Family resilience in obstetric patients with hypertensive disorder of pregnancy from initial diagnosis to six months postpartum: A longitudinal survey.

Abstract

Introduction: Hypertensive disorders of pregnancy (HDP) significantly affect patients and their families. This study investigates the changes in family resilience in HDP patients from diagnosis to 6 months postpartum, highlighting factors that influence resilience over time.

Method: A prospective longitudinal study was conducted with 270 families of HDP patients. Data were collected using standardized psychometric tools at four time points: first diagnosis of hypertension in pregnancy (baseline; T0), during late pregnancy (≥ 28 weeks) and through delivery (T1), 3 months postpartum (T2), and 6 months postpartum (T3). Analysis of variance compared family resilience across time points, and generalized estimating equations assessed influencing factors.

Results: Family resilience scores increased significantly from T0 (95.50) to T3 (141.36), with notable differences between time points (p < .01). The generalized estimating equations model identified key determinants of resilience, including family function, social support, maternal education, employment status, religious beliefs, type of care, and methods of conception. These factors significantly influenced resilience levels at different stages, emphasizing the dynamic nature of family adaptation during HDP and the postpartum period.

Discussion: Family resilience in HDP patients increased over time, influenced by family dynamics and external support. These results suggest that targeted interventions focusing on improving family function and social support are crucial for enhancing family resilience during pregnancy and postpartum. (PsycInfo Database Record (c) 2025 APA, all rights reserved).