Objectives Cardiovascular disease (CVD) is the leading cause of death among women, and certain pregnancy complications can be the earliest indicators of increased CVD risk. Nonetheless, there are no recommendations for follow-up of cardiovascular risk factors identified through postpartum screening programs. This study describes current cardiovascular follow-up practices after referral from the postpartum Maternal Health Clinic (MHC). Methods We investigated the cohort of women referred from the postpartum MHC to cardiology for further assessment and management, specifically examining timing and recommended intervention(s) to reduce CVD risk. Results The median time to cardiology appointment was 12 months. Women referred to cardiology differed significantly from those not referred in regards to a history of hypertensive disorders of pregnancy (p Conclusions Although women at highest risk for CVD are being identified and referred to cardiology, the existing system is not designed to target this demographic. Too many women are either missing their cardiology appointments or scheduling appointments beyond 1 year postpartum. To initiate lifestyle changes and/or therapeutic interventions prior to the end of maternity leave and to potentially prevent future pregnancy complications, we suggest CVD prevention programming begin within 1 year of delivery.