Hypertensive Disorders of Pregnancy Counselling Practices of Antenatal and Postpartum Health Care Providers in Ontario, Canada

Barriers to counselling included time limitations, lack of individual specialty knowledge, ownership, competing counselling priorities, and lack of providers to transfer care to in the postpartum. Facilitators included having access to patient education tools and the globally recognized importance of preventing future cardiovascular disease. Access to easily accessible and implementable guidelines was a barrier and facilitator. Therefore, attention should be given to the creation of high-quality, integrated continuing medical education and easily accessible and implementable guidelines. Future work should focus on quality improvement initiatives, with effort paid to improving documentation via standardized forms or electronic medical record templates.