Inheren

For a history of preeclampsia, gestational hypertension, or placental dysfunction

One pregnancy. Two conversations nobody had with you.

Every woman who comes through a hypertensive pregnancy complication is left with two open clinical questions. Most have had neither answered.

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Open question 1

It can happen again.

Women with prior preeclampsia carry roughly a 15–25% recurrence risk in the next pregnancy. Most go into that pregnancy with no structured prevention plan, no first-trimester risk assessment, and aspirin started too late, at the wrong dose, or not at all.

Open question 2

Your heart is now on the risk map.

A history of preeclampsia is associated with roughly a two- to three-fold higher long-term risk of cardiovascular disease — chronic hypertension, heart disease, stroke, and heart failure — building over years and decades. These are population-level associations, not a personal verdict. But most women are never told the map changed at all.

In 2020 the American Heart Association listed adverse pregnancy outcomes as risk-enhancing factors for atherosclerotic cardiovascular disease. The standard primary-care risk calculators still leave pregnancy history out. This program puts it back in.

The Program

Two chapters under one roof.

Same lab infrastructure, same consultation framework. You enter through whichever chapter your life is in right now.

Chapter One

Before your next pregnancy

For women planning another pregnancy after preeclampsia, gestational hypertension, growth restriction, or a placenta-related preterm delivery. Time-sensitive and evidence-backed:

  • First-trimester risk assessment on the Fetal Medicine Foundation framework — the same approach my early research helped build.
  • Aspirin done right: low-dose aspirin for high-risk women, started in the first trimester before 16 weeks, per USPSTF and ACOG. Most women miss that window; we don't.
  • Blood-pressure baseline: what your numbers should be before you conceive, and what to do if they aren't there yet.
  • Calcium supplementation only when intake is genuinely low — selective, not universal, and we're honest about the difference.
  • A written clinical plan you hand your obstetrician at the first prenatal visit.

Chapter Two

Protect your future heart

For women who are done having children, or not actively planning, who want the cardiovascular conversation that should have happened years ago — the missing piece between an obstetric history and a cardiologist's office:

  • Cardiovascular risk assessment through the lens of your pregnancy history — not the standard calculator that ignores it.
  • Targeted lab panel: lipids with ApoB, lipoprotein(a) once in a lifetime, hsCRP, fasting insulin and glucose, HbA1c, renal function, urine albumin/creatinine, and a blood-pressure trajectory review.
  • A real consultation about what your history means now — and what is still modifiable.
  • Evidence-anchored lifestyle strategy for primary cardiovascular prevention.
  • A warm referral to a preventive cardiologist when your profile calls for one. Inheren fills the gap they can't reach; it doesn't compete with them.

How it runs

Assess. Interpret. Plan.

1

Assess

A phenotype-matched lab panel ordered through telehealth and drawn at a Quest or Labcorp near you. Results come back to me. You don't chase them.

2

Interpret

A real consultation — sixty to ninety minutes. We walk through what your labs and your pregnancy history say about your specific picture, and what is modifiable.

3

Plan

A written action plan you keep, plus the handoff summary for your OB, your primary care doctor, or the preventive cardiologist we route you to.

The conversation that should have happened at your six-week visit.

Twenty minutes to see whether this is the lane for you.

Book a discovery call