Evaluation Of A Woman'S Care Program After Pre-Eclampsia

Introduction. - The medical treatment of preeclampsia is well structured in its acute phase but the required follow-up with patients in post-partum is discussed. However, preeclampsia is associated with an increased risk of cardiovascular morbi-mortality in the long term. In order to optimize the post-partum treatment, a care program has been developed for these patients in the city of Nantes, France. This includes a check-up of the cardiovascular risks at a day hospital. Our study presents the first results of this program.Methods. - The study included 134 patients who were diagnosed with preeclampsia between October 2016and January 2019 in the Nantes area, France, and took part in the program within the year following theirchildbirth. A descriptive analysis was first carried out and then a multivariate logistic regression modelwas used to investigate the risk factors for persistent high blood pressure after preeclampsia.Results. - The study detected 28 cases of persistent hypertension (20.9%), 34 cases of obesity (25.3%) and1 case of diabetes. Hypertension was predominantly diastolic, mild and sometimes masked (35.7%). In athird of the cases (32.1%), the hypertension was secondary. High blood pressure was found to be morefrequent in older patients (OR: 2.26; 95% CI: 1.25-4.11, p = 0.072), patients from sub-Saharan Africa (OR: 11.52; 95% CI: 2.67-49.86, p = 0.01) and multiparous patients (OR: 7.82; 95% CI: 1.15-53.21, p = 0.035).Conclusion. - The study confirmed that this care program enables an earlier detection and thereforetreatment of the cardiovascular risk factors of these young women. (C) 2021 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. Allrights reserved.