New study reveals gap in postpartum blood pressure screening – archyde

In a new study, only 13.7% of women diagnosed with hypertensive pregnancy disorder (HDP) attended a blood pressure screening appointment within 10 days of giving birth. HDP can cause life-threatening complications, as described in the peer-reviewed study Journal of Women’s Health.

The American College of Obstetricians and Gynecologists recommends that women with HDP have blood pressure screening 7-10 days after delivery to detect postpartum hypertension, or earlier if symptoms develop.

Sheree Boulet, DrPH, MPH, of Emory University School of Medicine, and co-authors conducted a population-based study of pregnant women born in a large public hospital in Atlanta, GA, and identified demographic and clinical predictors for that Postpartum Blood Pressure (BP) Screening. Participation of women with HDP. They found that women with preeclampsia with severe characteristics were more likely to attend a BP visit than women with gestational hypertension. In addition, the frequencies of participation in BP screening were lower in women with inadequate and moderate use of prenatal care than in women with adequate use of prenatal care.

“These results suggest that we still have a long way to go to improve participation in BP screenings,” the authors say. “To fill the gap in postpartum BP screening, creative solutions are needed to break down barriers at the individual, provider and system levels.”

Despite the ACOG recommendation that women with HDP have blood pressure screening within 7-10 days of delivery, women must appear for this visit. This study highlights the missed opportunity to screen these high-risk women and avoid the potentially serious complications of postpartum hypertension. “

Susan G. Kornstein, MD, Journal of Women’s Health Chefredakteurin, Executive Director des Virginia Commonwealth University Institute for Women’s Health, Richmond, VA


Journal reference:

Campbell, A., et al. (2021) Demographic and Clinical Predictors for Participation in Postpartum Blood Pressure Screenings. Journal of Women’s Health.


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