Evaluation of a postpartum cardiovascular risk clinic after hypertensive disorder of pregnancy: First-year experience
Djamila Ait Ouarab, Judith Lefebvre, Anne-Marie Côté, Annabelle Cumyn, Myriam Champagne, Katherine Lafrenière, Mandy Malick, Marie-Hélène Pesant, Marie-Ève Roy-Lacroix, Nadine SauvéBackground
Hypertensive disorders of pregnancy increase future cardiovascular risk. The Clinique Santé Globale PostPartum (CSGPP) was created to assess risk, provide lifestyle counseling, and inform primary care providers. This study was meant to assess its relevance, efficacy, and women's satisfaction to optimize the clinic.
Methods
This descriptive, single-center prospective cohort study was conducted at the Centre Hospitalier Universitaire de Sherbrooke. Women were recruited at their first CSGPP visit. Data on attendance, lifestyle behaviors, motivation, follow-up with primary care providers, and satisfaction were collected at baseline and 12 months postpartum.
Results
Of 104 referrals, 84 women (80.8%) attended the first visit, 65 agreed to participate, and 47 completed follow-up. Belief in the health benefits of lifestyle changes increased (
Conclusion
Given the high adherence and satisfaction with the clinic, these findings support expanding access to the clinic to all conditions increasing CVD in this young population.