{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:46:30Z","timestamp":1790084790120,"version":"4.0.1"},"reference-count":80,"publisher":"Oxford University Press (OUP)","issue":"13","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011094","name":"Public Health Agency of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011094","name":"Agence de la Sant\u00e9 Publique du Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009427","name":"Acadia University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009427","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Although cardiovascular disease (CVD) screening and preventive care in the early postpartum are recommended for women with prior gestational diabetes (GDM) and hypertensive disorders of pregnancy (HDP), certain barriers limit access to such services. We conducted a scoping review to summarize evidence on the barriers and facilitators of CVD prevention services among women with prior GDM or HDP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A comprehensive search strategy was used to search articles published in three databases (Ovid Medline, CINAHL, Embase). Studies published in English or French that investigated and reported barriers or facilitators to postpartum CVD screening and preventive care among women with previous GDM and HDP were included. Out of 18 565 studies we screened, 29 studies (12 qualitative, 17 quantitative) were included. Main individual level barriers including lack of knowledge, health, and emotional factors were identified. Competing priorities, lack of family\/friend support, and mistrust of healthcare providers were the most reported interpersonal level barriers, while gaps in communication were the most significant organizational barrier, and gaps in insurance coverage was the most reported system barrier. Individual level facilitators included a personal desire for better health and availability of postpartum programmes, and the most reported interpersonal facilitator was women's commitment to modelling a healthy lifestyle for their children. Organizational level facilitators were access to primary care providers and follow-up visit reminders, and programme availability in native languages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women with prior GDM or HDP face significant barriers to accessing postpartum CVD prevention services. These barriers ranged from individual-level knowledge gaps to system-level healthcare disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf435","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T18:51:43Z","timestamp":1753210303000},"page":"2324-2342","source":"Crossref","is-referenced-by-count":3,"title":["Barriers and facilitators of cardiovascular disease prevention services for women with prior gestational diabetes or hypertensive disorders of pregnancy: a scoping review"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3091-9400","authenticated-orcid":false,"given":"Dan Yedu","family":"Quansah","sequence":"first","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]},{"name":"School of Epidemiology and Public Health, University of Ottawa , 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Visintini","sequence":"additional","affiliation":[{"name":"Berkman Library, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Kim","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Harris","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nichole","family":"Dai","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carley D","family":"O'Neill","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Faculty of Professional Studies, Acadia University , Box 143, Wolfville, NS B4P 2R6 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Savard","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Mir","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7735-5315","authenticated-orcid":false,"given":"Thais","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, Ottawa, ON K1Y 4W7 ,","place":["Canada"]},{"name":"Department of Cardiovascular Medicine, Mayo Clinic , 200 1st St SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerri-Anne","family":"Mullen","sequence":"additional","affiliation":[{"name":"Canadian Women\u2019s Heart Health Centre, University of Ottawa Heart Institute , 40 Ruskin St, 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