Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association
Perinatal psychological health conditions (eg, perinatal depression, anxiety) are some of the leading causes of maternal mortality in the United States and are associated with adverse pregnancy outcomes, long‐term cardiovascular outcomes, and intergenerational effects on offspring neurodevelopment....
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.125.041369 |
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| _version_ | 1850155249601347584 |
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| author | Garima Sharma Allison E. Gaffey Afshan Hameed Nadine A. Kasparian Rina Mauricio Elisabeth Breese Marsh Dana Beck Jenna Skowronski Diana Wolfe Glenn N. Levine |
| author_facet | Garima Sharma Allison E. Gaffey Afshan Hameed Nadine A. Kasparian Rina Mauricio Elisabeth Breese Marsh Dana Beck Jenna Skowronski Diana Wolfe Glenn N. Levine |
| author_sort | Garima Sharma |
| collection | DOAJ |
| description | Perinatal psychological health conditions (eg, perinatal depression, anxiety) are some of the leading causes of maternal mortality in the United States and are associated with adverse pregnancy outcomes, long‐term cardiovascular outcomes, and intergenerational effects on offspring neurodevelopment. These risks underscore the importance of addressing maternal psychological health as a key determinant of perinatal cardiovascular health. Thus, it is vital to recognize the spectrum of perinatal psychological health and to provide guidance for both patients and clinicians on screening and management options across the perinatal period. In this scientific statement from the American Heart Association, we redefine maternal cardiovascular health to include psychological health, provide robust evidence on the association of psychological health with cardiovascular outcomes, highlight the social and environmental underpinnings, and finally, offer guidance about how to integrate psychological health into maternal cardiovascular health with a specific focus on the perinatal period (ie, pregnancy through 1 year postpartum). We also describe opportunities for creating care delivery models that recurrently address perinatal psychological health in cardio‐obstetric care, using behavioral and pharmacological interventions, with an emphasis on better integration of psychological health care, longer postpartum follow‐up, and opportunities for evaluating the comparative effectiveness of these models with stakeholder partners. |
| format | Article |
| id | doaj-art-8a89958ed73e42ec9edc2c3005344321 |
| institution | OA Journals |
| issn | 2047-9980 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-8a89958ed73e42ec9edc2c30053443212025-08-20T02:24:59ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-03-0114510.1161/JAHA.125.041369Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart AssociationGarima SharmaAllison E. GaffeyAfshan HameedNadine A. KasparianRina MauricioElisabeth Breese MarshDana BeckJenna SkowronskiDiana WolfeGlenn N. LevinePerinatal psychological health conditions (eg, perinatal depression, anxiety) are some of the leading causes of maternal mortality in the United States and are associated with adverse pregnancy outcomes, long‐term cardiovascular outcomes, and intergenerational effects on offspring neurodevelopment. These risks underscore the importance of addressing maternal psychological health as a key determinant of perinatal cardiovascular health. Thus, it is vital to recognize the spectrum of perinatal psychological health and to provide guidance for both patients and clinicians on screening and management options across the perinatal period. In this scientific statement from the American Heart Association, we redefine maternal cardiovascular health to include psychological health, provide robust evidence on the association of psychological health with cardiovascular outcomes, highlight the social and environmental underpinnings, and finally, offer guidance about how to integrate psychological health into maternal cardiovascular health with a specific focus on the perinatal period (ie, pregnancy through 1 year postpartum). We also describe opportunities for creating care delivery models that recurrently address perinatal psychological health in cardio‐obstetric care, using behavioral and pharmacological interventions, with an emphasis on better integration of psychological health care, longer postpartum follow‐up, and opportunities for evaluating the comparative effectiveness of these models with stakeholder partners.https://www.ahajournals.org/doi/10.1161/JAHA.125.041369AHA Scientific Statementsanxietycardio‐obstetricdepressionmaternal mortalityperinatal |
| spellingShingle | Garima Sharma Allison E. Gaffey Afshan Hameed Nadine A. Kasparian Rina Mauricio Elisabeth Breese Marsh Dana Beck Jenna Skowronski Diana Wolfe Glenn N. Levine Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease AHA Scientific Statements anxiety cardio‐obstetric depression maternal mortality perinatal |
| title | Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association |
| title_full | Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association |
| title_fullStr | Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association |
| title_full_unstemmed | Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association |
| title_short | Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association |
| title_sort | optimizing psychological health across the perinatal period an update on maternal cardiovascular health a scientific statement from the american heart association |
| topic | AHA Scientific Statements anxiety cardio‐obstetric depression maternal mortality perinatal |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.125.041369 |
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