Leveraging the postpartum period to reduce racial disparities in postpartum hypertension care
- PMID: 39760106
- PMCID: PMC11698970
- DOI: 10.1016/j.ahjo.2024.100490
Leveraging the postpartum period to reduce racial disparities in postpartum hypertension care
Abstract
Pregnancy provides a window of opportunity for management of hypertension care. Particularly in the postpartum period - the so-called "4th trimester" - individuals of Black race are at increased risk for hypertension-related morbidity and mortality. Telehealth interventions, such as remote blood pressure monitoring programs and virtual postpartum visits, can reduce racial disparities in the delivery of recommended care. System and policy changes can address social factors that impact postpartum care as well. Cardiovascular clinicians have a key role to play in managing hypertension and addressing cardiovascular disease prevention strategies during reproductive years.
© 2024 Published by Elsevier Inc.
Conflict of interest statement
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. Magnani is an editorial board member at American Heart Journal Plus and participated in editorial review of this manuscript.
Similar articles
-
Remote blood pressure monitoring in women at risk of or with hypertensive disorders of pregnancy: A systematic review and meta-analysis.Int J Gynaecol Obstet. 2025 Apr;169(1):89-104. doi: 10.1002/ijgo.16059. Epub 2024 Nov 29. Int J Gynaecol Obstet. 2025. PMID: 39611763
-
Preexisting Diabetes and Pregnancy: An Endocrine Society and European Society of Endocrinology Joint Clinical Practice Guideline.Eur J Endocrinol. 2025 Jun 30;193(1):G1-G48. doi: 10.1093/ejendo/lvaf116. Eur J Endocrinol. 2025. PMID: 40652450
-
Citrullinemia Type I.2004 Jul 7 [updated 2022 Aug 18]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2025. 2004 Jul 7 [updated 2022 Aug 18]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2025. PMID: 20301631 Free Books & Documents. Review.
-
Racial and ethnic disparities in fecundability: a North American preconception cohort study.Hum Reprod. 2025 Jun 1;40(6):1183-1194. doi: 10.1093/humrep/deaf067. Hum Reprod. 2025. PMID: 40246287
-
Incentives for increasing prenatal care use by women in order to improve maternal and neonatal outcomes.Cochrane Database Syst Rev. 2015 Dec 15;2015(12):CD009916. doi: 10.1002/14651858.CD009916.pub2. Cochrane Database Syst Rev. 2015. PMID: 26671418 Free PMC article.
Cited by
-
Prevalence of newly diagnosed essential hypertension within one year postpartum: a systematic review and meta-analysis.AJOG Glob Rep. 2025 May 30;5(3):100519. doi: 10.1016/j.xagr.2025.100519. eCollection 2025 Aug. AJOG Glob Rep. 2025. PMID: 40641834 Free PMC article. Review.
References
-
- Lewey J., Beckie T.M., Brown H.L., Brown S.D., Garovic V.D., Khan S.S., Miller E.C., Sharma G., Mehta L.S. Opportunities in the postpartum period to reduce cardiovascular disease risk after adverse pregnancy outcomes: a scientific statement from the American Heart Association. Circulation. 2024;149:e330–e346. - PMC - PubMed
-
- Khosla K., Suresh S., Mueller A., Perdigao J.L., Stewart K., Duncan C., Oladipo V., Fess E., Heimberger S., Rana S. Elimination of racial disparities in postpartum hypertension follow-up after incorporation of telehealth into a quality bundle. Am. J. Obstet. Gynecol. MFM. 2022;4 - PubMed
Grants and funding
LinkOut - more resources
Full Text Sources