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Published on: January 12, 2018
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What Is My Risk? A Mixed-Methods Systematic Review of Risk Perception for Cardiometabolic Pregnancy Complications and
Elaine K Osei-Safo1, Jennifer McIntosh2, Shakira Onwuka2
1Monash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Summary
Women at high risk for pregnancy complications often underestimate their future cardiometabolic disease risk. Improving risk perception is key to motivating lifestyle changes for better health outcomes.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Endocrinology
Background:
- Cardiometabolic pregnancy complications elevate future cardiometabolic disease risk.
- Accurate risk perception is crucial for adopting preventive lifestyle behaviors.
- This review examines risk perception in high-risk pregnant and postpartum women.
Purpose of the Study:
- To explore how high-risk pregnant and postpartum women perceive their risk of cardiometabolic pregnancy complications.
- To assess women's perception of their future cardiometabolic disease risk.
- To identify factors influencing risk perception and behavior change.
Main Methods:
- Systematic search of quantitative and qualitative studies.
- Included women at risk for or diagnosed with gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy (HDP), intrauterine growth restriction (IUGR), and preterm birth (PTB).
- Convergent integrated mixed-methods synthesis using health belief and behavior change models.
Main Results:
- 84 studies reviewed, predominantly on GDM and HDP.
- Women reported low-to-moderate knowledge and perceived susceptibility to pregnancy complications and future cardiometabolic disease.
- Self-perceived barriers, facilitators, and self-efficacy influenced engagement with lifestyle and screening.
Conclusions:
- Interventions should focus on optimizing women's risk perception.
- Empowering women with accurate risk information supports informed decision-making.
- Enhanced risk perception can drive lifestyle changes to mitigate future cardiometabolic risk.
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