Differences in disease severity and delivery gestational age between black and white patients with hypertensive disorders of pregnancy

Teal, E. Nicole; Appiagyei, Ashley; Sheffield-Abdullah, Karen; Manuck, Tracy A.

doi:10.1016/j.preghy.2022.03.001

Cited by 3 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Black and Hispanic women have higher rates of HDPs compared with White women [72,73]. Additionally, Black patients are more likely to experience severe forms of HDPs with higher rates of complications such as preterm delivery [74] as well as a less rapid decrease in blood pressure postpartum compared with White patients [75].…”

Section: Disparitiesmentioning

confidence: 99%

Adverse pregnancy outcomes and future risk of heart failure

Pabón

Misra

Honigberg

2023

Current Opinion in Cardiology

View full text Add to dashboard Cite

Purpose of reviewCardiovascular disease (CVD) is the leading cause of death in women. Women with history of adverse pregnancy outcomes (APOs) have approximately two-fold risk of future CVD, but until recently the association with future heart failure (HF) was unclear. Here, we summarize evidence for associations of APOs with HF, potential underlying mechanisms, and future directions for clinical translation.Recent findingsWomen with history of hypertensive disorders of pregnancy (HDPs) have roughly two-fold risk of future HF compared with other parous women even after accounting for interval development of coronary artery disease. The HDPs portend heightened risk of HF with both reduced and preserved ejection fraction. Gestational diabetes mellitus (GDM) and other APOs such as preterm delivery, small-for-gestational-age delivery, and placental abruption may also confer additional risk for HF development. Possible underlying mechanisms linking APOs to HF include shared upstream risk factors and genetics, accelerated development of cardiometabolic risk factors postpartum, persistent endothelial and microvascular dysfunction, and impaired natriuretic peptide signaling.SummaryHistory of APOs, including HDPs and GDM, confer increased risk for development of HF years after delivery. Further research is needed to define strategies to optimize prepregnancy and postpartum cardiovascular health toward HF prevention.

show abstract

Section: Disparitiesmentioning

confidence: 99%

Adverse pregnancy outcomes and future risk of heart failure

Pabón

Misra

Honigberg

2023

Current Opinion in Cardiology

View full text Add to dashboard Cite

show abstract

The Impact of Preeclampsia in Lupus Nephritis

Moroni

Calatroni

Ponticelli³

2022

Expert Review of Clinical Immunology

View full text Add to dashboard Cite

Integrating Community-Based Doulas into the Maternity Health Care System in an Urban Hospital

Schubert,

Logsdon,

Sears

et al. 2024

McN: The American Journal of Maternal/Child Nursing

View full text Add to dashboard Cite

Background: Maternal morbidity and mortality in the United States are higher than peer countries. These adverse events disproportionally affect Black women. Local problem: Rates of maternal morbidity and mortality among Black childbearing women in West Louisville, Kentucky are higher than rates in Kentucky and the United States. Methods: We conducted a quality improvement project to evaluate the effectiveness of adding doulas to the health care teams at the Norton downtown hospital to address health disparities and other challenges identified by Black childbearing women related to communication and health care system barriers. Intervention: Three culturally congruent doulas were hired and integrated into the health care teams in one large health care organization. Results: Participants in the doula program had lower no-show rates for postpartum visits compared with non-participants. No-show rates for prenatal visits were the same for both groups. Rates of diagnosed preeclampsia, hypertension, and chronic hypertension were similar among doula program participants and those who did not participate. Narrative data indicated that program participants and health professionals were generally pleased with the doula program and there was positive feedback from the community. Conclusions: Integrating culturally congruent doulas into the health care system maximized their impact to address health and other challenges experienced by Black childbearing women.

show abstract

Differences in disease severity and delivery gestational age between black and white patients with hypertensive disorders of pregnancy

Cited by 3 publications

References 21 publications

Adverse pregnancy outcomes and future risk of heart failure

Adverse pregnancy outcomes and future risk of heart failure

The Impact of Preeclampsia in Lupus Nephritis

Integrating Community-Based Doulas into the Maternity Health Care System in an Urban Hospital

Contact Info

Product

Resources

About