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Understanding Preeclampsia and Eclampsia

Learn about the risks and signs of preeclampsia and eclampsia during pregnancy.

Enid Kawala Kagoya, Allan G Nsubuga, Irene Authairwe, Prossy Nakatudde, Catherine Asiimwe, Chispus Gidudu, Elizabeth Ajalo, Paul Waako, Julius Wandabwa, Lawrence Arach, Grace Mbabazi Atwakire, Milton Musaba, Ronald Kibuuka, Faith Nyangoma, Sheilla Mbanago, Joshua Mugabi, Violet Chemutai, Jesca Atugonza, Byron Jonathan Ewaala, Betty Nakawuka, Francis Okello, Richard Mugahi, Akello Jackline, Andrew Twineamatsiko, Moses Adroma, Kenneth Mugabe

― 6 min read


Preeclampsia: Know the Preeclampsia: Know the Signs pregnancy. Awareness can save lives during
Table of Contents

Preeclampsia and eclampsia are serious conditions that can affect pregnant women. These conditions can lead to High Blood Pressure and various complications for both the mother and baby. Despite their seriousness, many people, especially in some regions, may not know much about them, leading to delayed treatment and worse outcomes.

What Are Preeclampsia and Eclampsia?

Preeclampsia typically occurs after the 20th week of pregnancy and is characterized by high blood pressure and signs of damage to other organ systems, usually the liver and kidneys. Eclampsia is the progression of preeclampsia and involves seizures. When a woman has both conditions, it can be life-threatening if not treated.

Why Is It a Problem?

These conditions are a major cause of maternal deaths worldwide, with low- and middle-income countries facing the highest rates. In some places, the lack of proper medical care and knowledge about these conditions contributes to the problem. For instance, in Uganda, preeclampsia accounts for a significant number of maternal deaths, particularly in areas where women may not have easy access to healthcare.

Recognizing the Signs

Many women may not know what preeclampsia is or how to spot its Symptoms. Common signs include:

  • High blood pressure
  • Swelling, particularly in the feet, legs, and hands (often mistaken for regular pregnancy swelling)
  • Severe headaches
  • Changes in vision
  • Pain in the upper abdomen

It’s important that women recognize these symptoms and seek medical help as soon as possible.

How Do Women Understand These Conditions?

In some communities, women might not have the complete picture about preeclampsia. Many believe that it can happen to any pregnant woman and that it is linked to stress or having big babies. Some even think it’s a result of witchcraft or bad luck, which can lead them to seek traditional remedies rather than modern medical care.

This shows a gap in knowledge that can negatively affect their willingness to seek help. There’s often a disconnect between understanding the medical issues and the cultural beliefs surrounding them.

Seeking Help: The Community Response

Responses to preeclampsia can vary widely. Some women turn to traditional birth attendants or herbal remedies, thinking that they can treat the problem themselves. Herbal remedies are often the go-to option. These remedies might include things like plants and mixtures that are believed to help reduce symptoms, even if there’s little scientific backing. Some think that using onions and soap together in a drink could help. While creativity is commendable, it’s essential to understand that these methods are not scientifically proven and could delay necessary medical treatment.

Conversely, some women do recognize the need for modern medical assistance and may go to local health facilities. However, cultural beliefs and lack of knowledge can make this a complicated decision.

Prevention: What Can Be Done?

Preventing preeclampsia is crucial. Women can take steps such as:

  • Managing stress levels
  • Eating a balanced diet
  • Getting regular exercise
  • Attending antenatal care appointments

Education plays a key role here. If women are aware of the importance of these measures, they are more likely to take proactive steps to protect their health during pregnancy.

Community Education: Closing the Knowledge Gap

One significant issue is the lack of awareness about preeclampsia and eclampsia in various communities. Many women simply do not know what preeclampsia is or why it matters. This lack of knowledge can lead to confusion, fear, and ultimately, delays in seeking help.

Educational programs focusing on the facts about preeclampsia, its symptoms, and the need for medical care can make a huge difference. If communities understand the seriousness of these conditions, more women will likely seek help when needed.

The Role of Community Health Workers

Community health workers are vital in bridging the gap between traditional beliefs and modern healthcare. They can provide information about preeclampsia, educate women, and encourage them to embrace medical care as a solution. These workers can also help dispel myths and misunderstandings surrounding the condition.

Myths and Misconceptions

Misconceptions about preeclampsia abound. For example, many believe it is closely tied to lifestyle choices, such as being overweight or not exercising enough. While these factors can contribute to overall health, they do not specifically cause preeclampsia.

Another prevalent myth is that preeclampsia is a death sentence. While the condition can be serious, early detection and treatment can lead to positive outcomes for both the mother and baby.

The Importance of Early Detection

Early detection of preeclampsia is essential for preventing complications. Regular check-ups during pregnancy, where blood pressure is monitored, can help identify the condition in its early stages. This allows healthcare providers to intervene sooner rather than later, often improving the chances for both mother and child.

Understanding Cultural Context

Understanding the cultural context is essential when addressing preeclampsia. Each community has its own beliefs and attitudes toward pregnancy and healthcare, and these must be taken into account when developing educational programs. A one-size-fits-all approach is unlikely to be effective.

Engaging with community leaders and respected figures can help in crafting messages that resonate with local beliefs and practices. When these programs are culturally sensitive, they are more likely to be accepted and taken seriously.

Empowering Women Through Knowledge

Empowering women through knowledge is key to tackling preeclampsia. When women are informed about their bodies and health, they become more likely to seek help when needed. Educated women can make better choices during pregnancy, potentially leading to healthier outcomes.

The Need for Further Research

While much is known about preeclampsia, more research is needed to understand how to improve education and awareness in different communities. Studies can help identify the most effective ways to reach women and provide them with the knowledge they need to recognize and address preeclampsia.

Supporting Expecting Mothers

It is crucial to provide support to expecting mothers throughout their pregnancy. This can include:

  • Providing clear information about the importance of prenatal care
  • Ensuring access to healthcare facilities
  • Offering support groups where women can share their experiences and learn from one another

Having a support network can empower women to take charge of their health and that of their baby.

Conclusion

Preeclampsia and eclampsia are serious conditions that affect many pregnant women. Improving knowledge and awareness about these conditions is essential to ensuring better health outcomes. By addressing misconceptions, providing education, and supporting women, communities can help reduce the risks associated with preeclampsia.

In conclusion, a mix of humor, understanding, and clear communication can go a long way in helping communities tackle this issue. After all, knowing what preeclampsia is gives women the ability to say, “Not today!” to complications while keeping their pregnancy on track.

Original Source

Title: Community understanding, experiences, perceptions and awareness about preeclampsia in Uganda. A Exploratory study in Mbale city

Abstract: BackgroundPre-eclampsia and related hypertensive disorders of pregnancy are the second leading cause of maternal mortality globally, with 95% of the burden in low and middle in countries. In Uganda, these conditions account for 16% of maternal deaths. Pre-eclampsia, which affects 2-8% of pregnancies worldwide, significantly impacts both maternal and perinatal health due to complications and iatrogenic preterm delivery. Effective management hinges on understanding the condition, early symptom recognition, and timely healthcare seeking. However, patient perspectives and experiences on pre-eclampsia in low-and middle-income countries remain underexplored. ObjectiveThis study aimed to explore knowledge, myths, and experiences related to pre-eclampsia among women of reproductive age in Mbale city, Eastern Uganda, to understand their impact on health-seeking behaviours. MethodsAn explorative qualitative study was conducted using in-depth interviews with 81 women aged 18-49 years, recruited during a community outreach initiative on pre-eclampsia. Data were collected over 6 days between 21st-26th/May/2024 using a semi-structured interview guide. Interviews were transcribed and analyzed thematically using ATLAS.ti software. ResultsParticipants demonstrated a limited understanding of pre-eclampsia, with common misconceptions including associating it with swollen feet, body weakness, marital distress, multiple pregnancies, high blood pressure and witchcraft reflecting a mix of accurate and misguided understandings. Participants showed varying responses to pre-eclampsia, with some relying on traditional remedies and others seeking modern medical care. Management strategies included herbal treatments and unconventional remedies. ConclusionThe study highlights a critical gap in accurate knowledge and awareness of pre-eclampsia among women in Mbale City. Misconceptions and reliance on traditional medicine contribute to delays in seeking appropriate care. Culturally tailored educational interventions are needed to improve awareness, and understanding of pre-eclampsia, and promote timely medical care, essential for improving maternal and neonatal outcomes in low-income settings.

Authors: Enid Kawala Kagoya, Allan G Nsubuga, Irene Authairwe, Prossy Nakatudde, Catherine Asiimwe, Chispus Gidudu, Elizabeth Ajalo, Paul Waako, Julius Wandabwa, Lawrence Arach, Grace Mbabazi Atwakire, Milton Musaba, Ronald Kibuuka, Faith Nyangoma, Sheilla Mbanago, Joshua Mugabi, Violet Chemutai, Jesca Atugonza, Byron Jonathan Ewaala, Betty Nakawuka, Francis Okello, Richard Mugahi, Akello Jackline, Andrew Twineamatsiko, Moses Adroma, Kenneth Mugabe

Last Update: 2024-12-01 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.11.30.24317454

Source PDF: https://www.medrxiv.org/content/10.1101/2024.11.30.24317454.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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