Optimization of Postpartum Care for Patients With and at Risk for Premature and Long-Term Cardiovascular Disease: 2026 ACC Expert Consensus Decision Pathway: A Report of the American College of Cardiology Solution Set Oversight Committee

The postpartum period is a critical opportunity to engage in collaborative patient care that is focused on improving short- and long-term cardiometabolic outcomes. More than half of pregnancy-related deaths occur after the birth of the infant, and substantial morbidity arises in the early postpartum period. The first 2 weeks postpartum care a particularly high-risk period for severe cardiovascular maternal morbidity and hospital readmission for patients with and without preexisting heart disease. This document provides a recommended strategy for the optimization of postpartum care for patients with and at risk for short- and long-term cardiovascular disease (CVD). Understanding and following a structured approach to the provision of postpartum care for all individuals with or at risk for CVD is a crucial first step toward eliminating excess maternal morbidity and mortality.