Abstract

Objectives Women who develop preeclampsia are increasingly recognized as having higher cardiovascular (CV) morbidity compared to normal pregnancy. Identification of these women, patient education, and subsequent reduction of modifiable risk factors (such as diabetes, hypertension, etc.) may be beneficial. We seek to evaluate patients’ knowledge regarding future CV risk, their willingness to attend a dedicated postpartum preeclampsia clinic versus obtaining information and support through social media, and barriers to attending a specialized clinic. Methods We conducted a survey of postpartum preeclamptic women, either in person or through mailed questionnaires. Participants were recruited from Mount Sinai Hospital and Toronto East General Hospital after their 6 week postpartum visit. Results Fifty-four women were recruited. Women reported knowledge of preeclampsia and the associated cardiovascular risk. There was an inverse association between self-reported level of education and awareness of risk of recurrence or PE, as well as the long term CV risk. The majority of participants (76%) responded positively to the need for a post-partum PE clinic, and 75% felt that attending a post-partum PE clinic was important for future health. Eighty-six percent of participants preferred attending a post-partum PE clinic within 1 year of delivery, and 12% stated they preferred >1 year following delivery. Only 2% never wanted to attend a post-partum PE clinic. The largest barrier to attending a clinic was timing after the pregnancy, with 38% agreeing that their time was directed towards the newborn. The vast majority of women preferred follow up with a health care professional, versus online support through social media. Conclusions The majority of women are keenly motivated to attend a postpartum clinic dedicated to CV education and risk reduction, ideally in the first year following delivery. This survey provides valuable information on the knowledge and attitudes of women who developed preeclampsia towards their long term health. Disclosures D. Kurowecki: None. D. Armstrong: None. A. Huynh: None. M. Vasiliou: None. S. Gandhi: None.

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