Brown M C, Bell R, Collins C, Waring G, Robson S C, Waugh J, Finch T
Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK.
Hypertens Pregnancy. 2013;32(1):60-73. doi: 10.3109/10641955.2012.704108. Epub 2012 Sep 7.
To elicit women's personal understanding of future cardiovascular risk, following a pregnancy complicated by preeclampsia, and to identify the postnatal needs of these women.
Semi-structured interviews with 12 women with a recent history of preeclampsia who had attended a postnatal follow-up clinic.
The interviews were held at a median of 47 weeks postpartum (range 24-62 weeks). Family history of cardiovascular disease was associated with a greater awareness of future cardiovascular risk. Women without traditional risk factors found it hard to envisage themselves as being at risk and may not see the relevance of such information. It may take several months after delivery for a woman to be able to fully consider her own health as well as the baby's; a reminder of risk and health information is needed.
Although receptive to follow-up, the situational factors of being a new mother need to be taken into account to engage successfully with this patient group. Further research is needed to help clarify the extent to which a history of preeclampsia is an independent factor for future cardiovascular disease to provide a solid foundation for effective risk communication.
了解子痫前期并发症孕妇产后对未来心血管疾病风险的个人认知，并确定这些女性的产后需求。
对12名近期有子痫前期病史且参加过产后随访门诊的女性进行半结构化访谈。
访谈在产后中位时间47周（范围24 - 62周）进行。心血管疾病家族史与对未来心血管疾病风险的更高认知相关。没有传统风险因素的女性很难想象自己有患病风险，可能也不认为此类信息有相关性。产后可能需要几个月时间，女性才能充分考虑自身以及婴儿的健康状况；需要提醒她们注意风险和健康信息。
尽管愿意接受随访，但作为新妈妈这一情境因素需要考虑在内，以便成功与该患者群体沟通。需要进一步研究以明确子痫前期病史在多大程度上是未来心血管疾病的独立因素，从而为有效的风险沟通提供坚实基础。
