van Kesteren Floortje, Visser Sanne, Hermes Wietske, Teunissen Pim W, Franx Arie, van Pampus Maria G, Mol Ben W, de Groot Christianne J M
a Department of Obstetrics and Gynaecology , VU Medical Centre , Amsterdam , The Netherlands.
b Heart Centre, Academic Medical Centre , Amsterdam , The Netherlands.
Hypertens Pregnancy. 2016;35(1):55-61. doi: 10.3109/10641955.2015.1100311. Epub 2016 Feb 24.
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.
In 2011 and 2014, all gynaecologists in the Netherlands were invited for a questionnaire. Results were analysed and compared over time.
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%).
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.
有子痫前期病史的女性患心血管疾病的风险增加。妇科医生在子痫前期后心血管危险因素的咨询和管理中发挥着重要作用。我们旨在评估妇科医生在告知女性子痫前期早发型和晚发型后的干预措施及危险因素随访方面的作用。
在2011年和2014年，邀请了荷兰所有的妇科医生参与问卷调查。对结果进行分析并随时间进行比较。
2011年，244名妇科医生回答了问卷，2014年有167名。子痫前期早发型后，2011年，53%的医生建议每年测量血压；2014年这一比例增至65%。多年来，建议增加体育活动的受访者比例从2011年的35%增至2014年的56%。子痫前期晚发型后，2011年，36%的医生建议每年测量血压；2014年增至46%。建议增加活动的妇科医生比例有所增加（从2011年的32%增至2014年的56%）。在子痫前期早发型和晚发型中，经常建议戒烟和减重（70 - 80%）；很少建议进行血糖和血脂筛查（6 - 20%）。
尽管仍有很大的改进空间，但越来越多的妇科医生在子痫前期后建议女性采取预防性干预措施以降低心血管疾病风险。
