Page 93 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

the "5As"177 178, and Marlatt's relapse model176 180. However, a theoretical framework that takes into account the context of the lives of women after pregnancies complicated by preeclampsia, intrauterine growth restriction, and/or gestational diabetes may more specifically contribute to the development of effective interventions to reduce cardiovascular risk in these women (56). To our knowledge, such a theoretical framework has not yet been described.
Besides the interventions identified in his study, the results of other research, such as research on lifestyle and related factors among women with a recent pregnancy complicated by gestational diabetes, could also provide useful information to be taken into account when developing effective interventions for women who experience a complicated pregnancy181-185. For example, lack of time and childcare duties have been identified as barriers to physical activity, suggesting that interventions should preferably be delivered at variable hours and should entail minimal travel time. Also, involvement of family (e.g., to provide child care) is suggested to enhance participation.
To our knowledge, only 1 study has explored the needs, ideas, and opinions of women who have experienced preeclampsia, intrauterine growth restriction, and/or gestational diabetes as they relate to postpartum lifestyle counseling186. This study showed that these women do perceive a need for postpartum lifestyle counseling and prefer to receive a combination of face-to- face personal counseling, supported by computer-tailored lifestyle advice offered on the internet186.
Methodological Considerations/Limitations
Although the most relevant articles on the effectiveness of postpartum lifestyle interventions are probably in the English language, relevant non-English
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