HypertensionCohort study
Impact of a Postpartum Hypertension Clinic on Cardiovascular Screening After Hypertensive Disorder of Pregnancy
- retrospective cohort
- multivariate logistic regression adjusting for relevant demographic and clinical covariates
Authors' conclusion
Attendees at a postpartum HTN clinic had higher rates of CV risk factor screening, including lipid, HbA1c, and BP ascertainment, and PCP follow-up. These results demonstrate the importance of increasing access to postpartum HTN clinics to manage CV risk after HDP.
Study context
- Population
- Patients with HDP who participated in remote blood pressure (BP) monitoring and remained hypertensive at 6 weeks postpartumpatients with HDP and persistent hypertension at 6 weeks postpartum, 7.6% (n = 213) had a clinic visit
- Participants
- 2,816 patients
- Exposure
- postpartum hypertension (HTN) clinic attendees and nonattendees
- Clinic attendeesn = 213
Main finding
As reported in the abstract
Self-identified Black race
Observational data: associations, not effects.
Further findings
Chronic HTN
Superimposed preeclampsia
| Outcome | Estimate |
|---|---|
| BPs recorded · 1-year · more with clinic attendees; adjusted · adjusted analyses | more per 100 patients seen in clinic 10.7 (95% CI 4.1–17.3) |
| Lipid panels · 1-year · more with clinic attendees; adjusted · adjusted analyses | more per 100 patients seen in clinic 26.8 (CI 20.3–33.3) |
| HbA1c screenings · 1-year · more with clinic attendees; adjusted · adjusted analyses | more per 100 patients seen in clinic 22.5 (CI 16.4–28.7) |
| PCP follow-ups · 1-year · more with clinic attendees; adjusted · adjusted analyses | more per 100 patients seen in clinic 10.8 (CI 3.9–17.6) |
- Chronic HTN: P = 0.008
- Superimposed preeclampsia: P = 0.003
Original publication
Impact of a Postpartum Hypertension Clinic on Cardiovascular Screening After Hypertensive Disorder of Pregnancy. JACC Adv. doi:10.1016/j.jacadv.2026.102794
Summarised from the published abstract; every number is checked against it