{"id":"9a1da41759eb","type":"article","url":"https://hartvaat.nl/2026/03/09/stress-verhoogt-de-bloeddruk-na-de-bevalling-vooral-bij-vrouwen-die-een-zwangers/","title":"Stress verhoogt de bloeddruk na de bevalling vooral bij vrouwen die een zwangerschapscomplicatie hadden","title_en":"Stress Trajectory and Hypertension 2 to 7 Years After Delivery: A nuMoM2b-HHS Study","category":"hypertensie","category_label":"Hypertensie","professions":["cardioloog","huisarts","internist"],"tags":["bloeddrukbehandeling","stress-psychosociaal","vrouwen","zwangerschap-hart"],"journal":"Hypertension","doi":"https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25991","source_url":"https://doi.org/https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25991","authors":[],"significance":6,"published":"2026-03-09","source_date":"2026-03-09","image":"","kennis":["https://hartvaat.nl/kennis/hypertensie/hypertensie-en-ckd/","https://hartvaat.nl/kennis/hypertensie/esc-richtlijn-hypertensie-2024/"],"congress":"","summary_en":"Adverse pregnancy outcomes (APOs) increase the risk of chronic hypertension. The prospective nuMoM2b-HHS study examined whether trajectories of perceived stress during and after pregnancy were associated with blood pressure and incident hypertension 2-7 years after delivery, and whether an APO modified this. Using the Perceived Stress Scale (first and third trimester and 2-7 years postpartum), three stress trajectories emerged: low, moderate and high. After adjustment, there was no overall association between stress trajectory and blood pressure or hypertension. However, there was a significant interaction with APO: a higher stress trajectory was associated with higher blood pressure only in women who had had an APO (β ≈ 2 mmHg), not in women without an APO. Elevated stress may thus contribute to higher blood pressure, specifically in women who experienced an adverse pregnancy outcome.","created":"2026-07-03T10:32:23Z","updated":"2026-07-03T18:39:24Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Ongunstige zwangerschapsuitkomsten (APO) verhogen het risico op chronische hypertensie. In de prospectieve nuMoM2b-HHS-studie werd onderzocht of het beloop van ervaren stress tijdens en na de zwangerschap samenhing met de bloeddruk en met nieuw ontstane hypertensie 2 tot 7 jaar na de bevalling, en of een APO dat verband beïnvloedde. Met de Perceived Stress Scale (gemeten in het eerste en derde trimester en 2-7 jaar postpartum) werden drie stresstrajecten onderscheiden: laag, matig en hoog. Na correctie was er geen algemeen verband tussen het stresstraject en de bloeddruk of hypertensie. Er was echter een significante interactie met APO: een hoger stresstraject ging alléén bij vrouwen met een doorgemaakte APO gepaard met een hogere bloeddruk (β ≈ 2 mmHg), en niet bij vrouwen zonder APO. Verhoogde stress draagt dus mogelijk bij aan een hogere bloeddruk, specifiek bij vrouwen die een ongunstige zwangerschapsuitkomst hadden.","abstract_original":"Hypertension, Volume 83, Issue 4, Page e25991, April 1, 2026. BACKGROUND:Adverse pregnancy outcomes (APOs) are associated with a higher risk of developing chronic hypertension. The objectives of this study were to determine whether patterns of perceived stress during and after pregnancy were associated with blood pressure and incident hypertension 2 to 7 years after delivery, and whether having an APO modified this association.METHODS:Analyses utilized data from the prospective nuMoM2b-HHS cohort (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be Heart Health Study). Perceived stress was assessed using the Perceived Stress Scale in the first and third trimester and 2 to 7 years after delivery. Latent class trajectory analysis characterized subgroups with similar patterns of perceived stress over time. APOs were abstracted from medical charts and included hypertensive disorders of pregnancy, preterm birth, small-for-gestational-age, and stillbirth. Multivariable regression "}