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子痫前期基金会:患者及其家属的声音和观点。

The Preeclampsia Foundation: the voice and views of the patient and her family.

机构信息

Chief Executive Officer, Preeclampsia Foundation, Melbourne, FL.

出版信息

Am J Obstet Gynecol. 2022 Feb;226(2S):S1254-S1264.e1. doi: 10.1016/j.ajog.2020.10.053. Epub 2021 Aug 31.

Abstract

Preeclampsia is a disease exclusive to pregnancy and the immediate postpartum period, occurring in 4.6% of pregnancies worldwide. Preeclampsia and other gestational hypertensive disorders can affect any pregnant woman. The consequences of developing this disease can lead to severe maternal and neonatal morbidities and mortalities, including fetal growth restriction, placental abruption, preterm birth, stillbirth, and maternal death. When pregnant women recover, they are at higher risk of long-term complications such as hypertension, stroke, heart failure, renal disease, and Alzheimer disease. The consequences extend to the offspring because they are at higher risk of cardiovascular diseases, and female offspring are at greater risk of developing preeclampsia when they become pregnant. For society, preeclampsia presents an economic burden related to the additional healthcare costs associated with low birthweight, prematurity, and adverse outcomes to the mother and baby. This article shares the unique perspective of affected women and their families, the effect preeclampsia has on us, and what we hope the healthcare system can deliver for our sisters and daughters in the future. Patients and their families established the Preeclampsia Foundation 21 years ago. Devoted to education and patient advocacy to raise awareness, improve healthcare practices, and catalyze research, we share some of the Foundation's realized strategies and achievements. We tell you our stories and struggles, and we issue a call to action for all stakeholders to help fulfill our vision for a world where hypertensive disorders of pregnancy no longer threaten the lives of mothers and their babies.

摘要

子痫前期是一种仅发生于妊娠和产后即刻的疾病,全球发病率为 4.6%。子痫前期和其他妊娠高血压疾病可影响任何孕妇。患这种疾病的后果可导致严重的母婴发病率和死亡率,包括胎儿生长受限、胎盘早剥、早产、死产和产妇死亡。当孕妇康复后,她们患长期并发症(如高血压、中风、心力衰竭、肾脏疾病和阿尔茨海默病)的风险更高。其后果还会延伸到后代,因为他们患心血管疾病的风险更高,而女性后代在怀孕时患子痫前期的风险更高。对于社会而言,子痫前期带来了与低出生体重、早产和母婴不良结局相关的额外医疗保健成本相关的经济负担。本文分享了受影响的女性及其家人的独特视角,子痫前期对我们的影响,以及我们希望医疗保健系统未来能为我们的姐妹和女儿提供什么。患者及其家属在 21 年前成立了子痫前期基金会。该基金会致力于教育和患者宣传,以提高认识、改善医疗保健实践并推动研究,我们分享了一些基金会已实现的策略和成果。我们讲述了自己的故事和挣扎,并呼吁所有利益相关者采取行动,帮助我们实现一个妊娠高血压疾病不再威胁母亲和婴儿生命的世界的愿景。

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