Key result
Only ~36% of women with hypertensive pregnancy complications or gestational diabetes receive postpartum cardiovascular follow-up.
Why the study?
Women with hypertensive disorders of pregnancy or gestational diabetes have increased cardiovascular disease risk, making primary preventive follow-up recommended, but whether women in Norway receive it was unknown.
Cross-Sectional (n=592)
Absolute Event Rate: 44% vs 23%
Despite recommendations, the majority of women with hypertensive pregnancy complications or gestational diabetes do not receive adequate primary preventive cardiovascular follow-up, highlighting a need for better organization of care.
Highlights a critical gap in postpartum cardiovascular care; leaves open how best to implement standardized, system.
• The majority reported a lack of cardiovascular follow-up after hypertensive pregnancy complications or gestational diabetes. • Women who had given birth >2018 had more often received cardiovascular follow-up compared to women with births ≤2018. • Several respondents stated that they themselves had to initiate, and also actively insist on, cardiovascular follow-up. • This web-based survey indicates a need for better organization of cardiovascular follow-up after pregnancy complications. Women with a history of hypertensive disorders of pregnancy and gestational diabetes have an increased future risk of cardiovascular disease. Primary preventive follow-up is recommended for early identification and management of modifiable risk factors. We investigated whether women in Norway receive such follow-up. We invited women with a history of hypertensive pregnancy complications and/or gestational diabetes to a web-based questionnaire survey. Among 592 eligible responses, only 36% reported having received follow-up at one year postpartum. The rate nearly doubled after 2018 compared with earlier periods (44% versus 23%). The study indicates a need for better organization of follow-up services.
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Bentsen et al. (2026) conducted a cross-sectional in Hypertensive pregnancy complications and/or gestational diabetes (n=592). Birth >2018 vs. Birth ≤2018 was evaluated on Received cardiovascular follow-up at one year postpartum. Only 36% of women with hypertensive pregnancy complications or gestational diabetes reported receiving cardiovascular follow-up at 1 year postpartum, with higher rates after 2018 (44% vs 23%).
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