OBJECTIVE: The objective of this study is to evaluate a woman's risk perception for future cardiovascular disease (CVD) after being diagnosed with a hypertensive disorder of pregnancy. METHODS: A prospective cohort of women diagnosed with a hypertensive disorder of pregnancy (HDP) was studied. Each woman completed two surveys, one prior to hospital discharge and one 2 weeks later, designed to assess knowledge of and risk perception for future CVD based on their recent diagnosis of a HDP. Rates of postpartum depression were also assessed. RESULTS: Of the 146 subjects included, 28% were diagnosed with preeclampsia with severe features, 52.1% with preeclampsia with mild features, and 19.9% had chronic hypertension. Women with severe features and those delivering preterm were more likely to report a perception of increased risk of both recurrent HDP in a future pregnancy (p = 0.004 and 0.005, respectively) and hypertension later in life (p = 0.01 and 0.03, respectively). Women delivering preterm were more likely to report an accurate perception of increased risk of myocardial infarction and stroke compared to those delivering at term (p = 0.006 and 0.002, respectively). CONCLUSIONS: Disease severity and preterm delivery were associated with a higher likelihood of the perception of an increased risk for both recurrent HDP and hypertension in the future. Only preterm delivery was associated with a higher risk perception for stroke and myocardial infarction. Interventions targeted at improved health awareness in women diagnosed with HDP are warranted.
OBJECTIVE: The objective of this study is to evaluate a woman's risk perception for future cardiovascular disease (CVD) after being diagnosed with a hypertensive disorder of pregnancy. METHODS: A prospective cohort of women diagnosed with a hypertensive disorder of pregnancy (HDP) was studied. Each woman completed two surveys, one prior to hospital discharge and one 2 weeks later, designed to assess knowledge of and risk perception for future CVD based on their recent diagnosis of a HDP. Rates of postpartum depression were also assessed. RESULTS: Of the 146 subjects included, 28% were diagnosed with preeclampsia with severe features, 52.1% with preeclampsia with mild features, and 19.9% had chronic hypertension. Women with severe features and those delivering preterm were more likely to report a perception of increased risk of both recurrent HDP in a future pregnancy (p = 0.004 and 0.005, respectively) and hypertension later in life (p = 0.01 and 0.03, respectively). Women delivering preterm were more likely to report an accurate perception of increased risk of myocardial infarction and stroke compared to those delivering at term (p = 0.006 and 0.002, respectively). CONCLUSIONS: Disease severity and preterm delivery were associated with a higher likelihood of the perception of an increased risk for both recurrent HDP and hypertension in the future. Only preterm delivery was associated with a higher risk perception for stroke and myocardial infarction. Interventions targeted at improved health awareness in women diagnosed with HDP are warranted.
Entities:
Keywords:
Cardiovascular disease; hypertensive disorder of pregnancy; risk perception
Authors: Catherine Monk; Rachel S Webster; Rebecca B McNeil; Corette B Parker; Janet M Catov; Philip Greenland; C Noel Bairey Merz; Robert M Silver; Hyagriv N Simhan; Deborah B Ehrenthal; Judith H Chung; David M Haas; Brian M Mercer; Samuel Parry; LuAnn Polito; Uma M Reddy; George R Saade; William A Grobman Journal: Arch Womens Ment Health Date: 2019-06-29 Impact factor: 3.633
Authors: Heike Roth; Caroline S E Homer; Grace LeMarquand; Lynne M Roberts; LIsa Hanley; Mark Brown; Amanda Henry Journal: BMJ Open Date: 2020-12-17 Impact factor: 2.692
Authors: Lauren Beussink-Nelson; Abigail S Baldridge; Elizabeth Hibler; Natalie A Bello; Kelly Epps; Kenzie A Cameron; Donald M Lloyd-Jones; Holly C Gooding; Janet M Catov; Janet W Rich-Edwards; Lynn M Yee; Paloma Toledo; Jennifer M Banayan; Sadiya S Khan Journal: Am J Prev Cardiol Date: 2022-07-07