Cardiovascular Screening Rates With Establishment of Postpartum Cardiovascular Care Pathway for Hypertensive Disorders of Pregnancy
Authors' conclusion
Implementation of a postpartum cardiovascular care pathway is feasible and is associated with significantly increased rates of cardiometabolic risk factor screening ordered in the first year postpartum.
Study context
- Population
- Postpartum adults with recent pregnancies complicated by hypertensive disorders of pregnancy (HDP), Inova Health System
- Participants
- 113 vs 179
- Exposure
- Rates of cardiovascular screening ordered by cardiology in the first year postpartum before and after establishment of a postpartum cardiovascular care pathway
- Cardio-obstetrics cohortn = 113
- Historical cohortn = 179
- Outcome
- Baseline characteristics (age, race/ethnicity, parity, prior history of HDP, rates of pre-eclampsia)
Main finding
As reported in the abstract
Mean age across both cohorts
33 years
Observational data: associations, not effects.
Further findings
Rates of screening ordered · first year postpartum
Lipid panel
Lipoprotein(a)
Apolipoprotein B
Hemoglobin A1c
- Rates of screening ordered: all P < 0.001
Prepregnancy and postpregnancy cardiometabolic health parameters; social determinants of health and psychological health screening
- Elevated rates of risk factors across both cohorts
Original publication
Cardiovascular Screening Rates With Establishment of Postpartum Cardiovascular Care Pathway for Hypertensive Disorders of Pregnancy. JACC Adv. Published 21 August 2025. doi:10. 1016/ j. jacadv. 2025. 102088
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