Improving Postpartum and Long-Term Health After an Adverse Pregnancy Outcome: Examining Interventions From a Health Equity Perspective

Clin Obstet Gynecol. 2023 Mar 1;66(1):132-149. doi: 10.1097/GRF.0000000000000759. Epub 2022 Oct 17.

Abstract

Gestational diabetes mellitus and hypertensive disorders in pregnancy are adverse pregnancy outcomes (APOs) that affect 15% of pregnancies in the United States. These APOs have long-term health implications, with greater risks of future cardiovascular and chronic disease later in life. In this manuscript, we review the importance of timely postpartum follow-up and transition to primary care after APOs for future disease prevention. We also discuss interventions to improve postpartum follow-up and long-term health after an APO. In recognizing racial and ethnic disparities in APOs and chronic disease, we review important considerations of these interventions through a health equity lens.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Diabetes, Gestational* / therapy
  • Female
  • Health Equity*
  • Humans
  • Hypertension* / therapy
  • Postpartum Period
  • Pregnancy
  • Pregnancy Outcome
  • United States / epidemiology