Women’s Perception of Future Risk Following Pregnancies Complicated by Preeclampsia

Brown, Morven C.; Bell, Ruth; Collins, Catherine; Waring, Gareth; Robson, SC; Waugh, Jason; Finch, Tracy

doi:10.3109/10641955.2012.704108

Cited by 44 publications

(66 citation statements)

References 21 publications

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“…Similar to our findings, other studies found poor knowledge and confusion about the implications of preeclampsia [16,17]. One study with face-to-face interviews found increased knowledge of preeclampsia was associated with a prior preeclamptic pregnancy [16].…”

Section: Discussionsupporting

confidence: 89%

“…Similarly in our study, the few women who indicated that they had been educated about preeclampsia were those who had experienced preeclampsia in a prior pregnancy. Also consistent with our findings, a UK-based study showed that women expressed confusion about the future implications of preeclampsia, and concern over the future health of their child, rather than their own health [17]. Other studies found similar interest in lifestyle counseling programs, and identified similar barriers and motivators to lifestyle change [18].…”

Section: Discussionsupporting

confidence: 88%

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Risk of future cardiovascular disease in women with prior preeclampsia: a focus group study

Seely

Rich‐Edwards

Lui

et al. 2013

BMC Pregnancy Childbirth

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BackgroundA history of preeclampsia is a risk factor for the future development of hypertension and cardiovascular disease (CVD). The objective of this study was to assess, in women with prior preeclampsia, the level of knowledge regarding the link between preeclampsia and CVD, motivators for and barriers to lifestyle change and interest in a lifestyle modification program to decrease CVD risk following a pregnancy complicated by preeclampsia.MethodsTwenty women with a history of preeclampsia participated in 5 phone-based focus groups. Focus groups were recorded, transcribed, and analyzed. Qualitative content analysis was used to identify common themes across focus groups. Consensus was reached on a representative set of themes describing the data.ResultsWomen with prior preeclampsia were in general unaware of the link between preeclampsia and future CVD but eager to learn about this link and motivated to achieve a healthy lifestyle. Major perceived barriers to lifestyle change were lack of time, cost of healthy foods and family responsibilities. Perceived facilitators included knowledge of the link between preeclampsia and CVD, a desire to stay healthy, and creating a healthy home for their children. Women with prior preeclampsia were interested in the idea of a web-based program focused on lifestyle strategies to decrease CVD risk in women.ConclusionsWomen with prior preeclampsia were eager to learn about the link between preeclampsia and CVD and to take steps to reduce CVD risk. A web-based program to help women with prior preeclampsia adopt a healthy lifestyle may be an appropriate strategy for this population.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Risk of future cardiovascular disease in women with prior preeclampsia: a focus group study

Seely

Rich‐Edwards

Lui

et al. 2013

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…This study extends the findings reported by our group [6] and others [12] documenting the lack of knowledge of the link between preeclampsia and future CVD in women with such a history who were further postpartum (on average 11 months [12] and 18 months postpartum [6] ). One possibility raised by the prior studies [6, 12] is that women were informed about the link during hospitalization for delivery or at the usual postpartum visit and may have forgotten about the link when questioned more than a year after delivery. However, the current study supports that women with preeclampsia do not learn about their future risk in this earlier time period.…”

Section: Discussionsupporting

confidence: 86%

Improving the postpartum care of women with a recent history of preeclampsia: a focus group study

Skurnik

Roche

Stuart

et al. 2016

Hypertension in Pregnancy

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Objective Women with prior preeclampsia are at increased risk of cardiovascular disease. This study investigated barriers and facilitators towards learning about this link and engaging in lifestyle modifications to reduce this risk. Methods Four focus groups were held with 14 women within six months of a preeclamptic pregnancy. Results Participants were unaware of the link between preeclampsia and cardiovascular disease, suggested improvements to provider-patient communication, and discussed the benefits of social support and online tracking (weight, blood pressure) in making lifestyle modifications. Conclusions Solutions offered may improve efforts to modify lifestyle and communication between providers and women about this link.

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“…It is important to identify these at-risk women during their pregnancy to counsel them regarding their increased lifetime risk of cardiac disease and stress the importance of follow-up. In the survey study by Brown et al, 14 only 10% of women with severe preeclampsia understood their associated lifetime risk. It is plausible that improved prenatal counseling or counseling in the immediate postpartum period would lead to an increased understanding of their risk and enable improvements in postpartum follow-up rates.…”

Section: Discussionmentioning

confidence: 97%

Factors associated with postpartum follow-up and persistent hypertension among women with severe preeclampsia

et al. 2016

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Objective To determine factors associated with lower 6-week postpartum follow-up rates and persistent hypertension among women with preeclampsia with severe features (PEC-S). Study Design Planned secondary analysis of a retrospective cohort study of women with PEC-S. Outcomes were (1) attendance at the 6-week postpartum visit and (2) persistent hypertension. Results One hundred ninety-three women were in the final cohort. The 6-week follow-up rate was 52.3%. Factors associated with lower follow-up were African-American race (OR 0.37 (0.18–0.77)) and < 5 prenatal visits (OR 0.44 (0.20–0.97)). Women with diabetes and women with a cesarean had higher follow-up (OR 4.00 (1.09–14.66) and 2.61 (1.40–4.88), respectively). Among those with 6-week follow-up, 21% had persistent hypertension. Obese women, women diagnosed with PEC-S by severe range blood pressure (BP) and women discharged home on BP medication were more likely to have persistent hypertension (OR 3.50 7 (1.06–11.58), 3.58 (1.11-11.54) and 3.04 (1.12–8.23), respectively). Conclusion We identified a subgroup of women at higher risk for poor postpartum follow-up and those at risk for persistent hypertension.

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Women’s Perception of Future Risk Following Pregnancies Complicated by Preeclampsia

Cited by 44 publications

References 21 publications

Risk of future cardiovascular disease in women with prior preeclampsia: a focus group study

Risk of future cardiovascular disease in women with prior preeclampsia: a focus group study

Improving the postpartum care of women with a recent history of preeclampsia: a focus group study

Factors associated with postpartum follow-up and persistent hypertension among women with severe preeclampsia

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