Assessing the quality of primary care transitions after hypertensive disorders of pregnancy.

Hypertensive disorders of pregnancy (HDP) increase the lifetime risk of cardiovascular disease (CVD), and national guidelines recommend primary care provider (PCP) transition in the first year postpartum to offer preventive measures. However, only 15-40% of individuals with HDP see a PCP, and the quality of this transition remains unknown. This secondary analysis of a randomized controlled trial assesses whether postpartum preventive care for individuals with HDP followed guideline-concordant recommendations. Only 44% of primary care or continuity visits in the first six months postpartum touched on ≥1 of seven recommended domains of counseling for CVD prevention. Optimizing guideline-concordant preventive care after HDP is a critical aspect of improving long-term CVD outcomes in this population.