Pregnancy Complications Can Foreshadow Future Disease-Long-Term Outcomes of a Complicated Pregnancy.
Anca Maria PanaitescuMihaela Roxana PopescuAnca Marina CiobanuDiana Antonia IordachescuBrîndușa Ana Cimpoca-RaptisPublished in: Medicina (Kaunas, Lithuania) (2021)
During gestation, the maternal body should increase its activity to fulfil the demands of the developing fetus as pregnancy progresses. Each maternal organ adapts in a unique manner and at a different time during pregnancy. In an organ or system that was already vulnerable before pregnancy, the burden of pregnancy can trigger overt clinical manifestations. After delivery, symptoms usually reside; however, in time, because of the age-related metabolic and pro-atherogenic changes, they reappear. Therefore, it is believed that pregnancy acts as a medical stress test for mothers. Pregnancy complications such as gestational hypertension, preeclampsia and gestational diabetes mellitus foreshadow cardiovascular disease and/or diabetes later in life. Affected women are encouraged to modify their lifestyle after birth by adjusting their diet and exercise habits. Blood pressure and plasmatic glucose level checking are recommended so that early therapeutic intervention can reduce long-term morbidity. Currently, the knowledge of the long-term consequences in women who have had pregnancy-related syndromes is still incomplete. A past obstetric history may, however, be useful in determining the risk of diseases later in life and allow timely intervention.
Keyphrases
- pregnancy outcomes
- pregnant women
- cardiovascular disease
- preterm birth
- blood pressure
- healthcare
- type diabetes
- physical activity
- metabolic syndrome
- gestational age
- depressive symptoms
- preterm infants
- adipose tissue
- weight gain
- birth weight
- early onset
- skeletal muscle
- body composition
- sleep quality
- arterial hypertension