Key result
A nationwide survey in Japan revealed that over one-third of obstetricians terminated postpartum follow-up of patients with hypertensive disorders of pregnancy without referring them to other departments.
Cross-Sectional (n=686)
Yes
A significant proportion of obstetricians in Japan do not refer postpartum patients with hypertensive disorders of pregnancy for long-term cardiovascular monitoring, highlighting a gap in care transitions.
Suggests inconsistent postpartum referral practices in HDP; leaves open whether improved care coordination reduces long-term CVD risk.
OBJECTIVE: To assess the present status of clinical care for postpartum patients with hypertensive disorders of pregnancy (HDP) in Japan. METHODS: We conducted a nationwide questionnaire survey of obstetricians, internists and hypertension specialists and analyzed 686 valid responses. RESULTS: Though HDP is widely known as a risk factor for subsequent hypertension and cardiovascular disease, over one-third of obstetricians terminated their postpartum follow-up of HDP patients without referring them to other departments. CONCLUSION: It is important to establish an effective referral system, whereby patients with HDP can be smoothly transferred to primary care or a specialist physician after childbirth for long-term monitoring and management of blood pressure.
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Mito et al. (2015) conducted a cross-sectional in Hypertensive disorders of pregnancy (n=686). Clinical care and referral practices was evaluated on Proportion of obstetricians terminating postpartum follow-up without referral. A nationwide survey in Japan revealed that over one-third of obstetricians terminated postpartum follow-up of patients with hypertensive disorders of pregnancy without referring them to other departments.
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