Risk of future cardiovascular disease in women with prior preeclampsia: a focus group study

BMC Pregnancy and Childbirth

Sue E Levkoff¹  Eleni Tsigas⁶  Aditi Saxena³  Jacinda M Nicklas²  Janet Lui⁴  Janet Rich-Edwards⁵  Ellen W Seely³ 

[1] University of South Carolina College of Social Work, 902 Sumter Street Access, Columbia, SC 29208, USA;Division of General Internal Medicine, University of Colorado School of Medicine, 12348 E. Montview Blvd., Aurora, CO 80045, USA;Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA;Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women’s Hospital, 221 Longwood Ave, Boston, MA 02115, USA;Connors Center for Women’s Health and Gender Biology, Brigham and Women’s Hospital, 1620 Tremont Street, Boston, MA 02120, USA;Preeclampsia Foundation, 6767 N. Wickham Road #400, Melbourne, FL 32940, USA

关键词: Web-based intervention;    Lifestyle change;    Cardiovascular disease;    Preeclampsia;   

Others  :  1131880
DOI  :  10.1186/1471-2393-13-240

 received in 2013-08-18, accepted in 2013-12-16,  发布年份 2013

【 摘 要 】

Background

A history of preeclampsia is a risk factor for the future development of hypertension and cardiovascular disease (CVD). The objective of this study was to assess, in women with prior preeclampsia, the level of knowledge regarding the link between preeclampsia and CVD, motivators for and barriers to lifestyle change and interest in a lifestyle modification program to decrease CVD risk following a pregnancy complicated by preeclampsia.

Methods

Twenty women with a history of preeclampsia participated in 5 phone-based focus groups. Focus groups were recorded, transcribed, and analyzed. Qualitative content analysis was used to identify common themes across focus groups. Consensus was reached on a representative set of themes describing the data.

Results

Women with prior preeclampsia were in general unaware of the link between preeclampsia and future CVD but eager to learn about this link and motivated to achieve a healthy lifestyle. Major perceived barriers to lifestyle change were lack of time, cost of healthy foods and family responsibilities. Perceived facilitators included knowledge of the link between preeclampsia and CVD, a desire to stay healthy, and creating a healthy home for their children. Women with prior preeclampsia were interested in the idea of a web-based program focused on lifestyle strategies to decrease CVD risk in women.

Conclusions

Women with prior preeclampsia were eager to learn about the link between preeclampsia and CVD and to take steps to reduce CVD risk. A web-based program to help women with prior preeclampsia adopt a healthy lifestyle may be an appropriate strategy for this population.

【 授权许可】

   
2013 Seely et al.; licensee BioMed Central Ltd.

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