TY - JOUR
T1 - Effects of Pregnancy-Induced Psychological and Emotional Factors on the Occurrence of Preeclampsia/Eclampsia (PE-E) and Haemorrhage
AU - Avoka, James Atampiiga
AU - Ankomah, Augustine
AU - Ohemeng, Agartha
AU - Seidu, Issah
AU - Wombeogo, Michael
AU - Dun-Dery, Frederick
N1 - Publisher Copyright:
© 2022, Texila International Journal (TIJ). All rights reserved.
PY - 2022/3
Y1 - 2022/3
N2 - Preeclampsia/eclampsia (PE-E) and haemorrhage are the topmost causes of maternal and perinatal deaths the world over. This study assessed the effects of pregnancy-induced psychological and emotional factors on the occurrence of PE-E and haemorrhage. The study was a prospective cohort involving all pregnant women >28 weeks of gestation reporting for antenatal care (ANC) in seven Hospitals in the Eastern Region of Ghana. The study redesigned the Revised Cognitive Therapy Scale (CTS-R) to suit this study using a five-point score scale. The results show that the predictor variables; fear, anger, sadness, disgust, love, hate, tension, anxiety, depression, and dejection, were all statistically significant and associated with PE-E and haemorrhage except joy, acceptance, and happiness. Pregnant women who experienced high (2) and highest (4) levels of fear had reduced odds of PE-E by 34% and 15.8%, respectively. Those who recorded low levels of love were 9.8 times the odds of PE-E, those with low (1), high (2), higher (3), and highest (4) levels of anxiety had reduced odds of PE-E by 22.2%, 37.3%, 21.3%, and 10% respectively. Pregnant women with low levels of psychological and emotional issues were about 3 times the odds of PE-E compared to those who were normal. In conclusion, the study shows a significant association between preeclamptic/eclamptic pregnant women and different levels of fear, anger, sadness, Love, hate, depression, dejection, anxiety, and tension. It is recommended that Ghana Health Service should institute case specific psychological and emotional counselling as part of ANC services to manage needy cases to avert the effects on pregnancy and birth outcome.
AB - Preeclampsia/eclampsia (PE-E) and haemorrhage are the topmost causes of maternal and perinatal deaths the world over. This study assessed the effects of pregnancy-induced psychological and emotional factors on the occurrence of PE-E and haemorrhage. The study was a prospective cohort involving all pregnant women >28 weeks of gestation reporting for antenatal care (ANC) in seven Hospitals in the Eastern Region of Ghana. The study redesigned the Revised Cognitive Therapy Scale (CTS-R) to suit this study using a five-point score scale. The results show that the predictor variables; fear, anger, sadness, disgust, love, hate, tension, anxiety, depression, and dejection, were all statistically significant and associated with PE-E and haemorrhage except joy, acceptance, and happiness. Pregnant women who experienced high (2) and highest (4) levels of fear had reduced odds of PE-E by 34% and 15.8%, respectively. Those who recorded low levels of love were 9.8 times the odds of PE-E, those with low (1), high (2), higher (3), and highest (4) levels of anxiety had reduced odds of PE-E by 22.2%, 37.3%, 21.3%, and 10% respectively. Pregnant women with low levels of psychological and emotional issues were about 3 times the odds of PE-E compared to those who were normal. In conclusion, the study shows a significant association between preeclamptic/eclamptic pregnant women and different levels of fear, anger, sadness, Love, hate, depression, dejection, anxiety, and tension. It is recommended that Ghana Health Service should institute case specific psychological and emotional counselling as part of ANC services to manage needy cases to avert the effects on pregnancy and birth outcome.
KW - Government
KW - Health system
KW - Medical Centre
KW - Nigerians
KW - Out-of-pocket payment
KW - Workforce
UR - http://www.scopus.com/inward/record.url?scp=85175019809&partnerID=8YFLogxK
U2 - 10.21522/TIJPH.2013.10.01.Art025
DO - 10.21522/TIJPH.2013.10.01.Art025
M3 - Article
AN - SCOPUS:85175019809
SN - 2520-3134
VL - 10
JO - Texila International Journal of Public Health
JF - Texila International Journal of Public Health
IS - 1
ER -