在女性退伍军人中产妇慢性高血压
Ceshae C Harding1, Karen M Goldstein1,2, Sarah A Goldstein3
1Department of Medicine, Division of General Internal Medicine, Duke University, Durham, North Carolina, USA.
Health services research
|January 18, 2024
概括
母亲慢性高血压影响8%的孕妇退伍军人. 许多人怀孕前血压失控,有些人在怀孕期间接受了非推的抗高血压药物,突出了需要改善护理的需要.
科学领域:
- 生殖健康 生殖健康
- 心血管健康 心血管健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 孕妇慢性高血压 (MCH) 是怀孕期间的一个重大问题.
- 有效管理MCH需要注意怀孕前的护理和药物使用.
研究的目的:
- 为了确定MCH在大型退伍军人群中的流行率.
- 在怀孕前对患有MCH的妇女进行血压控制的评估.
- 检查在怀孕前和怀孕期间使用抗高血压药物 (AHM).
主要方法:
- 一项描述性观察性研究分析了2010-2019年退伍军人健康管理局 (VA) 的数据.
- 包括18-50岁的女性退伍军人,患有MCH和有记录的怀孕.
- 无法控制的血压被定义为≥140/90mmHg;逻辑回归分析了AHM的使用.
主要成果:
- 8%的孕妇退伍军人患有MCH.
- 在患有MCH的人中,60%在怀孕前血压失控.
- 16%的孕妇在怀孕期间接受了非推的AHM,慢性病和糖尿病是相关因素.
结论:
- 干预措施是必要的,以减少MCH的流行.
- 改善怀孕前的血压控制是至关重要的.
- 为具有生育潜力的退伍军人优化抗高血压药物管理是必不可少的.
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