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There is a fourth trimester of pregnancy — and it matters

When people think about pregnancy care, most are familiar with the three traditional trimesters. However, an often-overlooked phase — the fourth trimester — plays a critical role in a woman’s long-term health, particularly when it comes to cardiovascular disease. 

The National Institutes of Health defines the fourth trimester as the first 12 weeks after delivery and beyond. During this time, a woman’s body undergoes significant physical and hormonal changes as it recovers from pregnancy and childbirth. It is also a pivotal period for identifying and addressing early signs of heart disease.

A gap in care after delivery

After being discharged from obstetric care, many young and otherwise healthy women may not have an established primary care provider. This gap in care can allow early warning signs of cardiovascular disease, such as elevated blood pressure, to go undetected.

The fourth trimester presents an essential opportunity for cardiologists and advanced practice providers to assess cardiovascular risk, identify hypertension and establish long-term prevention strategies aimed at reducing the likelihood of heart disease later in life.

Pregnancy-related hypertension and heart disease risk

According to the American Heart Association, women who experience hypertensive disorders during pregnancy — including chronic hypertension, gestational hypertension and preeclampsia face a significantly higher risk of developing heart disease compared to their peers.

Early access to specialized care, patient education and proactive intervention during the fourth trimester can help mitigate these risks and improve long-term outcomes for women.

Leading the way in maternal heart health

Northside Hospital is proud to lead the way with one of North America’s first Maternal Heart Health Clinics. Northside’s Maternal Heart Health Clinic is designed to educate patients, identify cardiovascular risk factors, provide treatment and help reduce the likelihood of future heart disease, particularly during the fourth trimester.

Providers with patients who may benefit from this program are encouraged to refer them to the Maternal Heart Health Clinic.

LEARN MORE ABOUT THE MATERNAL HEART HEALTH CLINIC AT NORTHSIDE.

 

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Featured Providers

Dr. Lee Padove picture

Dr. Lee Padove

Specialties: Cardiology

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Dr. Lee Padove is a board-certified cardiologist with Northside Hospital Heart Institute. He serves as the medical director of cardio-obstetrics for the Northside Hospital system.

Christine (Bree) Becker, CNP picture

Christine (Bree) Becker, CNP

Specialties: Cardiology

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Bree Becker is a nurse practitioner with the Maternal Heart Health Clinic at Northside Hospital Heart Institute.

Kaitlin Vander Weide

Specialties: Cardiology

Kaitlin Vander Weide is coordinator of the cardio-oncology and cardio-obstetrics programs at Northside Hospital Heart Institute.

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