The effectiveness of extended postpartum comprehensive health care bundle selected outcomes of women with preeclampsia at 6 months: protocol of a randomized controlled trial

Venkadalakshmi V., M. Dhandapani, Shalini Gainder, Vikas Suri, Karobi Das, Rajesh Vejeyvergiya, Abhishek Ghosh, Poonam Khanna, Rajan Chellappa, Babina
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Abstract

Background: Women who have experienced pre-eclampsia (PE) may also face additional health problems in later life, as the condition is associated with an increased risk of death from 2-fold increased risk of long-term cardiovascular disease (CVD), hypertension, stroke, an approximate 5-12-fold increased risk of end-stage renal disease (ESRD), metabolic syndrome, and diabetes. Methods: Method was randomized controlled trial. Women with PE who delivered in PGIMER will be enrolled and will be allocated into experimental ad control group using a computer random table with allocation concealment. Enrolment will be done at the time of discharge; baseline assessment will be done 6 weeks and the intervention bundle will be implemented to the women in experimental group. The women in control group will receive routine care. Women in both the groups will be followed up at 6 months. Conclusions: This study aims to determine the effectiveness of “extended postpartum comprehensive health care bundle (EP CHC bundle)” on selected outcomes of women with preeclampsia at 6 months. The comprehensive health care bundle will be designed with the inputs from all stakeholders, has the potential to suit the dynamic nature of management of women with preeclampsia after delivery. CTRI registration number: CTRI/2021/04/032749 ON 12/4/2021
延长产后综合保健护理捆绑包对子痫前期妇女 6 个月的选定结果的有效性:随机对照试验方案
背景:经历过先兆子痫(PE)的妇女在以后的生活中可能还会面临更多的健康问题,因为这种情况会导致死亡风险增加,长期心血管疾病(CVD)、高血压、中风的风险增加 2 倍,终末期肾病(ESRD)、代谢综合征和糖尿病的风险增加约 5-12 倍:方法:采用随机对照试验。在 PGIMER 接生的患有 PE 的妇女将被纳入实验组,并通过计算机随机表分配到实验组和对照组。登记将在出院时进行;基线评估将在 6 周后进行,并对实验组妇女实施捆绑干预。对照组妇女将接受常规护理。两组妇女都将在 6 个月后接受随访:本研究旨在确定 "扩展产后综合保健护理捆绑包(EP CHC 捆绑包)"对子痫前期妇女 6 个月后的选定结果的有效性。综合保健护理包的设计将听取所有利益相关者的意见,有可能适应子痫前期妇女产后管理的动态性质:CTRI 注册号:CTRI/2021/04/032749,日期:12/4/2021
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