Postpartum remote blood pressure monitoring programs for patients with hypertensive disorders of pregnancy (HDP) are becoming part of standard postpartum management. Existing programs range in duration from 2 to 6 weeks but there has not been any evaluation as to what program duration is optimal. The primary objective of this study is to evaluate the impact of program duration on clinical outcomes for patients participating in a single institution's postpartum remote blood pressure monitoring program for patients with HDP.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
400
Those who are randomized into the 2-week intervention arm will be unenrolled from the postpartum remote blood pressure monitoring program and therefore will no longer be transmitting twice daily blood pressures for review.
HOPE-BP provides remote monitoring for the 35% of approximately 2,800 annual births at our institution complicated by HDP. Eligible patients enroll at hospital discharge into a 6-week program, submitting blood pressure readings twice daily via Epic's MyChart Care Companion. Participants receive immediate automated feedback, and a dedicated Maternal Fetal Medicine nursing team reviews data daily (Monday-Friday, 8 AM-4 PM), initiating or adjusting antihypertensive therapy as needed.
University of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGDiastolic Blood Pressure
The primary outcome will be the patient's diastolic blood pressure (DBP) at their 6-week postpartum visit.
Time frame: Week 6
Systolic Blood Pressure at 6 weeks post-partum
Patient's systolic blood pressure at their 6-week postpartum visit
Time frame: Week 6
6-Week Post-partum Follow-up Rates
Participants who complete a 6-week post-partum visit / Total participants eligible for a 6-week post-partum visit
Time frame: Week 6
Unscheduled OB visit, triage visit, ED visit, or readmission rates
Time frame: Week 6
Patient Satisfaction Survey responses at 6 weeks
PSS Score, where higher score indicates greater satisfaction
Time frame: Week 6
Rate of severe hypertension
defined as systolic blood pressure ≥ 160mmHg and/or DBP ≥ 110 mmHg
Time frame: Week 6
Rate of new hypertension diagnosis at 6 weeks postpartum
based on American Heart Association and American College of Cardiology criteria (AHA/ACC)
Time frame: Week 6
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