RSS-Feed abonnieren
DOI: 10.1055/s-0040-1715169
Establishing Better Evidence on Remote Monitoring for Postpartum Hypertension: A Silver Lining of the Coronavirus Pandemic
Funding Risk Management Foundation of Harvard Medical Institutions, Inc. (nonprofit) 2018A016340.
Abstract
The transformation of our health care system in response to coronavirus disease 2019 (COVID-19) provides a unique opportunity to examine the use of telehealth for postpartum care. The postpartum period can pose significant risks and challenges, particularly for women with hypertensive disorders of pregnancy. Remote blood pressure monitoring has proven feasible and acceptable among women and providers but has not been widely implemented or researched. Early studies have identified improved outcomes with use of telehealth, including increased compliance with care and decreased disparity in hypertension follow-up. Preliminary data make a compelling case for remote monitoring as a promising treatment strategy to manage postpartum hypertension. Remote monitoring technology should be incorporated as a standard component for the comprehensive management of postpartum hypertension during COVID-19. As a consequence of the pandemic, we now have an opportunity to research the impact of postpartum remote blood pressure monitoring on maternal outcome and disparities within these outcomes.
Publikationsverlauf
Eingereicht: 23. April 2020
Angenommen: 09. Mai 2020
Artikel online veröffentlicht:
23. September 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.
-
References
- 1 Petersen EE, Davis NL, Goodman D. et al. Vital signs: pregnancy-related deaths, United States, 2011–2015, and strategies for prevention, 13 States, 2013–2017. MMWR Morb Mortal Wkly Rep 2019; 68 (18) 423-429
- 2 Levine LD, Nkonde-Price C, Limaye M, Srinivas SK. Factors associated with postpartum follow-up and persistent hypertension among women with severe preeclampsia. J Perinatol 2016; 36 (12) 1079-1082
- 3 Presidential Task Force on Telehealth. Implementing telehealth in practice. Obstet Gynecol 2020; 135 (02) e73-e79
- 4 Hauspurg A, Countouris ME, Catov JM. Hypertensive disorders of pregnancy and future maternal health: how can the evidence guide postpartum management?. Curr Hypertens Rep 2019; 21 (12) 96
- 5 ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstet Gynecol 2019; 133 (01) 211-214
- 6 Cairns AE, Pealing L, Duffy JMN. et al. Postpartum management of hypertensive disorders of pregnancy: a systematic review. BMJ Open 2017; 7 (11) e018696
- 7 DeNicola N, Grossman D, Marko K. et al. Telehealth interventions to improve obstetric and gynecologic health outcomes: a systematic review. Obstet Gynecol 2020; 135 (02) 371-382
- 8 Hoppe KK, Williams M, Thomas N. et al. Telehealth with remote blood pressure monitoring for postpartum hypertension: a prospective single-cohort feasibility study. Pregnancy Hypertens 2019; 15: 171-176
- 9 Rhoads SJ, Serrano CI, Lynch CE. et al. Exploring implementation of m-health monitoring in postpartum women with hypertension. Telemed J E Health 2017; 23 (10) 833-841
- 10 Hauspurg A, Lemon LS, Quinn BA. et al. A postpartum remote hypertension monitoring protocol implemented at the hospital level. Obstet Gynecol 2019; 134 (04) 685-691
- 11 Hirshberg A, Downes K, Srinivas S. Comparing standard office-based follow-up with text-based remote monitoring in the management of postpartum hypertension: a randomised clinical trial. BMJ Qual Saf 2018; 27 (11) 871-877
- 12 Breathett K, Muhlestein D, Foraker R, Gulati M. Differences in preeclampsia rates between African American and Caucasian women: trends from the National Hospital Discharge Survey. J Womens Health (Larchmt) 2014; 23 (11) 886-893
- 13 Ananth CV, Keyes KM, Wapner RJ. Pre-eclampsia rates in the United States, 1980-2010: age-period-cohort analysis. BMJ 2013; 347: f6564
- 14 Hirshberg A, Sammel MD, Srinivas SK. Text message remote monitoring reduced racial disparities in postpartum blood pressure ascertainment. Am J Obstet Gynecol 2019; 221 (03) 283-285
- 15 Pew Research Center. Demographics of mobile device ownership and adoption in the United States. Pew Research Center: Internet, Science & Tech. Accessed January 24, 2020 at: https://www.pewresearch.org/internet/fact-sheet/mobile/
- 16 Weigel G, Frederiksen B. February 26 URP, 2020 Telemedicine and pregnancy care. The Henry J Kaiser Family Foundation. February 2020. Accessed March 27, 2020 at: https://www.kff.org/womens-health-policy/issue-brief/telemedicine-and-pregnancy-care/
- 17 Medicaid.gov. COVID-19 frequently asked questions (FAQs) for state Medicaid and Children's Health Insurance Program (CHIP) agencies. Accessed April 22, 2020 at: https://www.medicaid.gov/state-resource-center/Downloads/covid-19-faqs.pdf
- 18 Bluth R. When getting a blood pressure cuff takes all day. NPR.org. February. 2016 . Accessed April 22, 2020 at: https://www.npr.org/sections/health-shots/2016/02/18/467209573/when-getting-a-blood-pressure-cuff-takes-all-day
- 19 NC Medicaid. SPECIAL BULLETIN COVID-19 #29: Coverage for automatic blood pressuremonitors: temporary flexibilities effective March 30, 2020. Available at: Accessed April 22, 2020 https://medicaid.ncdhhs.gov/blog/2020/03/31/special-bulletin-covid-19-29-coverage-automatic-blood-pressure-monitors-temporary
- 20 Eckert E. It's past time to provide continuous Medicaid coverage for one year postpartum | Health Affairs. February. 2020 Accessed April 22, 2020 at: https://www.healthaffairs.org/do/10.1377/hblog20200203.639479/full/
- 21 Lackland DT. Racial differences in hypertension: implications for high blood pressure management. Am J Med Sci 2014; 348 (02) 135-138