HypertensionCohort study
Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy
- Cohort study
- population-based
- single referral hospital remote blood pressure (BP) monitoring program
Authors' conclusion
This cohort study found that more than 80% of individuals with hypertensive disorders of pregnancy had ongoing hypertension after hospital discharge, with approximately 14% developing severe hypertension.
Study context
- Population
- Individuals with new-onset hypertensive disorder of pregnancy (preeclampsia or gestational hypertension), no prepregnancy hypertension, delivered September 2019–June 2021, enrolled in a remote postpartum BP monitoring program
- Participants
- 2,705 individuals
- Exposure
- Severe hypertension vs BP normalization after postpartum discharge
- Severe hypertensionn = 382
- Outcome
- Readmission and ED visits
- Follow-up
- Within the first 6 weeks post partum
Main finding
As reported in the abstract
6 weeks post partum
Severe hypertension vs BP normalizationAdjusted odds ratio (95% CI)
ED visits
1.85(1.17–2.92)
hospital readmissions
6.75(3.43–13.29)
Observational data: associations, not effects.
Further findings
Postdischarge BP course
- Persistent hypertension after discharge
- 2214 (81.8%)
- Severe hypertension after discharge
- 382 (14.1%)
- Antihypertensive medication initiated after discharge
- 610 (22.6%)
Postdischarge home BP trajectories by inpatient BP category
- Significant overlap between inpatient SBP ≥140 to 149 mm Hg and/or DBP ≥90 to 99 mm Hg and SBP ≥150 mm Hg and/or DBP ≥100 mm Hg
Original publication
Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy. JAMA Cardiol. Published 1 August 2024. doi:10.1001/jamacardio.2024.1389
Summarised from the published abstract; every number is checked against it