{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T03:51:55Z","timestamp":1769572315714,"version":"3.49.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["22K16857"],"award-info":[{"award-number":["22K16857"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Given the increasing recognition of the importance of postpartum follow\u2010up care for women with a history of hypertensive disorders of pregnancy (HDP) to mitigate their future risk of cardiovascular and metabolic diseases, here we aimed to evaluate the current status of postpartum follow\u2010up care in Japan and explore the challenges to its implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A web\u2010based survey was conducted using a smartphone application among postpartum women between March and May 2024 to assess their knowledge of HDP\u2010related future risk and postpartum follow\u2010up care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 880 valid responses were obtained, 73 (8.3%) of which were from women with a history of HDP. Of them, 56.2% were aware of the heightened risk of cardiovascular disease and even fewer knew about the risks of metabolic syndrome (37.0%) and the preventive use of low\u2010dose aspirin (12.3%); in fact, 31.5% reported receiving no information about their risk or preventive measures from healthcare providers. Furthermore, 43.8% did not consult specialists or attend regular checkups after their 1\u2010month checkup. Among women with a history of HDP, those who received information and guidance were more likely to implement behavioral changes than those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient awareness level of HDP\u2010related risk was low and the information provided by their healthcare professionals was insufficient, indicating that postpartum follow\u2010up care in Japan is not satisfactory. This study highlights the need for improved educational strategies and systematic follow\u2010up protocols to ensure that women are adequately informed and supported in managing their long\u2010term health risks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16183","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:21:02Z","timestamp":1733962862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient awareness of long\u2010term cardiovascular and metabolic disease risks after hypertensive disorders of pregnancy in Japan"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8042-5919","authenticated-orcid":false,"given":"Takafumi","family":"Ushida","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"},{"name":"Division of Reproduction and Perinatology, Center for Maternal\u2010Neonatal Care Nagoya University Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Tano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"},{"name":"Division of Reproduction and Perinatology, Center for Maternal\u2010Neonatal Care Nagoya University Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiko","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"},{"name":"Division of Reproduction and Perinatology, Center for Maternal\u2010Neonatal Care Nagoya University Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Fuma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 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