Böhm Marlene, von Kaisenberg Constantin, Schippert Cordula, von Versen-Höynck Frauke
Department of Obstetrics and Gynecology, Hannover Medical School, Hannover, Lower Saxony, Germany.
BMC Pregnancy Childbirth. 2025 Sep 18;25(1):935. doi: 10.1186/s12884-025-08156-0.
Pregnancy complications such as preeclampsia, obesity, and gestational diabetes mellitus are associated with an increased risk of cardiovascular diseases (CVD) later in life. This study aimed to evaluate mothers' knowledge about these complications, their potential long-term consequences, and the education they received regarding cardiovascular risks.
This cross-sectional study involved mothers who gave birth at a tertiary academic hospital. Participants completed an online questionnaire, and frequencies of demographic data, pregnancy-related information, and knowledge about long-term risks were calculated. Knowledge was categorized using Bloom's cut-off based on responses to 25 questions regarding CVD risk factors, and associations between Bloom's knowledge categories and various independent categorical variables were analyzed using the Pearson Chi-squared test, with a significance level set at p < 0.05.
From May to August 2024, 774 women were contacted, with 144 responses included in the analysis. The mean age of participants was 36 ± 4.9 years. Over half reported moderate knowledge of cardiovascular risk factors. Notably, 73% were unaware of the increased risk of CVD following pregnancy complications, 72% lacked knowledge of potential long-term adverse outcomes, and 73% did not receive educational interventions regarding long-term risks upon hospital discharge.
The study identified a significant gap in women's understanding of the increased CVD risks associated with pregnancy complications. Furthermore, the educational interventions provided at discharge were either lacking, insufficiently detailed, or not memorable enough for mothers to retain essential information.
先兆子痫、肥胖症和妊娠期糖尿病等妊娠并发症与日后患心血管疾病（CVD）的风险增加有关。本研究旨在评估母亲们对这些并发症、其潜在的长期后果以及她们所接受的心血管疾病风险教育的了解情况。
这项横断面研究涉及在一家三级学术医院分娩的母亲。参与者完成了一份在线问卷，并计算了人口统计学数据、妊娠相关信息以及长期风险知识的频率。根据对25个关于心血管疾病危险因素问题的回答，使用布鲁姆分类法对知识进行分类，并使用Pearson卡方检验分析布鲁姆知识分类与各种独立分类变量之间的关联，显著性水平设定为p < 0.05。
2024年5月至8月，共联系了774名女性，其中144份回复纳入分析。参与者的平均年龄为36 ± 4.9岁。超过一半的人表示对心血管疾病危险因素有中等程度的了解。值得注意的是，73%的人不知道妊娠并发症后心血管疾病风险增加，72%的人不了解潜在的长期不良后果，73%的人在出院时未接受关于长期风险的教育干预。
该研究发现女性对与妊娠并发症相关的心血管疾病风险增加的理解存在显著差距。此外，出院时提供的教育干预要么缺乏、不够详细，要么不够令人难忘，以至于母亲们无法记住重要信息。
