Perceptions on preeclampsia and eclampsia among older women in rural southwestern Uganda

Abstract

Background Eclampsia is among the leading causes of maternal mortality. It is a serious hypertensive (HT) complication of pregnancy and increases the risk of cardiovascular disease (CVD) in later life. Pregnancy-related HT complications predispose to chronic hypertension and premature heart attacks. A significant proportion of women with preeclampsia/eclampsia does not reach the formal healthcare system or arrive too late because of certain African cultural beliefs about the condition. The older senior women in the community play a significant role in decision making regarding where mothers should maternal health care. Therefore, the purpose of this study was to explore the perceptions of older women regarding the manifestation of, risk factors and possible causes of preeclampsia/eclampsia. Methods We conducted a qualitative study in a rural area in southwestern Uganda. The key informants were older women including community elders, village health team members and traditional birth attendants who were believed to hold local knowledge and influence on birth and delivery. We purposively selected key informants (KI) and data were collected till we reached saturation point. We analyzed data using a combined inductive and deductive approach to identify themes. Analysis was completed using N-Vivo version 12. Results We interviewed 20 key informants. Four themes emerged namely: traditional local naming, causes and risk factors, remedies, and effects of preeclampsia/eclampsia. There was no identifiable local name from the interviews. Women carried several myths regarding the cause and these included little blood, witchcraft, stress from marital tension and ghost attacks. The remedies identified included herbal treatment, prayers and corrective nutrition. Women were generally aware of the outcomes of eclampsia. Conclusion Eclampsia is associated with significant myths and misconceptions in this rural community. We recommend interventions to increase awareness and dispel the myths and misconceptions regarding eclampsia in the community.

Effects of Pregnancy-Induced Psychological and Emotional Factors on the Occurrence of Preeclampsia/Eclampsia (PE-E) and Haemorrhage

“…This may lead to tension headache. A qualitative study conducted in rural Southwestern Uganda on perceptions on preeclampsia and eclampsia among senior, older women, revealed that marital tension was associated with PE-E [37]. This is consistent with the findings in this study.…”