMC Pregnancy Childbirth. 2020;20(1):66-76.
  • Soltani N, Abedian Z, Mokhber N, Esmaily H. The association of family support after childbirth with posttraumatic stress disorder in women with preeclampsia. Iran Red Crescent Med J. 2015;17(10):1-6.
  • Ugurlu M, Yavan T, Karasahin KE. The effect of an education and counseling program on maternal/neonatal outcomes in pregnant women at risk of preeclampsia. P R Health Sci J. 2021;40(3):127-35.
  • You WB, Wolf MS, Bailey SC, Grobman WA. Improving patient understanding of preeclampsia: A randomized controlled trial. Am J Obstet Gynecol. 2012;206(5):431-6.
  • Sandsæter HL, Horn J, Rich-Edwards JW, Haugdahl HS. Preeclampsia, gestational diabetes and later risk of cardiovascular disease: Women’s experiences and motivation for lifestyle changes explored in focus group interviews. BMC Pregnancy Childbirth. 2013;19(1):1-10.

Pregnancy and Postpartum Experiences of Women Diagnosed with Preeclampsia: A Qualitative Study

Yıl 2024, , 218 - 228, 15.11.2024
https://doi.org/10.17942/sted.1370061

Öz

Objective: The aim of this study is to determine the pregnancy and postpartum experiences of women diagnosed with preeclampsia.
Methods: The study was conducted with a qualitative design. Data were collected through face-to-face or online interviews using a semi-structured form with 18 women who gave birth with a diagnosis of preeclampsia in the first six months following delivery at a university hospital in Istanbul. The findings were analyzed using content analysis.
Results: The mean age of the participants was 30.1±4.1 years. 61.1% of the participants had preterm delivery, 88.8% stayed in the hospital for 2-6 days, and the mean duration after delivery was 90.3±44.6 days. Participants were diagnosed with preeclampsia at an average of 28.5±3.8 weeks. Five themes were identified as a result of qualitative interviews: “reaction to the diagnosis of pre-eclampsia”, ‘postpartum effects of pre-eclampsia’, ‘information gathering’, ‘social support’ and ‘lifestyle changes and pregnancy intention’.
Conclusion: The diagnosis of PE affects women’s experiences during pregnancy and the postpartum period. The results indicate that women needed professional assistance with a multidisciplinary approach during this period.

Kaynakça

  • Chappell LC, Cluver CA, Kingdom J, Tong S. Pre-eclampsia. Lancet. 2021;24(398):341-54.
  • Ramos JGL, Sass N, Costa SHM. Preeclampsia. Rev Bras Ginecol Obstet. 2017;39(9):496-512.
  • Keskinkılıç B, Engin-Üstün Y, Sanisoğlu S. et al. Maternal mortality due to hypertensive disorders in pregnancy, childbirth, and the puerperium between 2012 and 2015 in Turkey: A nationbased study. J Turk Ger Gynecol Assoc. 2017;18(1):20-5.
  • Ma’ayeh M, Rood KM, Kniss D, Costantine MM. Novel interventions for the prevention of preeclampsia. Curr Hypertens Rep. 2020;22(2):17-31.
  • Huynh K. Treatment of mild chronic hypertension in pregnancy reduces pre-eclampsia risk Nat Rev Cardiol. 2022;19(6):350.
  • Roberts L, Davis GK, Homer CSE. Depression, anxiety, and post-traumatic stress disorder following a hypertensive disorder of pregnancy: A narrative literature review. Front Cardiovasc Med. 2019;6(147):1-14.
  • Malik A, Jee B, Gupta SK. Preeclampsia: Disease biology and burden, its management strategies with reference to India. Pregnancy Hypertens. 2019;15:23-31.
  • Caropreso L, de Azevedo Cardoso T, Eltayebani M, Frey BN. Preeclampsia as a risk factor for postpartum depression and psychosis: A systematic review and meta-analysis. Arch Womens Ment Health. 2020;23(4):493-505.
  • de Havenon A, Delic A, Stulberg E, Stoddard G, Hanson H, Theilen L. Association of preeclampsia with ıncident stroke in later life among women in the Framingham Heart Study. JAMA Netw Open. 2021;4(4):1-9.
  • United Nations International Children’s Emergency Fund. UNICEF Data. Available from: https://data.unicef.org/topic/maternalhealth/antenatal-care/. Accessed July 16, 2022
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması. Türkiye: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK; 2018.
  • World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience: summary: Highlights and key messages from the World Health Organization’s 2016 global recommendations for routine antenatal care; 2018. (No. WHO/RHR/18.02).
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Kadın ve Üreme Sağlığı Dairesi Başkanlığı Doğum Öncesi Bakım Yönetim Rehberi. Ankara: 2018. ISBN: 978-975-590-686-7
  • Andersson ME, Rubertsson C, Hansson SR. The experience of provided information and care during pregnancy and postpartum when diagnosed with preeclampsia: A qualitative study. Eur J Midwifery, 2021;8(5):37-46.
  • Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017;56:29-34.
  • Muswazi M, Nhamo E. Note taking: A lesson for novice qualitative researchers. Int J Res Method Educ. 2013;2(3):13-7.
  • Harding T, Whitehead D. Elsevier‐Mosby: Nursing & midwifery research: Methods and appraisal for evidence‐based practice; 2013. Analysing data in qualitative research. In Z. Schneider, D. Whitehead, G. LoBiondo‐Wood, & J. Haber (Eds.), pp. 141–160.
  • Johnston A, Kelly SE, Hsieh SC. Systematic reviews of clinical practice guidelines: A methodological guide. J Clin Epidemiol. 2019;108:64-76.
  • Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud. 2020;108:1-6.
  • Booth A, Hannes K, Harden A, Noyes J, Harris J. Wiley: Guidelines for reporting health research: A user’s manual; 2014. COREQ (consolidated criteria for reporting qualitative studies). In D. Moher, D. G. Altman, K. F. Schulz, I. Simera, & E. Wager (Eds.), pp. 214-26.
  • Commons KG, Cholanians AB, Babb JA, Ehlinger DG. The rodent forced swim test measures stress-coping strategy, not depression-like behavior. ACS Chem Neurosci. 2017;8(5):955-60.
  • East C, Conway K, Pollock W, Frawley N, Brennecke S. Women’s experiences of preeclampsia: Australian action on preeclampsia survey of women and their confidants. J Pregnancy. 2011;1-6.
  • Bergman L, Cluver C, Carlberg N, Belfort M, Tolcher MC, Panerai RB, et al. Cerebral perfusion pressure and autoregulation in eclampsia- a case control study. Am J Obstet Gynecol. 2021;225(2):185-9.
  • Kay VR, Rätsep MT, Figueiró-Filho EA, Croy BA. Preeclampsia may influence offspring neuroanatomy and cognitive function: A role for placental growth factor. Biol Reprod. 2019;101(2):271-83.
  • Abedian Z, Soltani N, Mokhber N, Esmaily H. Depression and anxiety in pregnancy and postpartum in women with mild and severe preeclampsia. Iran J Nurs Midwifery Res. 2015;20(4):454-9.
  • Almli I, Haugdahl HS, Sandsæter HL, Rich-Edwards JW, Horn, J. Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: A qualitative study of the partner’s role. BMC Pregnancy Childbirth. 2020;20(1):66-76.
  • Soltani N, Abedian Z, Mokhber N, Esmaily H. The association of family support after childbirth with posttraumatic stress disorder in women with preeclampsia. Iran Red Crescent Med J. 2015;17(10):1-6.
  • Ugurlu M, Yavan T, Karasahin KE. The effect of an education and counseling program on maternal/neonatal outcomes in pregnant women at risk of preeclampsia. P R Health Sci J. 2021;40(3):127-35.
  • You WB, Wolf MS, Bailey SC, Grobman WA. Improving patient understanding of preeclampsia: A randomized controlled trial. Am J Obstet Gynecol. 2012;206(5):431-6.
  • Sandsæter HL, Horn J, Rich-Edwards JW, Haugdahl HS. Preeclampsia, gestational diabetes and later risk of cardiovascular disease: Women’s experiences and motivation for lifestyle changes explored in focus group interviews. BMC Pregnancy Childbirth. 2013;19(1):1-10.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Doğum ve Kadın Hastalıkları Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Büşra Altınsoy 0000-0001-6937-5351

Ümran Oskay 0000-0002-6606-9073

Yayımlanma Tarihi 15 Kasım 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

Vancouver Altınsoy B, Oskay Ü. Pregnancy and Postpartum Experiences of Women Diagnosed with Preeclampsia: A Qualitative Study. STED. 2024;33(3):218-2.