# Effectiveness of Prenatal Counselling on Physical and Psychological Well-Being Among Women With Preeclampsia at a Tertiary Care Hospital in India

## TL;DR

Prenatal counseling improves physical and mental health in women with preeclampsia and leads to better pregnancy outcomes.

## Contribution

This study demonstrates the effectiveness of prenatal counseling in improving maternal and fetal outcomes in preeclampsia.

## Key findings

- Prenatal counseling significantly reduced systolic blood pressure in women with preeclampsia.
- Women who received counseling showed better physical and psychological well-being compared to controls.
- Counseling was associated with improved gestational age at delivery and higher Apgar scores in newborns.

## Abstract

Background and aim

Well-being represents being healthy and experiencing positive outcomes. Pregnancy and well-being are often onerous. Women with preeclampsia face challenging events during pregnancy. The purpose of the research is to enable the physical and psychological well-being of women suffering from preeclampsia and to identify the maternal and fetal outcomes after antenatal counselling.

Methods

An experimental design was adopted for the study. Simple randomization was utilized to enroll 180 pregnant women diagnosed with preeclampsia. Finally, for the post-test, 80 pregnant women in the study group and 87 in the control group were included. Prenatal counselling with routine care was provided to the study group. Pregnant women who completed 20 weeks of gestation were assessed for blood pressure, edema, and proteinuria, and the physical well-being scale and WHO Psychological Well-being Index were administered. After implementing scheduled counselling on completion of the third week, the post-test was done. Maternal and fetal outcomes were found from medical records. Both descriptive and inferential statistics were analyzed using the SPSS 23 software.

Results

The mean systolic blood pressure was significantly decreased from pre-test 150.6 mmHg to post-test score 142.8 mmHg in the study group. There was a significant difference identified in the physical and psychological well-being between the groups at p<0.01 and pregnancy outcome in terms of gestational age at delivery and the Apgar score of newborns.

Conclusion

The research findings confirm that counselling during pregnancy improved the well-being of women with preeclampsia.