Missed opportunities to prevent cardiovascular disease in women with prior preeclampsia

• DOI: 10.1186/s12905-020-01074-7
• Publication Date: 2020-10-01T05:09:07Z
• Authors: Alina Brener; Irene Lewnard; Jennifer Mackinnon; Cresta Jones; Nicole Lohr; Sreenivas Konda; Jennifer McIntosh; Jacquelyn Kulinski
• Keywords: Medical record; Medical History

Abstract Background Cardiovascular disease (CVD) is the leading cause of death in women every major developed country and most emerging nations. Complications pregnancy, including preeclampsia, indicate a subsequent increase cardiovascular risk. There may be primary care provider knowledge gap regarding preeclampsia as risk factor for CVD. The objective our study to determine how often internists at an academic institution inquire about history compared smoking, hypertension diabetes, when assessing CVD factors well-woman visits. Additional aims were (1) educate internal medicine providers on significance (2) assess impact education interventions obstetric documentation screening with prior preeclampsia. Methods A retrospective chart review was performed identify ages 18–48 least one delivery. We evaluated frequency traditional (smoking, chronic hypertension) by reviewing visit notes, past medical history, problem list electronic record. For intervention, educational teaching sessions (presentation Q&A session) slide presentations given physicians clinic sites. Changes post-intervention. Results When assessment relevant pregnancy obtained, 23.6% asked while 98.9% diabetes or smoking 100% ( p < 0.001). Education did not significantly change rates = 0.36). Conclusion Our adds growing body literature that might identified having increased outpatient setting. Novel programming required screening.