TY  - JOUR
AU  - Stanhope, Kaitlyn K.
AU  - Levinson, Anna Newton
AU  - Stallworth, C. Tae
AU  - Leruth, Sophie
AU  - Clevenger, Emma
AU  - Master, Margaret
AU  - Dunlop, Anne L.
AU  - Boulet, Sheree L.
AU  - Jamieson, Denise J.
AU  - Blake, Sarah
PY  - 2022
TI  - A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E68
VL  - 19
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Despite the strong link between cardiometabolic pregnancy complications and future heart disease, there are documented gaps in engaging those who experience such conditions in recommended postpartum follow-up and preventive care. The goal of our study was to understand how people in a Medicaid-insured population perceive and manage risks during and after pregnancy related to an ongoing cardiometabolic disorder. METHODS  We conducted in-depth qualitative interviews with postpartum participants who had a cardiometabolic conditions during pregnancy (chronic or gestational diabetes, chronic or gestational hypertension, or preeclampsia). We recruited postpartum participants from a single safety-net hospital system in Atlanta, Georgia, and conducted virtual interviews during January through May 2021. We conducted a content analysis guided by the Health Belief Model and present themes related to risk management. RESULTS  From the 28 interviews we conducted, we found that during pregnancy, advice and intervention by the clinical care team facilitated management behaviors for high-risk conditions. However, participants described limited understanding of how pregnancy complications might affect future outcomes, and few described engaging in postpartum management behaviors. CONCLUSION  Improving continuity and content of care during postpartum may improve uptake of preventive behaviors among postpartum patients at risk of heart disease.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd19.220059
DO  - 10.5888/pcd19.220059
ER  - 
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