A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Stanhope, Kaitlyn K. ; Levinson, Anna Newton ; Stallworth, C. Taé ; Leruth, Sophie ; Clevenger, Emma ; Master, Margaret ; Dunlop, Anne L. ; Boulet, Sheree L. ; Jamieson, Denise J. ; Blake, Sarah
• Description:
  Introduction ; Despite the strong link between cardiometabolic pregnancy complications and future heart disease, there are documented gaps in engaging those who experience such conditions in recommended postpartum follow-up and preventive care. The goal of our study was to understand how people in a Medicaid-insured population perceive and manage risks during and after pregnancy related to an ongoing cardiometabolic disorder. ; Methods ; We conducted in-depth qualitative interviews with postpartum participants who had a cardiometabolic conditions during pregnancy (chronic or gestational diabetes, chronic or gestational hypertension, or preeclampsia). We recruited postpartum participants from a single safety-net hospital system in Atlanta, Georgia, and conducted virtual interviews during January through May 2021. We conducted a content analysis guided by the Health Belief Model and present themes related to risk management. ; Results ; From the 28 interviews we conducted, we found that during pregnancy, advice and intervention by the clinical care team facilitated management behaviors for high-risk conditions. However, participants described limited understanding of how pregnancy complications might affect future outcomes, and few described engaging in postpartum management behaviors. ; Conclusion ; Improving continuity and content of care during postpartum may improve uptake of preventive behaviors among postpartum patients at risk of heart disease.
• Subjects:
  • Pregnancy
  • Female
  • Humans
  • Safety-net Providers
  • Postpartum Period
  • Pregnancy Complications
  • Hypertension, Pregnancy-Induced
  • Risk Management
  • Heart Diseases
• Source:
  Prev Chronic Dis. 2022; 19
• DOI:
  http://dx.doi.org/10.5888/pcd19.220059
• ISSN:
  1545-1151
• Pubmed ID:
  36302381
• Pubmed Central ID:
  PMC9616128
• Document Type:
  Journal Article
• Place as Subject:
  Georgia
• Location:
  North America
• Volume:
  19
• Download URL:
  https://stacks.cdc.gov/view/cdc/122406/cdc_122406_DS1.pdf
• File Type:
  [PDF - 549.46 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:1621d7e17407c1d42d672814cc52ff045e8f00bbd91ad865c973ae629a0bc15d96052a34d7aab50db261a6e8508fc79bd7fd201d1ce1eee08af9c286138c2de3