Impact of Self-Care Guidelines on Women's Awareness and Identification of Early Signs and Symptoms of Preeclampsia

Abstract

Background: Preeclampsia (PE) is a leading cause of maternal morbidity and mortality worldwide. Early identification of PE in the first trimester helps the introduction of early preventative measures initiated before 16 weeks of gestation in patients at high risk of PE. Aim of the study: to evaluate the impact of self-care guidelines on women's awareness and identification of early signs and symptoms of pre-eclampsia. Subjects and Methods: Quasiexperimental research design was utilized in the current study. Setting: This study was conducted at outpatient clinics at Minia university hospital for Maternity and Child which serves pregnant woman in Minia city. Sample: A purposive sample of 100 pregnant women was divided equally and alternatively into two equal groups (n= 50) for a control group who received routine care and (n= 50) for study group who received self-care guideline. Tools: The current data was collected by using a tool composed of three parts: part I: semi-structured interviewing questionnaire. Part Two: Observation checklist adapted from research literature to assess pregnant women for presence of early signs and symptoms of preeclampsia. Part Three: standardized self-care guideline used for identification of early signs and symptoms of preeclampsia Results: The main findings of the study revealed that (44) 88% of control group has unsatisfactory level regarding knowledge score compared with (38)76% of the study group. Also, this study showed that that there was high statistical significant correlation between study group regarding level of severity and total knowledge score pretest and posttest with p-value (0.010, 0.000) study group who had a good knowledge score had low level of severity and low signs and symptoms detected. Conclusion: educational guidelines were effective in improving pregnant women knowledge regarding early detection of signs and symptoms and decreasing the maternal and neonatal mortality and morbidity rate. Recommendations: This study recommended that: there is a necessity to design continuous health education program to pregnant women and their families about preeclampsia, many seminars and awareness campaigns related to pre-eclampsia should be organized for developing preeclampsia knowledge and self-care measures for prevention and control of it.

Raising awareness for women with pregnancy induced Hypertension regarding the importance of the antenatal care

“…Moreover, more than two thirds of the studied sample not employed. In the same line these finding supported by Ahmed et al, (2022) [1] , who carried out their study about "Impact of Self-Care Guidelines on Women's Awareness and Identification of Early Signs and Symptoms of Preeclampsia" and reported that was above 30 years with a mean age of 28.34 and more than half of educated to the secondary level. Additionally, about two thirds of studied women were from rural area.…”

“…Table(1) shows that three fifths 60% of the studied pregnant women had age 30 -< 40 years, most 82% of the studied pregnant women are house wife, also more than half 59% of the studied pregnant women have secondary school, and nearly two thirds 66% of the studied pregnant women live in rural area…”

“…Fig 1: Distribution of the studied pregnant women total knowledge level regarding pregnancy induced hypertension (n=100)Figure(1) illustrates that more than one fifth 22% of the studied pregnant women have satisfactory level of knowledge regarding pregnancy induced Hypertension at…”

Diseño y validación de material educativo dirigido a mejorar el conocimiento y autocuidado de la mujer gestante ante los trastornos hipertensivos en el embarazo

“…Actualmente, la etiología exacta de los THE sigue siendo desconocida, por lo cual ha sido considerada una enfermedad de naturaleza heterogénea y multifactorial (3) . Al respecto, Ahmed et al (4) describen que para prevenir o controlar el riesgo de THE se requieren intervenciones que aborden una amplia gama de factores a través de acciones encaminadas al autocuidado y la modificación del estilo de vida de la mujer gestante.…”