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Published on: September 26, 2018
General practitioners' knowledge about pregnancy complications associated with long-term cardiovascular risk
Mario I Lumbreras-Márquez1, Marcelo A de la Torre-León2, José L Hernández-Reguero2
1Department of Obstetrics and Gynecology, Brigham & Women's Hospital, Harvard Medical School, Boston, United States.
Introduction:
Cardiovascular disease (CVD) is the leading cause of mortality in women; preeclampsia (PE) and gestational diabetes mellitus (GDM) are associated with an increased risk of CVD.
Objective:
To evaluate general practitioners (GP) knowledge about complicated pregnancies and their association with CVD.
Methods:
An anonymous case-based electronic questionnaire designed to assess the level of understanding on the influence of a history of pregnancy complications on long-term cardiovascular risk and general knowledge about CVD risk was sent to GPs.
Results:
The response rate was 35 % (161/465). The participants recognized that PE and GDM are risk factors for CVD (98 and 83 %, respectively), and reported the following CVD screening strategies in women with a history of PE and GDM: blood pressure monitoring (PE 100 %, GDM 46 %), body mass index calculation (PE 68 %, GDM 57 %), lipid profile evaluation (PE 71 %, GDM 57 %), glycated hemoglobin (PE 26 %, GDM 92 %), and fasting glucose (PE 28 %, GDM 91 %).
Conclusion:
GP-reported screening strategies to identify CVD in women with a history of PE and GDM were variable.
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