Sanford Health
This study represents an innovative approach to hypertensive disorders of pregnancy surveillance by using remote blood pressure monitoring to address the unique challenges of hypertensive disorders of pregnancy management in a predominantly rural state. Transitioning from episodic in-clinic monitoring to continuous, patient-centered monitoring changes how high-risk patients and healthcare providers detect hypertensive episodes and advances the field by establishing clinical effectiveness and feasibility of remote blood pressure monitoring (RBPM), to provide evidence for scaling interventions that improve maternal health.
This is a prospective study enrolling women who are pregnant or newly postpartum to monitor their blood pressures remotely. Additionally, a retrospective control group will serve as a comparison group that will have clinical data collected from the EMR on patients who had previous hypertensive disorders.
Inclusion Criteria: 1. Women aged 18 years or older 2. Either currently pregnant or within 10 days postpartum 3. Singleton pregnancy 4. Diagnosed with a hypertensive disorder during the current or the most recent pregnancy 5. Able and willing to provide informed consent Exclusion Criteria: 1. Men will not be included in the study 2. Women younger than 18 years of age 3. Women with a multiple gestation pregnancy 4. Those without a hypertensive disorder of pregnancy
Participants will take their blood pressure at least twice daily until cleared by their OB, typically at their 6 week post-partum visit. Every time a participant takes their blood pressure, the cuffs will track the blood pressure and allow the participants to review previous blood pressures and document them for their provider.
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