Burgess Adriane, Founds Sandra
Adriane Burgess was an Assistant Professor of Nursing Notre Dame of Maryland University, University Academic Building, Baltimore, MD. She is now an Instructor of Nursing, Pennsylvania State University, Harrisburg campus, Middletown, PA. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2016 Jan-Feb;41(1):8-15; quiz E1-2. doi: 10.1097/NMC.0000000000000204.
Cardiovascular disease (CVD) is the leading cause of death of women in the United States. Many healthcare providers are unaware of sex-specific factors that affect the development of CVD. Nursing care for women with a history of preeclampsia and their children is presented. Preeclampsia affects 4% to 8% of all pregnancies. Rates have increased by 25% over the past 2 decades. Research supports the link between preeclampsia and risk of future CVD in women and the children of affected pregnancies. Appropriate preconception, prenatal and postpartum education, and surveillance are necessary to improve the long-term health of both mother and infant. Currently, there are no evidence-based interventions specific to the prevention of CVD for women and their children who have been affected by preeclampsia. However, women who have had preeclampsia may require yearly risk factor assessment and education regarding cardiovascular prevention strategies such as smoking cessation, increased physical activity, importance of a healthy diet, and maintenance of a healthy weight. Preeclampsia should be acknowledged by healthcare providers as a CVD risk factor. Appropriate monitoring, education, and CVD preventive strategies need to be implemented with this population and their children.
心血管疾病（CVD）是美国女性的首要死因。许多医疗保健提供者并不了解影响心血管疾病发展的性别特异性因素。本文介绍了对有先兆子痫病史的女性及其子女的护理。先兆子痫影响所有妊娠的4%至8%。在过去20年中，这一比例上升了25%。研究支持先兆子痫与女性及其受影响妊娠的子女未来患心血管疾病风险之间的联系。进行适当的孕前、产前和产后教育及监测对于改善母婴的长期健康状况很有必要。目前，对于曾受先兆子痫影响的女性及其子女，尚无基于证据的预防心血管疾病的特定干预措施。然而，有先兆子痫病史的女性可能需要每年进行风险因素评估，并接受有关心血管预防策略的教育，如戒烟、增加体育活动、健康饮食的重要性以及保持健康体重。医疗保健提供者应认识到先兆子痫是一种心血管疾病风险因素。需要对这一人群及其子女实施适当的监测、教育和心血管疾病预防策略。
