Socio Demographic, Clinical and Psychosocial Determinants Affecting Psychological Wellbeing of Women with Pregnancy Induced Hypertention-A Cross-Sectional Study at Bagalkot

Abstract

Introduction: Without woman nothing is possible for men, they are basic unit of society, they make family, family makes a home, home makes a society and ultimately societies male a country. So the contribution of a women is everywhere from taking birth and giving birth to a child to take care for whole life and for also in other areas.1

Pregnancy induced hypertension (PIH) is hypertension that occurs after 20 weeks of gestation in women with previously normal blood pressure. The broad classification of pregnancy-induced hypertension during pregnancy is gestational hypertension, pre eclampsia and eclampsia. With high blood pressure, there is an increase in the resistance of blood vessels. This may hinder blood flow in many different organ systems in the expectant mother including the liver, kidneys, brain, uterus, and placenta.2

Aims: Socio demographic, clinical and psychosocial determinants affecting Psychological Wellbeing of women with pregnancy induced hypertension.

Settings and Design: This cross-sectional study included a sample of 100 women with pregnancy induced hypertension attending OBG units of selected hospitals of Bagalkot.

Methods and Material: Data were collected using self-report method and Hospital’s records. Tools used for data collection were; socio-demographic and clinical questionnaire, Ryff’s scale of Psychological Wellbeing, Centre for Epidemiologic Studies Depression Scale (CES-D Scale) and Social Provision Scale (SPS). Multiple linear regression analysis was performed to find the psychosocial determinants affecting Psychological Wellbeing of women with pregnancy induced hypertension.

Results: A significant regression equation was found (F16,99=4.5, R2=0.46, P=0.000) when all the variables are considered together for finding the psychosocial determinants affecting Psychological Wellbeing. Social Support has positively predicted the Psychological Wellbeing of women with pregnancy induced hypertension and other therapies has negatively predicted the Psychological Wellbeing of women with pregnancy induced hypertension. Depression was the strongest negative predictor of Psychological Wellbeing of women with pregnancy induced hypertension. (β=--0.170, P<0.001).

Conclusions: Interventions aimed at management of depression among women with pregnancy induced hypertension attending the OBG units of selected hospitals of Bagalkot would result in enhancement their Psychological Wellbeing.