Cuprins
Several pregnancy diseases involved
In a scientific publication dated March 29, 2021, doctors and researchers who are members of the “American Heart Association” call for better prevention of cardiovascular risks after pregnancy.
They list as well the six gestational complications and pathologies that increase the risk of later suffering from cardiovascular problems, namely: arterial hypertension (or even pre-eclampsia), gestational diabetes, premature delivery, the delivery of a small baby with regard to its gestational age, stillbirth, or even placental abruption.
« Adverse pregnancy outcomes are associated with hypertension, diabetes, cholesterol, cardiovascular disease, including heart attacks and strokes, long after pregnancy Commented Dr Nisha Parikh, co-author of this publication. “ La prevention or early treatment of risk factors can prevent cardiovascular disease, therefore, adverse pregnancy outcomes can be an important window of cardiovascular disease prevention, if women and their healthcare professionals harness the knowledge and use it Ea a adăugat.
Gestational diabetes, hypertension: the extent of the cardiovascular risk assessed
Here, the team reviewed the scientific literature associating pregnancy complications with cardiovascular disease, which enabled them to detail the extent of the risk according to the complications:
- Hypertension during pregnancy would increase the risk of cardiovascular disease by 67% years later, and the risk of stroke by 83%;
- pre-eclampsia, that is, hypertension associated with hepatic or renal signs, is linked to a 2,7 times higher risk of subsequent cardiovascular disease;
- gestational diabetes, which appeared during pregnancy, increases the cardiovascular risk by 68%, and increases the risk of having type 10 diabetes after pregnancy by 2;
- preterm delivery doubles a woman’s risk of developing cardiovascular disease;
- placental abruption is associated with an 82% increased cardiovascular risk;
- and stillbirth, which is the death of a baby before delivery, and therefore giving birth to a stillborn baby, is associated with a doubling of heart risk.
The need for better follow-up before, during and long after pregnancy
The authors state thato alimentatie sanatoasa si echilibrata, activitate fizică regulată, modele de somn sănătos și alăptarea can help reduce cardiovascular risk for women after a complicated pregnancy. They also believe that it is time to implement better prevention with future and new mothers.
They thus suggest to set up better medical support during the postpartum period, sometimes called “4th trimester”, to screen for risk factors for cardiovascular disease, and to provide women with prevention advice. They also wish more exchanges between gynecologists-obstetricians and general practitioners on the medical follow-up of patients, and the establishment of a history of health events for each woman who has ever been pregnant, so that all health professionals are aware of the patient’s antecedents and risk factors.