Abstract 13675: Patient Awareness and Provider Counseling on Adverse Pregnancy Outcomes and Cardiovascular Risk - Insights From American Heart Association Research Goes Red Registry

Introduction: Adverse pregnancy outcomes (APOs) are associated with long-term cardiovascular (CV) risk. This study aimed to identify awareness of the association of APOs with CV risk among patients and to determine whether care providers assessed pregnancy history and counseled on the association of APOs with CV risk during patient visits. Methods: We used data from participants enrolled in the AHA Research Goes Red Registry, an online research platform powered by Verily, who responded to the Fertility and Pregnancy Survey. Among them, 1,499 were postmenopausal (mean age 54.7 ± 7.8 years). We focused on three specific questions related to the goals of this study. We summarized responses using proportions, for the overall sample and by race and income, and tested differences using the Chi-squared test. Significance was set at p<0.05. Results: A total of 828 participants answered the question on awareness of the association of APOs with CV health. Of them, 35% were unaware of this association, with significant differences by race (p=0.019) ( Fig 1A ). Among 815 women who responded to the question on whether their care providers took pregnancy history during visits, 35% stated that their providers did not. The percentage varied significantly by income level, with highest percentage among women with an annual income <$50,000 and the lowest in those with an income ≥$200,000 (p=0.037) ( Fig 1B ). Notably, pregnancy history was not taken by providers in 1 in 2 Asian women ( Fig 1C ). Among 813 women who answered the question on provider counseling on the association of APOs with CV risk, 71% reported that their care providers did not educate them on this association, with no significant differences by race or income. Conclusions: In this contemporary cohort, considerable knowledge gaps exist on the association of APOs with CV risk, with disparities by race. Also, most women are not educated on this association by their care providers. These data suggest the need for more education on APOs and CV.