Women with cardiovascular risk after preeclampsia: is there follow-up within the Unified Health System in Brazil?

Abstract

Objectives to identify women with cardiovascular risk, five years after a preeclampsic episode (PE), and identify the follow-up of these women within the Unified Health System (Sistema Único de Saúde - SUS), in the city of Natal/RN. Methods a quantitative and exploratory study conducted at the Januário Cicco University Maternity Ward/RN. The sample consisted of 130 women, 65 with a PE episode and 65 who were normotensive. Results we found statistical significance with regard to body mass index, weight, family history of cardiovascular disease (CVD) and cardiovascular complications when comparing women with previous PE to normotensive women. The groups were unaware of their cardiovascular risk factors and, in addition, they reported difficulties in accessing primary health care (PHC) services. Conclusions women with a PE history are at increased risk of developing CVD, unaware of late PE complications, and lacked customized care when compared to normotensive patients.

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

“…33 An epidemiological study with Brazilian women suggests an association between pre-eclampsia and cardiovascular events subsequent to gestation. 34…”

“…33 An epidemiological study with Brazilian women suggests an association between pre-eclampsia and cardiovascular events subsequent to gestation. 34 Regarding the type of delivery, we found that cesarean section was associated with the presence of gestational hypertensive syndrome. Shen et al 35 also identified in their study with 7633 Canadian pregnant women an association of the presence of pre-eclampsia with the induction of cesarean delivery (OR ¼ 2.21; 95%CI: 1.66-2.95).…”

Guias de assistência à mulher com síndrome hipertensiva na Atenção Primária: revisão integrativa

“…Mulheres com fatores de risco para doenças cardiovasculares e posteriormente as SHEG não possuem continuidade da assistência na APS o que dificulta o tratamento e a atenção pré-natal (Silva, et al, 2014). Além disso a prescrição de medicamentos e a manutenção dos mesmos é um fator que dificulta a autonomia do profissional e a prestação de cuidados (Martiniano, et al, 2016).…”

“…O processo de atenção em saúde e a utilização de recursos no setor depende da qualidade da assistência e denota um controle pré-natal eficaz ao reduzir os gastos diretos com a atenção em saúde (Brasil, 2016). Nesse sentido, necessita-se de uma rede de apoio pautada na referência e contra referência para mulheres com SHEG (Silva, et al, 2014).…”

Hypertensive Disorders of Pregnancy and Cardiovascular Disease Risk Across Races and Ethnicities: A Review

“…CVD risk after a pregnancy complicated by HDP was investigated in 17 studies ( Supplementary Tables 6F–H ) ( 22 – 24 , 85 , 95 – 97 , 103 , 107 , 121 , 124 , 125 , 127 , 129 , 135 , 136 , 139 ). Three Taiwanese studies reported significantly increased incidence rates of combined CVD after GH/PE (adjusted HR 2.0), GH (HR 2.0), and PE (HR 3.0 and adjusted HR 6.4) ( 107 , 137 , 139 ).…”