Evidence map›Paper›PMID 34585084›Full record

ReviewMayo Clinic proceedings. Innovations, quality & outcomes2021

Interconception Care for Primary Care Providers: Consensus Recommendations on Preconception and Postpartum Management of Reproductive-Age Patients With Medical Comorbidities.

S Michelle Ogunwole, Xiaolei Chen, Srilakshmi Mitta, Anum Minhas, Garima Sharma, Sammy Zakaria, Arthur Jason Vaught, Stephanie M Toth-Manikowski, Graeme Smith

Open access · goldAbstract readReview
In one paragraph

Review in Mayo Clinic proceedings. Innovations, quality & outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. ISUOG Consensus Statement on maternal hemodynamic assessment in hypertensive disorders of pregnancy and fetal growth restriction.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Postpartum and interpregnancy care of women with a history of hypertensive disorders of pregnancy.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Adding creatinine to routine pregnancy tests: a decision tree for calculating the cost of identifying patients with CKD in pregnancy.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

S Michelle OgunwoleDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Xiaolei ChenDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, RI.
Srilakshmi MittaDivision of Obstetric and Consultative Medicine, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI.
Anum MinhasDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Garima SharmaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Sammy ZakariaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Arthur Jason VaughtDivision of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Stephanie M Toth-ManikowskiDivision of Nephrology, Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago.
Graeme SmithDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Queens University School of Medicine, Kingston, Ontario, Canada.
Johns Hopkins University · USBrown University · USQueen's University · CAUniversity of Illinois Chicago · US

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

Severe maternal morbidity and mortality continue to increase in the United States, largely owing to chronic and newly diagnosed medical comorbidities. Interconception care, or care and management of medical conditions between pregnancies, can improve chronic disease control before, during, and after pregnancy. It is a crucial and time-sensitive intervention that can decrease maternal morbidity and mortality and improve overall health. Despite these potential benefits, interconception care has not been well implemented by the primary care community. Furthermore, there is a lack of guidelines for optimizing preconception chronic disease, risk stratifying postpartum chronic diseases, and recommending general collaborative management principles for reproductive-age patients in the period between pregnancies. As a result, many primary care providers, especially those without obstetric training, are unclear about their specific role in interconception care and may be unsure of effective methods for collaborating with obstetric care providers. In particular, internal medicine physicians, the largest group of primary care physicians, may lack sufficient clinical exposure to medical conditions in the obstetric population during their residency training and may feel uncomfortable in caring for these patients in their subsequent practice. The objective of this article is to review concepts around interconception care, focusing specifically on preconception care for patients with chronic medical conditions (eg, chronic hypertension, chronic diabetes mellitus, chronic kidney disease, venous thromboembolism, and obesity) and postpartum care for those with medically complicated pregnancies (eg, hypertensive disorders of pregnancy, gestational diabetes mellitus, excessive gestational weight gain, peripartum cardiomyopathy, and peripartum mood disorders). We also provide a pragmatic checklist for preconception and postpartum management.

Indexed as

ACE, angiotensin-converting enzymeACOG, American College of Obstetricians and GynecologistsARB, angiotensin receptor blockerBMI, body mass indexCKD, chronic kidney diseaseCVD, cardiovascular diseaseDM, diabetes mellitusGDM, gestational diabetes mellitusHbA1c, hemoglobin A1cHDP, hypertensive disorder of pregnancyMFM, maternal-fetal medicineNTD, neural tube defectOB/GYN, obstetrician/gynecologistPCP, primary care providerPPCM, peripartum cardiomyopathySMFM, Society for Maternal-Fetal MedicineVTE, venous thromboembolism

Identifiers

PMID34585084
PMCPMC8452893
OpenAlexW3199026927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.