This paper is only available as a PDF. To read, Please Download here.
Background
Hypertensive disorders of pregnancy (HDP) affect 5-10% of pregnancies and significantly
increase a woman’s risk of developing cardiovascular disease, including 2-3 times
the risk of heart attack, stroke and diabetes. Long-term risks rise within 10 years
after HDP and continue lifelong, making long-term health after HDP of major public
health importance. Prior findings suggest evidence to practice gaps in knowledge translation
to women about their post-HDP health.
Objective
To explore Australian women’s and healthcare provider’s (HCP) education and follow-up
preferences regarding health after HDP. Focus will be drawn on the role of the midwife
within this context.
Methods
A qualitative study using a framework analysis was undertaken. Women with a history
of HDP and HCP who previously completed a survey about long-term health after HDP
were invited to participate. Interviews explored participant preferences and priorities
concerning knowledge acquisition around long-term health after HDP.
Findings
Thirteen women and twenty HCP (including 11 midwives) were interviewed. Women’s preference
included early post-HDP risk counselling about long-term and mitigable risk factors
from their midwife/general practitioner/specialist, accompanied with evidence-based,
print or web-based information to take home. HCP wanted access to similar material
to assist in their risk discussions with women, as well as professionally endorsed
multi-disciplinary education for their own learning. HCP including midwives emphasised
all HCP shared responsibility for women’s post-HDP follow-up: “It's everyone’s business… if you have that opportunity, you find out that someone's
got that history, you say, ‘Oh, did you know? Has anyone spoken to you about this?” (Midwife). Both women and HCP favoured more structured long-term follow-up to facilitate
the transition from hospital to community health.
Conclusion
Women and HCP wanted more, easily accessible information about post-HDP health, as
well as a more structured transition from hospital to community health post-HDP. This
evidence will guide development of post-HDP education.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Women and BirthAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Article info
Identification
Copyright
© 2022 Published by Elsevier Inc.
