Women with cardiovascular risk after preeclampsia: is there follow-up within the Unified Health System in Brazil?

Silva, Maria de Lourdes Costa da; Galvão, Ana Cristina Araújo de Andrade; Souza, Nilba Lima de; Azevedo, George Dantas de; Jerônimo, Selma Maria Bezerra; Araújo, Ana Cristina Pinheiro Fernandes de

doi:10.1590/0104-1169.3197.2389

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

Original Articles • Rev. Latino-Am. Enfermagem 22 (01) • Jan-Feb 2014 • https://doi.org/10.1590/0104-1169.3197.2389 linkcopy

Women with cardiovascular risk after preeclampsia: is there follow-up within the Unified Health System in Brazil?

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVES: to identify women with cardiovascular risk, five years after a preeclampsic episode (PE), and identify the follow-up of these women within the Unified Health System (Sistema Único de Saúde - SUS), in the city of Natal/RN.

METHODS: a quantitative and exploratory study conducted at the Januário Cicco University Maternity Ward/RN. The sample consisted of 130 women, 65 with a PE episode and 65 who were normotensive.

RESULTS: we found statistical significance with regard to body mass index, weight, family history of cardiovascular disease (CVD) and cardiovascular complications when comparing women with previous PE to normotensive women. The groups were unaware of their cardiovascular risk factors and, in addition, they reported difficulties in accessing primary health care (PHC) services.

CONCLUSIONS: women with a PE history are at increased risk of developing CVD, unaware of late PE complications, and lacked customized care when compared to normotensive patients.

Lost to Follow-Up; Pre-Eclampsia; Risk Management; Cardiovascular Diseases

Variables	Normotensive		Preeclampsia		Test	p-value
Variables	Mean	SD*	Mean	SD	Test	p-value
Age	30.58	6.754	30.85	7.133	-0.215	0.830†
Weight	64.00	15.652	71.40	15.732	-2.688	0.008†
Body Mass Index	26.69	6.504	30.68	10.852	1,412.50	0.001‡

Variables		Normotensive		Preeclampsia		p-value*
Variables		n	%	n	%
Current cardiovascular complications						0.002
	No	61	93.85	48	73.85
	Yes	4	6.15	17	26.15
Familiar history of cardiovascular diseases						0.006
	No	15	23.08	4	6.15
	Yes	50	76.92	61	93.85
Blood pressure monitoring						0.108
	No	57	87.69	50	76.92
	Yes	8	12.31	15	23.08
Cardiovascular risk knowledge						0.861
	No	33	50.77	34	52.31
	Yes	32	49.23	31	47.69

Diagnosis	Education	Knowledge of CVD risk factors				r*	p^†
		No		Yes
		n	%	n	%
Normotensive	No schooling	1	3.0	0	0.0	0.318	0.010
	Primary education	19	57.6	9	28.1
	High school	12	36.4	22	68.8
	University education	1	3.0	1	3.1
Preeclampsia	No schooling	1	2.9	0	0.0	0.250	0.044
	Primary education	16	47.1	7	22.6
	High school	15	44.1	23	74.2
	University education	2	5.9	1	3.2

Variables		Normotensive		Preeclampsia		p-value
Variables		n	%	n	%	p-value
Follow-up by a health professional						0.639*
	No	18	90.00	49	89.09
	Yes	2	10.00	6	10.91
Health service of reference						0.730*
	No	4	6.15	5	7.69
	Yes	61	93.85	60	92.31
Accessibility						0.548*
	Difficult	47	72.31	44	67.69
	Easy	18	27.69	20	30.77
	Private	0	0.00	1	1.54
Medical visit						0.119
	Rarely	56	86.15	49	75.38
	Regular	9	13.85	16	24.62

vertical_align_top file_download show_chart

more_horizclose
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[t01TFN01] ^*
Standard deviation

[t01TFN02] ^†
Student-T test

[t01TFN03] ^‡
Mann-Whitney test