Risk perception of future cardiovascular disease in women diagnosed with a hypertensive disorder of pregnancy. (2nd July 2016)

• Record Type: Journal Article
• Authors: Traylor, Jessica; Chandrasekaran, Suchitra; Limaye, Meghana; Srinivas, Sindhu; Durnwald, Celeste P.
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 29:Number 13(2016)
• Page Start: 2067
• Page End: 2072
• Publication Date: 2016-07-02
• Subjects: Cardiovascular disease -- hypertensive disorder of pregnancy -- risk perception; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.3109/14767058.2015.1081591
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: 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.