Improving the postpartum care of women with a recent history of preeclampsia: a focus group study

Skurnik, Géraldine; Roche, Andrea T.; Stuart, Jennifer; Rich‐Edwards, Janet W.; Tsigas, Eleni; Levkoff, Sue E.; Seely, Ellen W.

doi:10.3109/10641955.2016.1154967

Cited by 36 publications

(51 citation statements)

References 29 publications

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“…European studies of women who were overweight in pregnancy showed that 91% thought partner support and other social support were important in improving their lifestyle in pregnancy [15]. In qualitative studies of women with PE or GDM, the women state that their partner is important in supporting their lifestyle modification following gestational disease [16,17,33]. Nevertheless, our informants reported that the women had not directly asked their partners for support to change their lifestyle.…”

Section: Discussionmentioning

confidence: 87%

“…Previous qualitative studies have shown how women with complicated pregnancies consider partner support to be an important motivating factor to succeed in lifestyle changes in pregnancy or postpartum [15][16][17]. This is confirmed by a systematic review of behaviour theories that argues that social support can increase an individual's capacity to change and retain new lifestyle habits [18].…”

Section: Introductionmentioning

confidence: 79%

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Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: a qualitative study of the partner’s role

Almli

Haugdahl

Sandsæter

et al. 2020

BMC Pregnancy Childbirth

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Background: Women with preeclampsia (PE) and gestational diabetes mellitus (GDM) are at increased risk for later cardiovascular disease, and lifestyle measures are recommended to prevent subsequent disease. Partner support has been shown to be important in lifestyle modification in other diseases, but there is a lack of knowledge of partner involvement in PE and GDM. The aim of this study was to explore the partner's experiences and knowledge of gestational diseases, and how the partner wishes to contribute to lifestyle change. Methods: A qualitative study with one focus group interview and seven in-depth individual interviews, involving eleven partners of women with a pregnancy complicated by GDM or PE. The interview data were inductively analysed using four-step systematic text condensation, supported by interdependence theory. Results: Partners experienced a strong "we-feeling" and wanted to support the woman in lifestyle changes. At the same time, they felt insecure, worried, foolish and left out and they missed information from clinicians. The partners felt that their involvement was crucial to lasting lifestyle changes and expected that the clinicians would routinely invite them to discuss lifestyle change. Conclusions: Partners considered themselves an important resource for lifestyle changes for women with PE and GDM, but missed being more directly invited, informed and included in maternity care and wanted to participate in the care that followed the gestational disease. This study can help health professionals to realize that partners are an overlooked resource that can make important contributions to improve the health of the whole family if they are involved and supported by health services.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 79%

Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: a qualitative study of the partner’s role

Almli

Haugdahl

Sandsæter

et al. 2020

BMC Pregnancy Childbirth

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“…Connors Center-affiliated faculty also study and implement gender-informed, patient-centered strategies addressing fragmentation of care that may particularly impact women (McCloskey, Bernstein, Winter, Iverson, & Lee-Parritz, 2014;Scholle, Chang, Harman, & McNeil, 2002). For example, Connors Center researchers are evaluating transitions of care for women after a preeclamptic pregnancy (Skurnik et al, 2016), and piloting a web-based program to engage new mothers in hearthealthy behaviors (Heart Health 4 Moms: Improving Health after Preeclampsia; available: http://www.hh4m.org/). In response to evidence about gender differences in lung cancer diagnosis delays (Shugarman et al, 2009), the Women's Lung Cancer program developed a multidisciplinary clinical pathway to expedite diagnostic evaluation in women and other vulnerable patients with suspected lung cancer (Figure 1).…”

Section: Overview Of the Connors Centermentioning

confidence: 99%

Advancing Sex- and Gender-Informed Approaches to Health in an Academic Medical Center

Pace

Chen

Chai

et al. 2018

Women's Health Issues

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Social science and basic and clinical research continue to demonstrate the powerful impact of sex and gender on health and disease across all organ systems and throughout the lifespan (Legato, Johnson, & Manson, 2016; Schiebinger & Stefanick, 2016). Gender and sex also influence responses to treatment, care provision, and use (Legato et al., 2016). Gender and sex should be central components of the growing precision medicine movement. However, gender and sex remain inadequately considered in clinical care, medical research, and medical education and training. Further, strategies to promote consideration of sex and gender in the activities of academic medical centers (AMCs) are not well-described. Numerous AMCs have distinct women's health centers and initiatives that lead important efforts in women's health care, research, and teaching. Given the historic underrepresentation of women in basic and clinical research studies, critical clinical and public health issues specific to women, and the value of distinct approaches to women's health, we feel that there remains value

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“…Studies on the long term complications of preeclampsia in affected patients show that hypertension, ischemic heart disease, stroke, venous thromboembolism, renal failure, chronic kidney disease and even mortality rate are more common than general population. Early preeclampsia has the highest risk of fatal ischemic heart disease, as the pathophysiology of preeclampsia and cardiovascular disease are common [ 3 , 6 , 8 , 13 – 23 ]. As a result, American Heart Association (AHA) considers a previous history of preeclampsia as a risk factor for cardiovascular disease [ 5 , 12 , 13 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Women who have experienced preeclampsia will achieve more benefits by changing their healthy lifestyle, if a regular follow up program are available that addresses risk factors well [ 8 , 24 , 30 ]. AHA also suggests that women with a previous history of preeclampsia should modify their lifestyle to reduce the risk of cardiovascular diseases [ 13 , 17 ]. Likewise, several international and Canadian organizations have advised postpartum routine follow-ups for women with a history of preeclampsia to provide a healthy life style oriented consultation services [ 9 , 14 , 18 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

A comprehensive postpartum follow-up health care program for women with history of preeclampsia: protocol for a mixed methods research

et al. 2018

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BackgroundLong-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications. However, postpartum follow-up rates are poor. According to evidences, preeclampsia is not just a transient health problem; rather it causes short term and long term complications, which affect women’s life for years after delivery. Although it seems the problem is solved by the end of pregnancy, the follow-up of subjects should not be stopped after delivery. Postpartum is the best possible time to provide necessary care to these women who are at the risk of future complications. Due to importance of well-designed follow-up plan for women suffering preeclampsia, this study will carry out to provide a postpartum follow-up health care program for subjected women.MethodsThis study is a qualitative-quantitative mixed sequencing exploratory study that consists of three consecutive phases. In this study, following a qualitative approach, the researcher will explain the needs and strategies related to promoting the health of women with preeclampsia history in the postpartum period. By entering the second phase, the researcher will design a comprehensive follow-up health care program in the postpartum period in which, in addition to using the qualitative study results, related papers and texts will be also used. The proposed program is designed by a panel of experts based on prioritization guidelines. Finally, after passing different stages of program finalizing, its effectiveness on the lifestyle of women with preeclampsia history will be investigated in a semi-experimental study in the third phase of the study.DiscussionIt is expected conducting a mixed method study to design and execute an interventional program to follow up women with preeclampsia history improve their health status and well-being, while reducing their health care costs through prevention in various levels within the current structure of health care services. If this program is effective, it could be included in the postpartum health care guidelines.Trial registrationIRCT20170927036445N2 Registered 10 March 2018.

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Improving the postpartum care of women with a recent history of preeclampsia: a focus group study

Cited by 36 publications

References 29 publications

Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: a qualitative study of the partner’s role

Implementing a healthy postpartum lifestyle after gestational diabetes or preeclampsia: a qualitative study of the partner’s role

Advancing Sex- and Gender-Informed Approaches to Health in an Academic Medical Center

A comprehensive postpartum follow-up health care program for women with history of preeclampsia: protocol for a mixed methods research

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