Caring for Women After Hypertensive Pregnancies and Beyond: Implementation and Integration of a Postpartum Transition Clinic

Autor:	Ann M. Thomas, Penny Wang, Louise Wilkins-Haug, Ann C. Celi, Ellen W. Seely
Rok vydání:	2019
Předmět:	Gestational hypertension Adult Patient Transfer medicine.medical_specialty Referral Epidemiology Primary care Ambulatory Care Facilities Preeclampsia 03 medical and health sciences 0302 clinical medicine Pre-Eclampsia Pregnancy Medicine Humans 030212 general & internal medicine Program Development Antihypertensive Agents 030219 obstetrics & reproductive medicine Blood pressure monitors business.industry Obstetrics Public health Postpartum Period Public Health Environmental and Occupational Health Obstetrics and Gynecology Hypertension Pregnancy-Induced medicine.disease Diverse population Pediatrics Perinatology and Child Health Female business Patient education
Zdroj:	Maternal and child health journal. 23(11)
ISSN:	1573-6628
Popis:	Purpose We developed a postpartum transition clinic to better support women after hypertensive pregnancy. Description Our program goals were (1) early postpartum hypertension medical management, (2) patient and provider education around CVD risk, (3) transition to primary care provider (PCP) and (4) a sustainable clinical model reimbursed by private and public insurances. We focused on women immediately postpartum in this analysis. Assessment Over the course of 5 years, a racially and socioeconomically diverse population of 412 immediately postpartum women received care for one, two or more appointments. Referral diagnoses included antepartum preeclampsia (PET) 51% (210/412), postpartum preeclampsia/hypertension (PP-PET) 22.3% (92/412), preeclampsia superimposed on chronic hypertension (siPET) 10.2% (42/412), chronic hypertension (cHTN) 8.8% (37/412), and gestational hypertension (gHTN) 7.8% (31/412). Almost half of women had 2–3 visits 47.3% (195/412) with no difference by diagnosis (p = 0.18). No show rates were consistently around 25%. Acquisition of home blood pressure monitors increased from 56.8% (44/94) to 93.8% (61/65) over the 5 years (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8a4fe99747ac2ec7ab617ac1649c5448 https://pubmed.ncbi.nlm.nih.gov/31257555 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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