Abstract
BackgroundLong-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications. However, postpartum follow-up rates are poor. According to evidences, preeclampsia is not just a transient health problem; rather it causes short term and long term complications, which affect women’s life for years after delivery. Although it seems the problem is solved by the end of pregnancy, the follow-up of subjects should not be stopped after delivery. Postpartum is the best possible time to provide necessary care to these women who are at the risk of future complications. Due to importance of well-designed follow-up plan for women suffering preeclampsia, this study will carry out to provide a postpartum follow-up health care program for subjected women.MethodsThis study is a qualitative-quantitative mixed sequencing exploratory study that consists of three consecutive phases. In this study, following a qualitative approach, the researcher will explain the needs and strategies related to promoting the health of women with preeclampsia history in the postpartum period. By entering the second phase, the researcher will design a comprehensive follow-up health care program in the postpartum period in which, in addition to using the qualitative study results, related papers and texts will be also used. The proposed program is designed by a panel of experts based on prioritization guidelines. Finally, after passing different stages of program finalizing, its effectiveness on the lifestyle of women with preeclampsia history will be investigated in a semi-experimental study in the third phase of the study.DiscussionIt is expected conducting a mixed method study to design and execute an interventional program to follow up women with preeclampsia history improve their health status and well-being, while reducing their health care costs through prevention in various levels within the current structure of health care services. If this program is effective, it could be included in the postpartum health care guidelines.Trial registrationIRCT20170927036445N2 Registered 10 March 2018.
Highlights
Long-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications
The results of this study offer a rich source of information for the required interventions to promote the health of women with preeclampsia history
The clinical symptoms of preeclampsia are usually resolved after the delivery, it’s clinical and biological complications may continue up to several weeks or even months, causing health problems such as decreased insulin sensitivity, hypertension and endothelial dysfunction known as metabolic syndrome at long time after delivery [7,8,9,10,11,12]
Summary
Long-term postpartum follow-up is of great importance since women with preeclampsia history are at high risk of upcoming health complications. Preeclampsia is not just a transient health problem; rather it causes short term and long term complications, which affect women’s life for years after delivery. It seems the problem is solved by the end of pregnancy, the follow-up of subjects should not be stopped after delivery. A history of preeclampsia of early onset can probably affect many aspects of women’s health including their fertility It may affect their decision for a pregnancy [24]. Preeclampsia can lead to psychological and cognitive pathology related to trauma, such as post-traumatic stress syndrome and depression, which affect cognitive performance [14, 17, 27]
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