Page 40 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

38 | Part 2 Cardiovascular Health
former preeclamptic women, at six weeks postpartum 6% had not had their blood pressure measured and 68% had not had their urine tested for proteinuria97. Hypertension, if present, must be treated. Persistent proteinuria at three months postpartum must make the physician aware of a possible underlying renal disease and necessitates evaluation by a nephrologist. However, if the level of proteinuria stays below 3 gram/day, further invasive diagnostic tests for underlying renal disease may be postponed until hypertension and/or proteinuria persist after two years postpartum. Further studies must focus on the correlation between time to resolution of hypertension and proteinuria, and remote cardiovascular risk.