Evaluation of a Postpartum Cardiovascular Prevention Clinic After Hypertensive Disorders of Pregnancy: A Mixed-Methods Study

Abstract

Objectives

After experiencing a hypertensive disorder of pregnancy, women are at increased risk of developing cardiovascular (CV) risk factors and premature CV disease. A dedicated postpartum clinic is 1 potential solution to educate patients on how to reduce their long-term health risks but there are limited data from the patient perspective regarding the utility and quality of such interventions.

Methods

We performed a mixed-methods study using questionnaire data and focus group interviews to assess the patient’s perspective regarding the timing, content, modality (virtual vs. in-person) and perceived effectiveness of the Postpartum CV Prevention Clinic in Ontario, Canada.

Results

Participants reported improved understanding of their health condition and healthy behaviours, as well as concrete behavioural changes because of their experience in the clinic. Participants reported a need for more mental health resources as part of their postpartum follow-up. A combination of in-person and virtual care was the preferred modality of follow-up.

Conclusions

A dedicated Postpartum CV Prevention Clinic is an effective means to educate patients on health behaviours and the need for follow-up after pregnancy, but gaps remain in care, and future research is needed to determine the long-term health impacts.