FAMILY EXPERIENCE IN MANAGING PREECLAMPSIA EMERGENCY PLAN: A QUALITATIVE STUDY

Preeclampsia is still the leading cause of maternal death globally. Maternal mortality in Indonesia is
33.3% due to preeclampsia. Eclampsia is an obstetric emergency condition in the form of seizures in
pregnant women which is usually preceded by preeclampsia. Eclampsia appears as an indicator of poor
complication preparedness in the community. Family involvement in preventing eclampsia is needed,
through preeclampsia emergency planning. to explore families' experiences of preeclampsia
emergency plans in the community to prevent the onset of eclampsia. Qualitative research with
phenomenology design. Eleven immediate family members of first 6 months postpartum woman with
preeclampsia who were involved in the care of preeclamptic woman were purposively sampled and
participated in the study. In-depth interviews were used to collect data. Data were analysed using
interpretative phenomenology analysis approach. Ppreeclampsia emergency action plans were
explored and interpreted. Three themes emerged, namely understanding of blood pressure control,
identification of danger signs of preeclampsia and first action to save preeclampsia woman. Informants
described a limited understanding of the dangerous limits of hypertension, but they had a positive
attitude towards monitoring their blood pressure by reporting to health workers. The prominent symptom
of danger sign headache was recognized and taking the patient to the midwife was prioritised in
providing immediate rescue by the family. High family interest in the family's preeclampsia emergency
treatment action plan. Knowledge deficits about the danger limitations of hypertension did not prevent
the family from taking immediate action. This study also underscores the need to provide strong
education on the signs and symptoms of preeclampsia during ANC
Keywords: Emergency Plan, Family, Preeclampsia, Eclampsia.