Prevention & lipidsResearch article

Barriers and facilitators of cardiovascular disease prevention services for women with prior gestational diabetes or hypertensive disorders of pregnancy: a scoping review

Eur J Prev CardiolPublished

  • Scoping review

Authors' conclusion

Women with prior GDM or HDP face significant barriers to accessing postpartum CVD prevention services. These barriers ranged from individual-level knowledge gaps to system-level healthcare disparities.

Study context

Population
Women with prior gestational diabetes (GDM) or hypertensive disorders of pregnancy (HDP)12 qualitative, 17 quantitative studies
Participants
29 women

Main finding

As reported in the abstract

Barriers and facilitators of postpartum cardiovascular disease (CVD) prevention services
  • Individual barriers: lack of knowledge, health and emotional factors
  • Interpersonal barriers (most reported): competing priorities, lack of family/friend support, mistrust of healthcare providers
  • Organizational barrier (most significant): gaps in communication
  • System barrier (most reported): gaps in insurance coverage
  • Individual facilitators: personal desire for better health, availability of postpartum programmes
  • Interpersonal facilitator (most reported): women's commitment to modelling a healthy lifestyle for their children
  • Organizational facilitators: access to primary care providers, follow-up visit reminders, programme availability in native languages
  • 18 565 studies screened

Original publication

Barriers and facilitators of cardiovascular disease prevention services for women with prior gestational diabetes or hypertensive disorders of pregnancy: a scoping review. Eur J Prev Cardiol. Published 23 July 2025. doi:10.1093/eurjpc/zwaf435

Summarised from the published abstract; every number is checked against it