Key result
Women with acquired CVD recall contraceptive counseling ~72% less often than those with congenital disease.
Why the study?
What is the prevalence of contraceptive counseling by cardiologists among women of reproductive age with cardiovascular disease?
Cross-Sectional (n=176)
What is the prevalence of contraceptive counseling by cardiologists among women of reproductive age with cardiovascular disease?
Absolute Event Rate: 11% vs 39%
p-value: p=<0.001
Contraceptive counseling is significantly underutilized by cardiologists for women of reproductive age with cardiovascular disease, particularly those with acquired disease or on teratogenic medications.
Low recall of counseling, especially in acquired CVD and teratogenic medication users, signals care gaps; leaves open whether systematic interventions boost uptake.
Background Contraceptive counseling is an important component of cardiovascular care for women of reproductive age with cardiovascular disease (CD).Objectives We evaluated the prevalence of contraceptive counseling by cardiologists in women of reproductive age with CD.Methods We conducted a cross-sectional survey of women aged 18–45 with CD, assessing obstetric history, contraceptive counseling, and contraceptive use. Participants were categorized by CD type (congenital vs. acquired), World Health Organization (WHO) CD risk (I–II vs. III–IV), and teratogenic cardiovascular medication use.Results Among 176 respondents, women with acquired CD were less likely to recall contraceptive counseling than those with congenital CD(11% vs. 39%, p < 0.001). High-risk patients (WHO III–IV) more frequently recalled counseling than low-risk patients (36% vs. 9%, p < 0.001). Only 21% of women taking teratogenic medications recalled counseling, and 42% were not using contraception. Contraceptive use did not differ by CD type (49% vs. 55%, p = 0.69).Conclusions Contraceptive counseling remains underutilized, highlighting an opportunity to improve reproductive and cardiovascular care.
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Panah et al. (2026) conducted a cross-sectional in Cardiovascular disease (n=176). Acquired cardiovascular disease vs. Congenital cardiovascular disease was evaluated on Recall of contraceptive counseling (p=<0.001). Women with acquired cardiovascular disease were significantly less likely to recall contraceptive counseling compared to those with congenital disease (11% vs. 39%, p < 0.001).
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