{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:30Z","timestamp":1777944930128,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K01HL149977"],"award-info":[{"award-number":["K01HL149977"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy (HDPs) are common pregnancy complications. The only curative treatment for HDPs is delivery. However, studies have shown that low-dose aspirin reduces the risks of HDPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The aims of this study were to elucidate barriers and facilitators to implementing evidence-based treatment to prevent HDPs from the patient perspective; and to characterize patient clinical experiences of the management of HDPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six focus groups were conducted with 26 birthing people who were pregnant between 2017 and 2024 with a history of HDPs. Thematic analysis was conducted by three independent coders using an ethnographic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patient experiences of optimal versus suboptimal care were characterized by three main areas: counseling and communication practices; decision-making practices; and intentionality of care. Intentionality as a guiding principle resulted in detailed counseling and communication of symptoms, severity, evidence-based management options, and implications. Additionally, intentional communication practices supported patient\u2013provider relationship building and increased shared decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patient experiences emphasize the need for healthcare providers to adopt more intentional, personalized approaches to care. It is crucial to acknowledge existing power dynamics and take deliberate steps to ensure that care remains patient centered. An intentional approach enhances patient confidence in the care team, promotes greater patient activation, and supports uptake of preventive measures such as low-dose aspirin.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261435102","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:09:38Z","timestamp":1774678178000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient perspectives on the clinical management of pregnancy-related hypertension: A qualitative data analysis"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6033-0357","authenticated-orcid":false,"given":"Oluoma F.","family":"Obi","sequence":"first","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center, KS, USA"},{"name":"Kansas Birth Equity Network, University of Kansas Medical Center, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3348-6820","authenticated-orcid":false,"given":"Shea J.","family":"Kampsen","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center, KS, USA"},{"name":"Kansas Birth Equity Network, University of Kansas Medical Center, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Attebery","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center, KS, USA"},{"name":"Kansas Birth Equity Network, University of Kansas Medical Center, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon Fitzgerald","family":"Wolff","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center, KS, USA"},{"name":"Kansas Birth Equity Network, University of Kansas Medical Center, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8010-2781","authenticated-orcid":false,"given":"Sharla","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center, KS, USA"},{"name":"Kansas Birth Equity Network, University of Kansas Medical Center, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"2023 Health of Women and Children Report","author":"America\u2019s Health Rankings","year":"2023","unstructured":"America\u2019s Health Rankings. 2023 Health of Women and Children Report. America\u2019s Health Rankings, 2023."},{"key":"e_1_3_3_3_2","unstructured":"America\u2019s Health Rankings analysis of U.S. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau Federally Available Data. United Health Foundation 2025."},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Geller SE Rosenberg D Cox SM et al. The continuum of maternal morbidity and mortality: factors associated with severity. Am J Obstet Gynecol 2004; 191: 939\u2013944. https:\/\/doi.org\/10.1016\/j.ajog.2004.05.099","DOI":"10.1016\/j.ajog.2004.05.099"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","unstructured":"Kilpatrick SJ. Next steps to reduce maternal morbidity and mortality in the USA. Womens Health 2015; 11: 193\u2013199. https:\/\/doi.org\/10.2217\/whe.14.80","DOI":"10.2217\/WHE.14.80"},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","unstructured":"Phibbs CM Kristensen-Cabrera A Kozhimannil KB et al. Racial\/ethnic disparities in costs length of stay and severity of severe maternal morbidity. Am J Obstet Gynecol MFM 2023; 5: 100917. https:\/\/doi.org\/10.1016\/j.ajogmf.2023.100917","DOI":"10.1016\/j.ajogmf.2023.100917"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin Number 222. Obstet Gynecol 2020; 135: e237\u2013e260. https:\/\/doi.org\/10.1097\/AOG.0000000000003891","DOI":"10.1097\/AOG.0000000000003891"},{"key":"e_1_3_3_8_2","volume-title":"Pregnancy-related deaths: data from maternal mortality review committees in 36 US states, 2017\u20132019","author":"Trost S","year":"2022","unstructured":"Trost S, Beauregard J, Chandra G, et al. Pregnancy-related deaths: data from maternal mortality review committees in 36 US states, 2017\u20132019. Centers for Disease Control and Prevention, 2022."},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Ford ND Cox S Ko JY et al. Hypertensive disorders in pregnancy and mortality at delivery hospitalization\u2014United States 2017\u20132019. MMWR Morb Mortal Wkly Rep 2022; 71: 585\u2013591. https:\/\/doi.org\/10.15585\/mmwr.mm7117a1","DOI":"10.15585\/mmwr.mm7117a1"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Kavi A Hoffman MK Somannavar MS et al. Aspirin delays the onset of hypertensive disorders of pregnancy among nulliparous pregnant women: a secondary analysis of the ASPIRIN trial. BJOG 2023; 130(Suppl 3): 16\u201325. https:\/\/doi.org\/10.1111\/1471-0528.17607","DOI":"10.1111\/1471-0528.17607"},{"key":"e_1_3_3_11_2","doi-asserted-by":"crossref","unstructured":"Viswanathan R Little SE Wilkins-Haug L et al. The patient experience of a postpartum readmission for hypertension: a qualitative study. BMC Pregnancy Childbirth 2024; 24: 358. https:\/\/doi.org\/10.1186\/s12884-024-06564-2","DOI":"10.1186\/s12884-024-06564-2"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","unstructured":"Theilen LH Kimball E Galyean PO et al. Patient and provider perspectives on cardiovascular health education and engagement following hypertensive disorders of pregnancy: a qualitative study. BJOG. Epub ahead of print 26 March 2025. https:\/\/doi.org\/10.1111\/1471-0528.18154","DOI":"10.1111\/1471-0528.18154"},{"key":"e_1_3_3_13_2","doi-asserted-by":"crossref","unstructured":"Helou A Stewart K Ryan K et al. Pregnant women\u2019s experiences with the management of hypertensive disorders of pregnancy: a qualitative study. BMC Health Serv Res 2021; 21: 1292. https:\/\/doi.org\/10.1186\/s12913-021-07320-4","DOI":"10.1186\/s12913-021-07320-4"},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"Radparvar AA Vani K Fiori K et al. Hypertensive disorders of pregnancy. JACC Adv 2024; 3: 100864. https:\/\/doi.org\/10.1016\/j.jacadv.2024.100864","DOI":"10.1016\/j.jacadv.2024.100864"},{"key":"e_1_3_3_15_2","doi-asserted-by":"crossref","unstructured":"Vinson AH. \u2018Constrained collaboration\u2019: patient empowerment discourse as resource for countervailing power. Sociol Health Illn 2016; 38: 1364\u20131378. https:\/\/doi.org\/10.1111\/1467-9566.12480","DOI":"10.1111\/1467-9566.12480"},{"key":"e_1_3_3_16_2","doi-asserted-by":"crossref","unstructured":"Harris PA Taylor R Minor BL et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform 2019; 95: 103208. https:\/\/doi.org\/10.1016\/j.jbi.2019.103208","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","unstructured":"Harris PA Taylor R Thielke R et al. Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42: 377\u2013381. https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"Tong A Sainsbury P Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19: 349\u2013357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042","DOI":"10.1093\/intqhc\/mzm042"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261435102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057261435102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261435102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:30:43Z","timestamp":1777710643000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057261435102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":17,"alternative-id":["10.1177\/17455057261435102"],"URL":"https:\/\/doi.org\/10.1177\/17455057261435102","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"17455057261435102"}}