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  Table Source: American College of Obstetricians and Gynecologists. Task Force on Hypertension in Pregnancy, author. Hypertension in pregnancy/developed by the Task Force on Hypertension in Pregnancy.
of young, females of color is obvious. There is opportunity to effect change in this unfortunate mortality trend by focusing on earlier screening
of women with hypertensive pregnancy disorders and persistent modifiable lifestyle risk factors. I am standing on my soap box a la Hillary Clinton and shouting, “Public health is women’s health and women’s health is public health.”
Women with preeclampsia should be considered to have an abnormal “stress test” and be referred
to an internist, family practitioner or postpartum heart program for screening of chronic hypertension and other components of the metabolic syndrome. Although clinical guidelines differ, this screening should likely continue annually. With continued rollbacks of the Affordable Care Act and decreased funding for Medicaid, we will need to be vigilant of how a lack of postpartum insurance coverage will affect access to these much-needed preventive services for this vulnerable population.•
  References:
1. Determinants of future cardiovascular health in women with a history of preeclampsia. Maturitas 82(2015)153-161. [http://dx.doi. org/10.1016/j.maturitas.2015.07.004]
2. Physicians’ knowledge of future vascular disease in women with preeclampsia. Hypertens Pregnancy 2012;31(1):50-58. [http:// dx.doi.org/10.3109/10641955.2010.544955]
3 Preeclampsia and future cardiovascular disease in women: How good are the data and how can we manage our patients? Seminars in Perinatology 39(2015)276-283. [http://dx.doi.org/10.1053/j. semperi.2015.05.006]
4. Cardiovascular mortality after pre-eclampsia in one child mothers: prospective, population based cohort study. BMJ 2012;345:e7677 [https://doi.org/10.1136/bmj.e7677]
5. Cardiovascular disease risk in women with pre-eclampsia: systematic review and meta-analysis. Eur J Epidemiol (2013)28:1 [doi: 10.1007/s10654-013-9762-6]
6. Hypertensive Pregnancy Disorders and Subsequent Cardiovascular Morbidity and Type 2 Diabetes Mellitus in the Mother. Hypertension.2009;53:944:951 [https://doi.org/10.1161/ HYPERTENSIONAHA.109.130765]
7. Adverse pregnancy outcomes and cardiovascular risk factor management. Semin Perinatol. 2015 June;39(4):268-275. [Doi:10.1053/j.semperi.2015.05.005]
8. Heart Disease and Stroke Statistics-2010 Update. A report from the AHA. Circulation.2010;121:e46-e215. [https://doi.10.1161/ CIRUCULATIONAHA.109.192667]
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