Risk of postpartum readmission after hypertensive disorder of pregnancy and variation by discharge antihypertensive medication prescription

Mitro, Susanna D.; Hedderson, Monique; Xu, Fei; Forquer, Heather; Baker, Jennifer M.; Kuzniewicz, Michael W.; Greenberg, Mara

doi:10.1016/j.ajog.2024.01.015

American Journal of Obstetrics and Gynecology

2024

DOI: 10.1016/j.ajog.2024.01.015

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Risk of postpartum readmission after hypertensive disorder of pregnancy and variation by discharge antihypertensive medication prescription

Susanna D. Mitro,

Monique Hedderson,

Fei Xu

et al.

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Cited by 2 publications

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Antihypertensive medication to prevent postpartum hypertension–related readmissions: necessary but not sufficient

Lachaud,

Hirshberg,

Levine

2024

American Journal of Obstetrics and Gynecology

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Antihypertensive medication to prevent postpartum hypertension–related readmissions: necessary but not sufficient

Lachaud,

Hirshberg,

Levine

2024

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Cardiovascular Risk Factor Management After Hypertensive Disorders of Pregnancy

Lewey,

Sheehan,

Bello

et al. 2024

Obstetrics &Amp; Gynecology

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Hypertensive disorders of pregnancy (HDP) are associated with significantly increased risk of developing future cardiovascular disease (CVD). Obstetricians play a crucial role in CVD prevention for postpartum women and birthing people with HDP because they are primarily responsible for immediate postpartum management and can assist with care transitions to other health care practitioners for long-term management of CVD risk factors. Standardized calculators can be used to evaluate long-term CVD risk, which can help guide intensity of treatment. Emerging technologies such as remote blood pressure monitoring demonstrate promise for improving outcomes among patients with HDP. After HDP, all patients should be advised of their increased CVD risk. A plan should be made to initiate lifestyle modifications and antihypertensive therapy to achieve optimal blood pressure control with a target of lower than 130/80 mm Hg, assess lipids within 2–3 years of delivery, and evaluate for development of type 2 diabetes. Other CVD risk factors such as nicotine use should similarly be identified and addressed. In this review, we summarize the essential components of managing CVD risk after a pregnancy complicated by HDP, including blood pressure monitoring, risk stratification tools, and evidence-based lifestyle recommendations.

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Risk of postpartum readmission after hypertensive disorder of pregnancy and variation by discharge antihypertensive medication prescription

Cited by 2 publications

References 28 publications

Antihypertensive medication to prevent postpartum hypertension–related readmissions: necessary but not sufficient

Antihypertensive medication to prevent postpartum hypertension–related readmissions: necessary but not sufficient

Cardiovascular Risk Factor Management After Hypertensive Disorders of Pregnancy

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