Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2025
Evaluation of a Postpartum Cardiovascular Prevention Clinic After Hypertensive Disorders of Pregnancy: A Mixed-Methods Study.
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Dubrofsky Lisa, Boesch Lisa, Cox Conor, Wyne Ahraaz, Anpalaga Tharani, Gundy Serena
Аннотация
OBJECTIVES: After experiencing a hypertensive disorder of pregnancy, women are at increased risk of developing cardiovascular (CV) risk factors and premature CV disease. A dedicated postpartum clinic is 1 potential solution to educate patients on how to reduce their long-term health risks but there are limited data from the patient perspective regarding the utility and quality of such interventions.
METHODS: We performed a mixed-methods study using questionnaire data and focus group interviews to assess the patient's perspective regarding the timing, content, modality (virtual vs. in-person) and perceived effectiveness of the Postpartum CV Prevention Clinic in Ontario, Canada.
RESULTS: Participants reported improved understanding of their health condition and healthy behaviours, as well as concrete behavioural changes because of their experience in the clinic. Participants reported a need for more mental health resources as part of their postpartum follow-up. A combination of in-person and virtual care was the preferred modality of follow-up.
CONCLUSIONS: A dedicated Postpartum CV Prevention Clinic is an effective means to educate patients on health behaviours and the need for follow-up after pregnancy, but gaps remain in care, and future research is needed to determine the long-term health impacts.
METHODS: We performed a mixed-methods study using questionnaire data and focus group interviews to assess the patient's perspective regarding the timing, content, modality (virtual vs. in-person) and perceived effectiveness of the Postpartum CV Prevention Clinic in Ontario, Canada.
RESULTS: Participants reported improved understanding of their health condition and healthy behaviours, as well as concrete behavioural changes because of their experience in the clinic. Participants reported a need for more mental health resources as part of their postpartum follow-up. A combination of in-person and virtual care was the preferred modality of follow-up.
CONCLUSIONS: A dedicated Postpartum CV Prevention Clinic is an effective means to educate patients on health behaviours and the need for follow-up after pregnancy, but gaps remain in care, and future research is needed to determine the long-term health impacts.