“We hope our findings will lead to better identification & management of #heartdisease risk for many birthing people," BMC's @marahorwitz shares a new resource for physicians to identify & counsel #postpartum patients at risk of #CVD.
On #HealthCity: https://t.co/lxMJZKL9ch
CVD risk mgmt after complicated pregnancies centers around patient education and lifestyle modification. So much work to be done to determine the best ways of doing all this. In the meantime, taking a thorough #obstetric and #cvd risk factor history is a great place to start!
Anyone with a pregnancy complication associated with future CVD (Box 1 below) should be identified and screened for CVD risk factors within the 1st postpartum year (Box 2). Hypertensive disorders of pregnancy and gestational diabetes require additional follow-up (Box 3).
Half of pregnancies are complicated by excessive gestational weight gain or postpartum weight retention! What do we do about it? We reviewed the guidelines for you. Read about them here: @JournalGIM@mollybafisher@chrisprift@TABattagliaMD@The_BMC
Excessive pregnancy-related weight gain & postpartum weight retention are common & add to the obesity epidemic. This #systematicreview asks: how can PCCs help pts manage weight #postpartum; what is the evidence; & where are the gaps? @marahorwitz@The_BMC https://t.co/g3BYNbpOaq
I wish I felt more relief. But this entire process has felt inadequate.
this verdict means that it took the largest racial justice protests in history to shift public opinion & push the system to make an exception.
Use of contraception before and after a diabetes diagnosis: An observational matched cohort study
Muy interesante
Anticonceptivos después de saberse mujeres con #diabetesp
https://t.co/RMTIU2UabA
Health is not neatly divided into problems, organ systems, or periods of time; it is integrated and extends across the life-course. The connections between pregnancy and chronic disease are just 1 example of the need for more holistic and long-term approaches to health care. 4/4
🔥Hot off the press @JournalGIM: why and how primary care can intervene on the pathway between pregnancy complications and chronic disease, with @Rose_L_Molina
and Tracy Battaglia, MD MPH @The_BMC. Gonna try a thread... https://t.co/2zkYpmI1Qc 1/4
Unfortunately, most patients in the US don't get adequate (or any!) primary care after pregnancy. Barriers are many, but so are opportunities. Covid-19 has added urgency while creating new ways (e.g., telehealth) for us to improve primary care after complicated pregnancies. 3/4
In diabetes, family planning is essential to plan and prepare for future pregnancies. But studies show contraception use is lower in persons w vs w/o diabetes. How does contraception use change around a diabetes dx? Our answer here @DeptPopMed@drossdeg: https://t.co/gJxGz2VbHR