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Sociodemographic risk factors associated with patient follow-up after implementation of a CardioObstetrics program

Moti Gulersen1, Sumithra Jeganathan1, Julie Hemphill1

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, North Shore University Hospital - Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.

Pregnancy Hypertension
|February 21, 2023
PubMed

Insights

Adverse pregnancy outcomes increase cardiovascular disease risk. A CardioObstetrics (CardioOB) program improves long-term care. Older maternal age, non-English preference, marriage, antepartum referral, and postpartum antihypertensives predict CardioOB follow-up.

Area of Science:

  • Cardiology
  • Obstetrics
  • Public Health

Background:

  • Adverse pregnancy outcomes are linked to future cardiovascular disease (CVD) and cardiac events.
  • Long-term monitoring is crucial for high-risk individuals post-pregnancy.
  • CardioObstetrics (CardioOB) programs offer specialized care for these patients.

Purpose of the Study:

  • To identify patient characteristics associated with follow-up in a CardioOB program.
  • To understand factors influencing patient engagement in long-term cardiac care post-pregnancy.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of patient sociodemographic and pregnancy-related factors.
  • Investigation of associations with CardioOB program follow-up.

Main Results:

  • Increased maternal age was associated with higher CardioOB follow-up rates.
  • Non-English language preference and married marital status predicted greater follow-up.
  • Referral during the antepartum period and discharge with antihypertensives increased likelihood of follow-up.

Conclusions:

  • Specific patient and pregnancy characteristics are associated with CardioOB program follow-up.
  • Identifying these factors can optimize patient outreach and retention in long-term cardiovascular care programs.
  • Targeted interventions may improve adherence for at-risk populations.

Keywords:
CardioOBCardiovascular diseaseDisparitiesPostpartumPregnancyWomen’s health

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