No abstract

lifelong risk of cardiovascular disease. Descriptive statistics and odds ratios are presented. Logistic regression models estimated adjusted odds for receiving counseling adjusting for gestational age at diagnosis and severe features. RESULTS: Seventy-four women enrolled in the study, of which 70 (94.6%) returned for a postpartum visit. Median time to the postpartum visit was 5.0 weeks (IQR 4.4, 6.0). A hypertensive diagnosis was documented for 45 women (64.3%) at the postpartum visit, and only 11 (15.7%) received any counseling. Five women each were counseled on taking aspirin in a future pregnancy and follow-up with primary care. Only 3 (4.3%) were counseled on lifelong cardiovascular risk. Age, BMI, insurance status, having severe features, and taking prophylactic aspirin in the index pregnancy were not associated with receiving counseling. Only earlier gestational age at delivery was associated with counseling in adjusted analyses (adjusted OR 0.49, 95% CI 0.27-0.89). All 70 women had a contraceptive plan or discussion documented, including 26 (35.1%) who chose a LARC method. All four women with gestational diabetes were counseled on glucose tolerance testing. CONCLUSION: Counseling on lifelong cardiometabolic risk after HDP is not routine. Provider education is needed to improve patient communication of risk and facilitate timely follow-up. 451 A non-randomized controlled study: Telehealth with remote patient monitoring vs standard care for postpartum hypertension