Factors associated with attendance at the postpartum blood pressure visit in pregnancies complicated by hypertension

Risk Factors Associated with Poor Adherence to Blood Pressure Monitoring in Postpartum Discharged Patients with Hypertensive Disorders of Pregnancy

“…There are, however, a few limitations to this study: (1) Our study analyzed risk factors of poor adherence to BP monitoring within 3 months after discharge from the hospital in postpartum discharged HDP patients, but it is possible that not all impact factors were included, such as data on prenatal care utilization, which was unavailable and had been identi ed as predictors of 7-10 days and 6-week postpartum BP monitoring [18,[30][31][32][33][34][35][36][37][38][39][40][41] . (2) The entire data came from the perinatal medical database, which is representative of the Suzhou region, but the demographic diversity of our cohort was narrow.…”

“…While 84.6%, 75.7%, and 49.6% of the patients had their BP monitored at 1, 6, and 12 weeks after discharge, respectively. ACOG [7] , Mogos MF [6] , and Romagano [30] reported that the BP monitoring rate within 7-10 days postpartum was 30.0-51.1%, while 52.3-63.0% of the postpartum HDP patients attended a postpartum BP visit around 6 weeks postpartum [18,31] , and 24.0-49.0% attended a visit around 12 weeks postpartum [31][32] . All these previously reported BP monitoring rates were lower than those of our study, which tentatively demonstrates a positive effect of targeted discharge education in improving adherence to post-discharge BP monitoring in females with HDP.…”

“…Until now, only two studies studied the examined predictors of postpartum BP screening visit attendance within 7-10 days after delivery [30,33] , and various studies have identi ed predictors of 6-week postpartum visit attendance [18,[31][32][34][35][36][37][38][39][40][41] . The non-Hispanic Black identity was associated with a lower likelihood of BP screening attendance within 7-10 days of delivery [30] and females with gestational hypertension, with inadequate and intermediate prenatal care utilization, and those delivered vaginally were less likely to attend postpartum BP screening compared to females with preeclampsia with severe features, with adequate prenatal care utilization, and who had cesarean deliveries within 10 days of delivery [33] . And it is widely recognized that postpartum visit attendance at 6 weeks is lowest among females who are non-Hispanic Black, of ethnic-minority groups, younger, multiparous, unmarried, lowincome, have inadequate prenatal care use, publicly insured or uninsured, and vaginal delivery [18,[31][32][34][35][36][37][38][39][40][41] .…”

A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021

“…To detect and prevent complications, the obstetric care team should screen postpartum patients for ongoing hypertension or glucose intolerance in the postpartum period, counsel them on heart disease risk and prevention, and refer them to primary care for ongoing surveillance and management ( 10 ). However, less than one-half of patients with cardiometabolic complications of pregnancy receive guideline-concordant postpartum blood pressure or glucose screening ( 11 – 13 ).…”

Remote Monitoring Compared With In-Office Surveillance of Blood Pressure in Patients With Pregnancy-Related Hypertension

“…There were 11 (11.5%) patients in the intervention arm whose only qualifying blood pressure was a postdischarge in-person ascertainment, yielding a true remote monitoring uptake rate of 80.2%. In those with remote blood pressure uptake (n577), the median number of blood pressure checks was 15 (interquartile range 6-26) and the median duration of remote monitoring use was 14 days (interquartile range [9][10][11][12][13][14][15][16]. There were no differences in rates of readmission for hypertension (5.0% [n55] vs 4.2% [n54], P5.792) or initiation of antihypertensive medications after discharge (9.4% [n59] vs 6.9% [n57], P5.530).…”