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

Julia D. DiTosto, Maya Roytman, Brigid M. Dolan, Sadiya S. Khan, Charlotte M. Niznik, Lynn M. Yee

2022Clinical Obstetrics & Gynecology19 citationsDOIOpen Access PDF

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.

Topics & Concepts

MedicinePsychological interventionGestational diabetesPregnancyDiseaseIntensive care medicineHealth careEthnic groupHealth equityObstetricsPublic healthPsychiatryNursingGestationInternal medicineGeneticsAnthropologyBiologyEconomic growthSociologyEconomicsGestational Diabetes Research and ManagementMaternal and fetal healthcarePrenatal Substance Exposure Effects
Improving Postpartum and Long-Term Health After an Adverse Pregnancy Outcome: Examining Interventions From a Health Equity Perspective | Litcius