Reproductive history as a missed cardiovascular screening tool in primary care

Cardiovascular disease (CVD) is the leading cause of death among women worldwide yet it remains under-recognised and underassessed in primary care. Reproductive factors across the life course, including hypertensive disorders of pregnancy, gestational diabetes, preterm delivery, recurrent pregnancy loss, and early menopause have been increasingly recognised as important indicators of future cardiovascular risk. Evidence also highlighted knowledge gaps among both nurses and midwives and inconsistencies in follow-up care and communication between maternity and primary care services. However, these factors are not routinely incorporated into cardiovascular assessment in clinical practice. This article aims to explore the role of reproductive history as an underutilised screening tool for identifying cardiovascular risk in women in primary care and highlights the potential role for nurses and midwives in improving early detection and prevention. Integrating reproductive history into routine cardiovascular assessment may improve early identification of women at increased risk. Strengthening education, awareness and structured follow-up pathways within primary care could support nurse-led strategies for CVD prevention in women.