Improving postpartum and long-term health after an adverse pregnancy outcome: examining interventions from a health equity perspective
Open accessAbstract
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.
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The transition to primary care for ongoing management after pregnancy is often incomplete.
“As DiTosto et al. (2022) noted, pregnancy can indicate a woman's future health; however, the transition to primary care for ongoing management is often incomplete.”
From Extending the continuum: Mapping post-6-week nurse/midwife-led interventions for postnatal women – A scoping review (2026) · cites this paper as DiTosto et al., 2022
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Ibitoye, O. F., Hanson, V., Alshdefa, A., & Pitre, S. (2026) · Midwifery · doi:10.1016/j.midw.2026.104967
- Authors
- DITOSTO, J. D., ROYTMAN, M. V., DOLAN, B. M., KHAN, S. S., NIZNIK, C. M., & YEE, L. M.
- Affiliations
- Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine
- Loyola University Chicago (US)
- Departments of Medicine and Medical Education, Division of General Internal Medicine
- Northwestern University (US)
- Corresponding author
- DITOSTO, JULIA D.
- ROYTMAN, MAYA V.
- NIZNIK, CHARLOTTE M.
- YEE, LYNN M.
- ORCID
- Venue
- Clinical Obstetrics & Gynecology
- Published
- 2022-10-17
- Volume
- 66
- Issue
- 1
- Pages
- 132-149
- ISSN
- 0009-9201 (ISSN-L)
- PMC
- PMC9869461
- OpenAlex
- W4317524965
- Cited by
- 21
- References
- 11
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 6 · 2023: 4
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R34DK125958)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD098178)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- adverse pregnancy outcomes, gestational diabetes mellitus, hypertensive disorders of pregnancy, postpartum follow-up, transition to primary care, long-term health, cardiovascular risk, chronic disease prevention, racial and ethnic disparities, health equity, postpartum interventions
- MeSH terms
- Health Equity, Female, Humans, Hypertension, Pregnancy, Pregnancy Outcome, United States, Diabetes, Gestational, Postpartum Period
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