{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T07:11:26Z","timestamp":1782803486760,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["PR\u2010PRU\u20101217\u201021202"],"award-info":[{"award-number":["PR\u2010PRU\u20101217\u201021202"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In the UK, in addition to the recommended blood pressure check, women with hypertensive disorders of pregnancy are offered a postpartum six\u2010week check (SWC) with either a specialist or general practitioner. We aimed to describe the prevalence and disparities in the provision of SWC, and describe short\u2010term postpartum outcomes among women with hypertensive disorders of pregnancy by SWC status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Data were from the UK Clinical Practice Research Datalink GOLD for women aged 15\u201349\u2009years at childbirth in 2000\u20132018, who were diagnosed with hypertensive disorders of pregnancy, and were registered for \u226512\u2009months postpartum. Trends in SWC prevalence and differences in characteristics and short\u2010term postpartum outcomes of women by SWC status were described. Multivariable modified Poisson regression was used to compute risk ratio of a SWC for severe hypertensive disorders of pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 30\u2009483 women, 61.4% had a SWC. The proportion of women who received a SWC check was highest in 2007 (66.8%) but subsequently decreased. Women were less likely to have a SWC record if they were younger, of a minoritised ethnicity, living in more deprived areas, were multiparous, had severe hypertensive disorders of pregnancy, preterm birth, caesarean birth, or had a low birthweight baby. Compared to women who did not have a SWC, a higher proportion of women with SWC had their blood pressure recorded (SWC 47.4%, no SWC 39.9%), and had a diagnosis of postpartum depression (SWC 13.6%, no SWC 11.1%). There were no substantial differences in other short\u2010term postpartum outcomes by SWC status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There may be missed opportunities in postpartum care among women with hypertensive disorders of pregnancy. Our findings highlight the need to ensure that general postpartum care is not overlooked in women with specific morbidities in pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.15068","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T06:43:16Z","timestamp":1740552196000},"page":"937-947","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Maternal postpartum six\u2010week check and short\u2010term health outcomes for women with hypertensive disorders in pregnancy: An observational study using the Clinical Practice Research Datalink (CPRD)"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6784-8319","authenticated-orcid":false,"given":"Rema","family":"Ramakrishnan","sequence":"first","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3074-8269","authenticated-orcid":false,"given":"Diane","family":"Korb","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"},{"name":"CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team Universit\u00e9 de Paris, EPOP\u00e9, INSERM, INRAE  Paris France"},{"name":"Obstetrics and Gynecology Department, H\u00f4pital Robert Debr\u00e9, Public Assistance\u2010Paris Hospitals Universit\u00e9 Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5042-1151","authenticated-orcid":false,"given":"Yangmei","family":"Li","sequence":"additional","affiliation":[{"name":"NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-4575","authenticated-orcid":false,"given":"Marian","family":"Knight","sequence":"additional","affiliation":[{"name":"NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5490-699X","authenticated-orcid":false,"given":"Claire","family":"Carson","sequence":"additional","affiliation":[{"name":"NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"National Institute for Health and Care Excellence.Hypertension in pregnancy: Background information 2022. Accessed February 04 2025.https:\/\/cks.nice.org.uk\/topics\/hypertension\u2010in\u2010pregnancy\/background\u2010information\/"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.16991"},{"key":"e_1_2_13_4_1","unstructured":"National Institute for Health and Care Excellence.Hypertension in pregnancy: diagnosis and management 2019. Accessed February 04 2025.https:\/\/www.nice.org.uk\/guidance\/ng133"},{"key":"e_1_2_13_5_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2022-071653","article-title":"Hypertensive disorders of pregnancy","volume":"381","author":"Wu P","year":"2023","journal-title":"BMJ"},{"key":"e_1_2_13_6_1","unstructured":"Department of Health & Social Care.Women's Health Strategy for England 2022. Accessed February 04 2025.https:\/\/www.gov.uk\/government\/publications\/womens\u2010health\u2010strategy\u2010for\u2010england\/womens\u2010health\u2010strategy\u2010for\u2010england"},{"key":"e_1_2_13_7_1","unstructured":"National Health Service (NHS).High blood pressure (hypertension) and pregnancy."},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyv098"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.4811"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.038080"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2021-216640"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy486"},{"key":"e_1_2_13_13_1","volume-title":"Annual Report of the Chief Medical Officer, 2014, the Health of the 51%: Women","author":"Davies SC","year":"2015"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00136.x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034382"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04540-2"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-021-01663-6"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.510"},{"key":"e_1_2_13_20_1","unstructured":"National Institute for Health and Care Excellence.Antenatal and postnatal mental health: clinical management and service guidance. Accessed February 04 2025.https:\/\/www.nice.org.uk\/guidance\/cg192"},{"key":"e_1_2_13_21_1","unstructured":"UK Parliament.Written evidence submitted by the National Childbirth Trust (NCT) (MSI0018) 2016."},{"key":"e_1_2_13_22_1","unstructured":"World Health Organization.WHO recommendations on maternal and newborn care for a positive postnatal experience.2022. Accessed February 04 2025.https:\/\/www.who.int\/publications\/i\/item\/9789240045989"},{"key":"e_1_2_13_23_1","article-title":"ACOG Committee opinion No. 736: optimizing postpartum care","volume":"131","author":"American College of Obstetricians and Gynecologists","year":"2018","journal-title":"Obstet Gynecol"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-02716-x"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-055773"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12963-023-00302-0"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kww112"},{"key":"e_1_2_13_28_1","unstructured":"National Health Service (NHS).GP six to eight week maternal postnatal consultation what good looks like guidance.2024. Accessed February 04 2025.https:\/\/www.england.nhs.uk\/long\u2010read\/gp\u2010six\u2010to\u2010eight\u2010week\u2010maternal\u2010postnatal\u2010consultation\u2010what\u2010good\u2010looks\u2010like\u2010guidance\/"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.15068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T13:47:48Z","timestamp":1745675268000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.15068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,25]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/aogs.15068"],"URL":"https:\/\/doi.org\/10.1111\/aogs.15068","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,25]]},"assertion":[{"value":"2024-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}