Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach
Source : https://www.sciencedirect.com/science/article/pii/S2666577822000491?v=s5
Available online 20 September 2022, 100100 : Cardiovascular disease (CVD) has emerged as the leading cause of maternal morbidity and mortality, making planned pregnancy, and thereby reliable contraception among people with CVD, vital. : We sought to compare postpartum contraceptive practices among people with CVD (cardiac cohort) cared for by a Pregnancy Heart Team to people with other chronic comorbidities (high-risk cohort) and without comorbidities (low-risk cohort).
Conclusion: People with CVD cared for by a Pregnancy Heart Team had higher odds of reliable postpartum contraception planning and uptake compared to a low-risk cohort and similar odds compared to a high-risk cohort. Pregnancy could serve as a critical period for contraception counseling and family planning among people with CVD. A multidisciplinary team should be utilized to address postpartum contraception as a modifiable risk factor to reduce maternal morbidity and mortality among those with CVD.
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Amy Gonzales, PhysicianDecember 29, 2022Agree that postpartum contraception counseling is very important in reducing maternal morbidity and mortality. Discussion of postpartum contraception counseling starts on the first prenatal check-up with a physician and needs to be revisited at every visit until it in place.