Tallarico Gustavo Moleiro, Barbosa Priscila Oliveira, Lima-Junior Luiz Sérgio, Cavalli Ricardo Carvalho
Universidade de São Paulo Ribeirão Preto Medical School Department of Gynecology and Obstetrics Ribeirão PretoSP Brazil Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Bras Ginecol Obstet. 2025 Jul 15;47. doi: 10.61622/rbgo/2025rbgo38. eCollection 2025.
This study aimed to investigate the persistence of hypertension at three months postpartum in women who experienced preeclampsia during pregnancy.
A prospective observational study at Hospital das Clínicas de Ribeirão Preto, Brazil, included 24 women. Blood pressure measurements and/or antihypertensive use were assessed, alongside risk factors such as body mass index (BMI), heart rate, lipid profile and C-reactive protein (CRP). Data on demographic, obstetric and lifestyle factors were also collected.
Out of 24 postpartum women enrolled in this study, 15 (62.5%) of participants remained hypertensive three months after delivery. Women with early-onset preeclampsia had a 2.36-fold increased risk of persistent hypertension at three months postpartum. No significant differences were found among risk factors for persistent hypertension.
Our results indicate a high prevalence of persistent hypertension in women with preeclampsia in Brazil. The findings highlight the need for extended monitoring specially in early onset preeclampsia and targeted lifestyle interventions.
本研究旨在调查孕期发生子痫前期的女性产后三个月高血压的持续情况。
在巴西里贝朗普雷图临床医院进行的一项前瞻性观察性研究纳入了24名女性。评估了血压测量值和/或降压药使用情况,以及体重指数(BMI)、心率、血脂谱和C反应蛋白(CRP)等危险因素。还收集了人口统计学、产科和生活方式因素的数据。
在本研究纳入的24名产后女性中,15名(62.5%)参与者在分娩三个月后仍患有高血压。早发型子痫前期女性产后三个月持续性高血压风险增加2.36倍。持续性高血压的危险因素之间未发现显著差异。
我们的结果表明,巴西子痫前期女性中持续性高血压的患病率很高。研究结果凸显了延长监测的必要性,特别是对于早发型子痫前期以及针对性生活方式干预的需求。