(HealthDay News) — A remote blood pressure monitoring program is feasible and acceptable to postpartum women with hypertension, according to a study published online in Obstetrics & Gynecology.
Alisse Hauspurg, MD, from University of Pittsburgh School of Medicine, and colleagues conducted a quality improvement project among 409 women admitted to the postpartum unit of a single tertiary care hospital with a diagnosis of chronic hypertension with superimposed preeclampsia (12%), gestational hypertension (41%), preeclampsia (44%), or postpartum preeclampsia (3%). The intervention (February 2018 to January 2019) included remote blood pressure monitoring and monitoring reminders and follow-up appointments. The frequency of the reminders and follow-up appointments was dependent on patients’ readings, which were integrated into their electronic health records.
The researchers found that 171 participants (42%) had antihypertensives initiated or titrated through the program. The vast majority of women (83%) continued the program beyond three weeks postpartum, and 88% attended an in-person 6-week postpartum visit. A postprogram survey was completed by 250 women, of whom 94% reported satisfaction with the program.
“We’re meeting women where they are instead of saying they have to come to the hospital for all these blood pressure checks when they have a new baby,” Hauspurg said in a statement. “I think this is supported by recent American College of Obstetricians and Gynecologists’ recommendations and is an opportunity to improve care for high-risk women.”