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John L. Dart Library
9 a.m. - 6 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. - 6 p.m.
Phone: (843) 766-6635
Folly Beach Library
9 a.m. - 1 p.m.
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 6 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 6 p.m.
Phone: (843) 889-3300
Otranto Road Library
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Phone: (843) 572-4094
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
9 a.m. - 6 p.m.
Phone: (843) 559-1945
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9 a.m. - 6 p.m.
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Phone: (843) 805-6930
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Longitudinal Management of Cardiovascular Risk Factors Among Postpartum Women.
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- Author(s): Lumsden, Rebecca; Page, Courtney B.; Phelan, Matthew; Wheeler, Sarahn; Pagidipati, Neha
- Source:
Journal of Women's Health (15409996). Jul2024, Vol. 33 Issue 7, p853-862. 10p. - Source:
- Additional Information
- Subject Terms: MEDICAL care use; ACADEMIC medical centers; GLYCOSYLATED hemoglobin; GESTATIONAL diabetes; LIPIDS; CARDIOVASCULAR diseases risk factors; RETROSPECTIVE studies; POSTNATAL care; HYPERTENSION in pregnancy; LONGITUDINAL method; MEDICAL records; ACQUISITION of data; PREECLAMPSIA; CARDIOVASCULAR diseases in pregnancy; MEDICAL screening; AMBULATORY blood pressure monitoring; HELLP syndrome; ECLAMPSIA; PATIENT aftercare
- Subject Terms:
- Abstract: Background: Pregnancy-related cardiovascular (CV) conditions, including hypertensive disorders of pregnancy (HDP) and gestational diabetes (GDM), are associated with increased long-term CV risk. Methods: This retrospective cohort study defined the prevalence of HDP and GDM within a large, academic health system in the southeast United States between 2012 and 2015 and described health care utilization and routine CV screening up to 1-year following delivery among those with pregnancy-related CV conditions. Rates of follow-up visits and blood pressure, hemoglobin A1c (HbA1c), and lipid screening in the first postpartum year were compared by provider type and pregnancy-related CV condition. Results: Of the 6027 deliveries included, 20% were complicated by HDP and/or GDM. Rates of pre-pregnancy CV risk factors were high, with a significantly higher proportion of pre-pregnancy obesity among women with HDP than in normal pregnancies. Those with both HDP/GDM had the highest rates of follow-up by 1-year postpartum, yet only half of those with any pregnancy-related CV condition had any follow-up visit after 12 weeks. Although most (70%) of those with HDP had postpartum blood pressure screening, less than one-third of those with GDM had a repeat HbA1c by 12 months. Overall, postpartum lipid screening was rare (<20%). Conclusion: There is a high burden of pregnancy-related CV conditions in a large U.S. academic health system. Although overall rates of follow-up in the early postpartum period were high, gaps in longitudinal follow-up exist. Low rates of CV risk factor follow-up at 1 year indicate a missed opportunity for early CV prevention. [ABSTRACT FROM AUTHOR]
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