In an effort to incorporate a population health approach to a growing nationwide health issue involving pre-eclampsia, eclampsia, gestational hypertension and chronic hypertension we want evaluate obstetrical patients in South Central Illinois. We seek to (1) identify the population who experience the highest number of obstetrical cardiovascular complications in South Central Illinois and (2) use the information from the first objective to map the patients based on geographical location to aid in population-specific education programs to decrease morbidity and mortality in the gravid and postpartum patient.METHODS:
Retrospective review of pregnancies complicated by chronic hypertension, gestational hypertension, and preeclampsia or eclampsia between 2010 and 2014 at all level one, two, and three hospitals in South Central Illinois. Patient demographics are compared and they are mapped according to geographical zip codes.RESULTS:
Preliminary results show the largest population of cardiovascular complications includes young Caucasians (78%) who have government insurance (54%). African Americans (17%), Hispanics (<1%), Asians (<1%), and others (<1%) make up a smaller proportion of the affected population. Zip codes in Springfield and Quincy, Illinois have the highest concentration of cardiovascular complications in South Central Illinois.CONCLUSION:
In this research, we intend to identify areas of need only. Young Caucasian females with government insurance are mostly affected by hypertensive disorder in pregnancy. Our goal is that in subsequent research, population-specific programs can be developed to educate patients on hypertensive disorders of pregnancy and the puerperium to help decrease morbidity from cardiovascular complications and its sequelae.