This graphic illustrates highlights from the presentations and discussion that were part of the roundtable on cardiovascular risks and interventions during Day 3 of the P2P Workshop: Identifying Risks and Interventions to Optimize Postpartum Health. To learn more about the workshop or view the recordings, visit the main workshop page .
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Social Determinants of Health a First Pregnancy
- Up to 80% of cardiovascular disease is avoidable
- Food access
- Income and social status indicators of risk
- Screen for social determinants
Recommendations:
- Lifestyle and literacy programs
- Screening tool kit
- Support younger women
Cardiovascular Risk factors
- Sex-specific risk factors
- Inflammation
- Hypertension
Trends in Postpartum Outcomes
Risk factors:
- Cardiovascular main cause of death postpartum
- Pre-existing conditions
- Tobacco use
- Diabetes
- Black and Indigenous mothers at higher risk
Recommendations:
- Increased funding
- Interdisciplinary study groups
- Policy changes
- Support to remote locations
Impact of Blood Pressure
- What are blood pressure goals?
Making Sure Women Don’t Get Lost
- Listen to patients
- Breakdown silos of care
- More cross talk
- Bring care to patients
- More trial funding
- When and how to educate patients
- Partner better
Increasing Trust
- Recognize environmental factors
- More diversity in medical care
Long-term Approach
- Good partners
- 72-hour telehealth
Access to Care
- Listen!
- Advocate for patients
- Medicaid expansion
- Remove barriers to care
Changes
- Parental leave
- Coverage gap for women
- Reimbursement payments
Questions
Cardiomyopathy in teens:
- Mirrors general population
Standardized timelines?
- Longer and more follow up!
Team-based approach for woman in abusive circumstance:
- Pull in help
- Hotline and resources
Microplastics and hypertension:
- BPA exposure
- Needs more study
Counseling and care for young patients:
- Access
- Contraception education across health care
- Education in schools
Changes in the U.S.:
- California leave helps
- Increase over time
- Expected sharp rise post Roe decision
Lack of postpartum study?
- Overly baby focused
- Not thought to be important
Weight management postpartum:
- Reduce shame
- Focus on health habit