{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:27:19Z","timestamp":1785940039846,"version":"3.56.0"},"reference-count":43,"publisher":"International Society of Global Health","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\"> <jats:title>Background<\/jats:title> <jats:p>Eclampsia is among the leading causes of maternal mortality. It is a serious hypertensive complication of pregnancy and increases the risk of cardiovascular disease in later life. Pregnancy-related hypertension 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 traditional or cultural beliefs about the condition. The older, senior women in the community are knowledgeable and play a significant role in decision making regarding where mothers should seek maternal health care. Therefore, the purpose of this study was to explore the perceptions of older and senior women regarding the manifestation of, risk factors and possible causes of preeclampsia\/eclampsia.<\/jats:p> <\/jats:sec> <jats:sec id=\"methods\"> <jats:title>Methods<\/jats:title> <jats:p>We conducted a qualitative study in rural Southwestern Uganda. The key informants were senior, 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 and data were collected till we reached saturation point. We analyzed data using an inductive thematic approach to identify themes.<\/jats:p> <\/jats:sec> <jats:sec id=\"results\"> <jats:title>Results<\/jats:title> <jats:p>We interviewed 20 key informants with four themes identified. The \u2018<jats:italic>causes<\/jats:italic>\u2019 theme emerged from the subthemes of confusion with other conditions, spiritual beliefs and high blood pressure. The \u2018<jats:italic>risk factors<\/jats:italic>\u2019 theme emerged from the subthemes of oedema-related illnesses, poverty-induced malnutrition, and strained relationships. The \u2018<jats:italic>remedies<\/jats:italic>\u2019 theme emerged from the consistent mention of traditional herbal treatment, seek medical help, spiritual healing, emotional healing and corrective nutrition as potential solutions. The theme \u2018<jats:italic>effects of preeclampsia\/eclampsia<\/jats:italic>\u2019 emerged from the mention of pregnancy complications like premature delivery, child loss, operative delivery like caesarian section delivery as well as death. There was no identifiable local name from the interviews. Women carried several myths regarding the cause and these included little blood, witchcraft, ghost attacks and stress from strained relationships including marital tension. Women were generally aware of the outcomes of eclampsia, mainly that it kills.<\/jats:p> <\/jats:sec> <jats:sec id=\"conclusions\"> <jats:title>Conclusions<\/jats:title> <jats:p>Eclampsia is associated with significant myths and misconceptions in this rural community. We recommend interventions to increase awareness and dispel these myths and misconceptions, increase access to antenatal preeclampsia surveillance, and facilitate timely referral for basic maternity care as means for early detection and management of preeclampsia.<\/jats:p> <\/jats:sec>","DOI":"10.29392\/001c.19464","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:51:37Z","timestamp":1614732697000},"source":"Crossref","is-referenced-by-count":6,"title":["Perceptions on preeclampsia and eclampsia among senior, older women, in rural Southwestern Uganda"],"prefix":"10.7189","volume":"5","author":[{"given":"Harriet","family":"Nabulo","sequence":"first","affiliation":[{"name":"Department of Nursing, Mbarara University of Science and Technology, Department of Nursing, Mbarara, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gad","family":"Ruzaaza","sequence":"additional","affiliation":[{"name":"Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Mugabi","sequence":"additional","affiliation":[{"name":"Department of Community Health, Mbarara Regional Referral Hospital, Mbarara, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Bajunirwe","sequence":"additional","affiliation":[{"name":"Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4223","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"issue":"7394","key":"ref1","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1136\/bmj.326.7394.845","article-title":"Hypertensive diseases of pregnancy and risk of hypertension and stroke in later life: results from cohort study","volume":"326","author":"B. 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