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• W4383646072 endingPage "100251" @default.
• W4383646072 startingPage "100251" @default.
• W4383646072 abstract "There has been an alarming and substantial increase in hypertensive disorders of pregnancy (HDP), a significant driver of maternal morbidity and mortality. The postpartum period is an especially high-risk time, with over 50% of pregnancy-related deaths and significant morbidity occurring during this period. The American College of Obstetrics and Gynecology (ACOG) suggests inpatient or equivalent monitoring of blood pressures in patients with HDP for the immediate 72 hours postpartum and again within 7-10 days postpartum. HDP significantly contributes to healthcare costs by way of increasing length of admissions and rate of readmissions, increasing the number of medications given, and laboratory studies ordered, as well as the immeasurable impact on the patient and society. The option for telemedicine is an essential option for patients with barriers to accessing care, particularly those in remote areas with difficulty accessing subspecialty care, transportation, childcare, or job security. The implementation of these programs also has potential to mitigate racial inequities, as patients of color are disproportionately affected by the morbidity and mortality of HDP. Remote blood pressure monitoring programs are generally acceptable with high levels of satisfaction to the obstetrical population without posing an undue burden of care. Studies have reported different, but encouraging, measures of feasibility, including rates of recruitment, consent, engagement, adherence, and retention in their programs. Considering these factors, the widespread adoption of postpartum blood pressure monitoring programs holds promise to improve the identification and care of this at-risk population. These immediate clinical impacts are significant and can reduce short-term hypertensive related morbidity and even mortality, with the potential for long-term benefit with culturally competent, well-reimbursed, and widespread utilization of these programs. This clinical opinion aims to show that remote monitoring of postpartum HDP is a reliable and effective alternative to current follow-up care models that achieves improved blood pressure control and diminishes racial disparities in care while simultaneously being acceptable to providers and patients and cost-saving to hospital systems." @default.
• W4383646072 created "2023-07-09" @default.
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• W4383646072 date "2023-08-01" @default.
• W4383646072 modified "2023-09-27" @default.
• W4383646072 title "Postpartum remote home blood pressure monitoring: the new frontier" @default.
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• W4383646072 doi "https://doi.org/10.1016/j.xagr.2023.100251" @default.
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