{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:06:07Z","timestamp":1782975967023,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pregnancy-related cardiovascular (CV) conditions, including hypertensive disorders of pregnancy (HDP) and gestational diabetes (GDM), are associated with increased long-term CV risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort study defined the prevalence of HDP and GDM within a large, academic health system in the southeast United States between 2012 and 2015 and described health care utilization and routine CV screening up to 1-year following delivery among those with pregnancy-related CV conditions. Rates of follow-up visits and blood pressure, hemoglobin A1c (HbA1c), and lipid screening in the first postpartum year were compared by provider type and pregnancy-related CV condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 6027 deliveries included, 20% were complicated by HDP and\/or GDM. Rates of pre-pregnancy CV risk factors were high, with a significantly higher proportion of pre-pregnancy obesity among women with HDP than in normal pregnancies. Those with both HDP\/GDM had the highest rates of follow-up by 1-year postpartum, yet only half of those with any pregnancy-related CV condition had any follow-up visit after 12 weeks. Although most (70%) of those with HDP had postpartum blood pressure screening, less than one-third of those with GDM had a repeat HbA1c by 12 months. Overall, postpartum lipid screening was rare (&lt;20%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a high burden of pregnancy-related CV conditions in a large U.S. academic health system. Although overall rates of follow-up in the early postpartum period were high, gaps in longitudinal follow-up exist. Low rates of CV risk factor follow-up at 1 year indicate a missed opportunity for early CV prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2023.0461","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T06:49:26Z","timestamp":1711522166000},"page":"853-862","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Longitudinal Management of Cardiovascular Risk Factors Among Postpartum Women"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7845-0752","authenticated-orcid":false,"given":"Rebecca","family":"Lumsden","sequence":"first","affiliation":[{"name":"Department of Medicine (General Internal Medicine), Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney B.","family":"Page","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Phelan","sequence":"additional","affiliation":[{"name":"Target RWE, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8384-3721","authenticated-orcid":false,"given":"Sarahn","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology (Maternal Fetal Medicine), Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Pagidipati","sequence":"additional","affiliation":[{"name":"Department of Medicine (Cardiology), Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Women and Heart Disease: Centers for Disease Control and Prevention; 2022 [updated January 9 2024]. Available from: https:\/\/www.cdc.gov\/heartdisease\/women.htm#:\u223c:text=Heart%20disease%20is%20the%20leading in%20every%205%20female%20deaths.&text=Heart%20disease%20is%20the%20leading%20cause%20of%20death%20for%20African women%20in%20the%20United%20States [Last accessed: October20 2022]."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.080012"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000961"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.118.009382"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7117a1"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1869"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(05)67726-4"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/M17-2740"},{"issue":"3","key":"e_1_3_5_10_2","first-page":"1","article-title":"Trends and characteristics in gestational diabetes: United States, 2016\u20132020","volume":"71","author":"Gregory E","year":"2022","unstructured":"Gregory E, , Ely DM. 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