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

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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616128/
https://www.ncbi.nlm.nih.gov/pubmed/36302381
http://dx.doi.org/10.5888/pcd19.220059
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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
author_facet 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
author_sort Stanhope, Kaitlyn K.
collection PubMed
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.
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spelling pubmed-96161282022-11-03 A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021 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 Prev Chronic Dis Original Research 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. Centers for Disease Control and Prevention 2022-10-27 /pmc/articles/PMC9616128/ /pubmed/36302381 http://dx.doi.org/10.5888/pcd19.220059 Text en https://creativecommons.org/licenses/by/4.0/Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
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
A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title_full A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title_fullStr A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title_full_unstemmed A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title_short A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
title_sort qualitative study of perceptions, strengths, and opportunities in cardiometabolic risk management during pregnancy and postpartum in a georgia safety-net hospital, 2021
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616128/
https://www.ncbi.nlm.nih.gov/pubmed/36302381
http://dx.doi.org/10.5888/pcd19.220059
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