High-Risk Pregnancy Management: From Prenatal Care to Postpartum Outcomes

Dear Colleagues,

High-Risk Pregnancy Management: From Prenatal Care to Postpartum Outcomes is a novel supplement that unites clinical science, implementation pragmatics, equity, and postpartum mental health (including depression, anxiety, PTSD, and birth trauma) across the full perinatal continuum, while addressing the continuous changes in AI use, implementation, and liability in obstetrical practice.

Despite abundant evidence on hypertensive disorders, cardiometabolic disease, preterm birth, hemorrhage, infection, autoimmune/hematologic conditions, and perinatal mental health and substance use, translation into consistent practice remains fragmented—particularly in Indigenous, rural/remote, and resource-constrained contexts. The supplement’s objectives are to (1) consolidate practice-changing evidence on major high-risk conditions and comorbidities; (2) convert evidence into standardized pathways, algorithms, and care bundles that are feasible across levels of care; (3) apply an equity lens that directly informs clinical decisions and outcomes—providing culturally safe communication scripts, trauma- and violence-informed assessments, and shared decision aids that reduce missed diagnoses, shorten time-to-treatment, and improve continuity for Indigenous and rural/remote patients; and (4) present EMR-enabled, point-of-care decision supports and pragmatic QI methods—early-warning thresholds, order sets, and unit-level feedback—that measurably improve bedside processes (e.g., time to antihypertensive, hemorrhage escalation, steroid/magnesium administration) and reduce complications.

In parallel, the supplement will provide guidance for navigating rapid shifts in AI-enabled tools—clarifying how evolving capabilities, implementation models, and medico-legal responsibilities affect clinicians and patients, and how shared decision-making and transparent consent can balance expectations with risk.

Topic coverage spans hypertensive disorders, cardio-obstetrics, diabetes/obesity, preterm birth and perinatal inflammation, hemorrhage readiness, infectious risks, and autoimmune/hematologic management; populations and settings (adolescents, advanced maternal age, multiples, and culturally grounded Indigenous and rural/remote care including transport and virtual care); and systems building through EMR order sets, alerts, dashboards, audit and feedback, quality trend monitoring, data governance, and patient-partnered ethics—aiming to measurably improve outcomes from antenatal triage through postpartum transitions.

Submission types welcomed: Article and Review.

Dr. Angela Vinturache
Guest Editor

Manuscript Submission Information

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