Counselling and management of cardiovascular risk factors after preeclampsia.

Autor: van Kesteren F; a Department of Obstetrics and Gynaecology , VU Medical Centre , Amsterdam , The Netherlands.; b Heart Centre, Academic Medical Centre , Amsterdam , The Netherlands., Visser S; a Department of Obstetrics and Gynaecology , VU Medical Centre , Amsterdam , The Netherlands.; c Department of Obstetrics and Gynaecology , Zaans Medical Centre Zaandam , The Netherlands., Hermes W; d Department of Obstetrics , Leiden University Medical Centre , Leiden , The Netherlands.; e Department of Obstetrics and Gynaecology , Medical Centre Haaglanden , The Hague , The Netherlands., Teunissen PW; a Department of Obstetrics and Gynaecology , VU Medical Centre , Amsterdam , The Netherlands.; f School of Health Professions Education, Maastricht University , Maastricht , The Netherlands., Franx A; g Department of Obstetrics , University Medical Centre Utrecht , Utrecht , The Netherlands., van Pampus MG; h Department of Obstetrics and Gynaecology , Onze Lieve Vrouwe Gasthuis , Amsterdam , The Netherlands., Mol BW; i Robinson Research Institute, University of Adelaide , Adelaide , Australia., de Groot CJ; a Department of Obstetrics and Gynaecology , VU Medical Centre , Amsterdam , The Netherlands.
Jazyk: angličtina
Zdroj: Hypertension in pregnancy [Hypertens Pregnancy] 2016; Vol. 35 (1), pp. 55-61. Date of Electronic Publication: 2016 Feb 24.
DOI: 10.3109/10641955.2015.1100311
Abstrakt: Objective: Women with a history of preeclampsia have an increased risk of cardiovascular disease. Gynaecologists have an important role in the counselling and management of cardiovascular risk factors after preeclampsia. We aimed to assess the role of gynaecologists in informing women on interventions and risk factor follow-up after early and late preeclampsia.
Methods: In 2011 and 2014, all gynaecologists in the Netherlands were invited for a questionnaire. Results were analysed and compared over time.
Results: In 2011, the questionnaire was answered by 244 and in 2014 by 167 gynaecologists. After early preeclampsia, in 2011, 53% advised yearly blood pressure measurements; this increased to 65% in 2014. Over the years there was an increase in respondents advising an increased physical activity of 35% in 2011 to 56% in 2014. After late preeclampsia, in 2011, 36% advised yearly blood pressure measurements; this increased to 46% in 2014. There was an increase in gynaecologists advising increased activity (32% in 2011 to 56% in 2014). In both early and late preeclampsia, smoking cessation and weigh loss were advised often (70-80%); glucose and lipid screening were advised rarely (6-20%).
Conclusion: Although there is still a considerable scope for improvement, an increasing number of gynaecologists advise women after preeclampsia on preventive interventions to decrease risks of cardiovascular disease.
Databáze: MEDLINE
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