Pregnant Women's Perceptions of Preeclampsia Treatment in Indonesia: A Qualitative Study

¹ Department of Public Health, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
² Department of Physiology, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
³ Department of Obstetrics and Gynaecology, Dr. Moewardi Hospital, Surakarta, Indonesia
⁴ Study Program of General Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia,
⁵ Healthy and Work Steps Foundation (NGO), Jember, Indonesia

^* Corresponding anisnurhidayati1100@gmail.com

Abstract

Preeclampsia, a pregnancy disorder characterised by hypertension and proteinuria, affects 1-10% of pregnant women in the world. It is the main cause of maternal and perinatal death. Pregnant women's perceptions of preeclampsia greatly influences their behaviour in its prevention. Negative perceptions of preeclampsia can lead to delays in early detection and appropriate treatment. It is important to explore the perceptions of pregnant women to design an effective educational approach. Objective: This study aims to explore pregnant women's perceptions of the handling of preeclampsia in Indonesia based on emotional and religious perspectives, support of health workers and the community including media and health information. This study employed a qualitative method with a case study approach. The research was conducted in Boyolali Regency, Indonesia, from January to May 2024. Informants were selected through purposive sampling. The selection resulted in 28 informants, comprising 11 pregnant women as the main informants, as well as 12 health workers and 5 policy makers as supporting informants. Data were collected through in-depth interviews using structured interview guidelines. Data analysis was conducted using thematic analysis techniques. Triangulation of sources was conducted to ensure the validity of the information obtained. The results of the study show that pregnant women's perceptions of preeclampsia, seen from emotional and religious perspectives, support from health workers and the community, as well as media and health information, are positive. However, the behaviour of pregnant women in preventing and handling preeclampsia is still inadequate. Emotional and religious responses, support from health workers and the community, and the role of media and health information are the main factors influencing pregnant women's perceptions of handling preeclampsia. Intensive dissemination of correct information regarding the prevention and handling of preeclampsia by authorities is needed.