Am J Perinatol 2024; 41(S 01): e1352-e1356
DOI: 10.1055/s-0043-1764207
Clinical Opinion

Redesigning Care for the Management of Postpartum Hypertension: How Can Ob–Gyns and Primary Care Physicians Partner in Caring for Patients after a Hypertensive Pregnancy?

Authors

  • Saba H. Berhie

    1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts
  • Sarah E. Little

    1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts
  • Jay Shulkin

    2   Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington
  • Ellen W. Seely

    3   Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts
  • Nawal M. Nour

    4   Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts
  • Louise Wilkins-Haug

    1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts
Preview

Abstract

The standard care model in the postpartum period is ripe for disruption and attention. Hypertensive disorders of pregnancy (HDPs) can continue to be a challenge for the postpartum person in the immediate postpartum period and is a harbinger of future health risks. The current care approach is inadequate to address the needs of these women. We propose a model for a multidisciplinary clinic and collaboration between internal medicine specialists and obstetric specialists to shepherd patients through this high-risk time and provide a bridge for lifelong care to mitigate the risks of a HDP.

Key Points

  • HDPs are increasing in prevalence.

  • The postpartum period can be more complex for women with HDPs.

  • A multidisciplinary clinic could fill the postpartum care gap for women with HDP.



Publikationsverlauf

Eingereicht: 09. September 2022

Angenommen: 26. Januar 2023

Artikel online veröffentlicht:
07. März 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA