Successful implementation of text-based blood pressure monitoring for postpartum hypertension

Implementation of a text-based postpartum blood pressure monitoring program at 3 different academic sites

“…We demonstrated a high rate of patient response and blood pressure acquisition at 3-4 days and 7-10 days that matches previous reports. [8][9][15][16] Compared to the original trial of this program, the current study includes a racially diverse cohort as well as a potentially higher risk cohort given the greater frequency of patients with severe preeclampsia (22.8% vs 31.7%) respectively. 8 We demonstrate rates of BP ascertainment and postpartum antihypertensive initiation that are concordant with the prior study (96.5% vs 92.2% and 16.1% vs 16.5% ,respectively).…”

“…The Heart Safe Motherhood text message platform has been described in detail in prior studies. 8,9 The program begins on the day following discharge and continues for 10 days.…”

“…2,8 Our group demonstrated in a randomized controlled trial that a remote text-message based blood pressure monitoring system, now called Heart Safe Motherhood, improves blood pressure ascertainment rates compared to in-person office visits. [8][9] Given these trial results, we sought to evaluate whether the same program could be implemented in the context of regular care across multiple locations with diverse patient populations. 9 Our goal was to measure program utilization during the first 10 days after hospital discharge to assess replicability and scalability of the program and to assess patient satisfaction at three distinct sites.…”

“…[8][9] Given these trial results, we sought to evaluate whether the same program could be implemented in the context of regular care across multiple locations with diverse patient populations. 9 Our goal was to measure program utilization during the first 10 days after hospital discharge to assess replicability and scalability of the program and to assess patient satisfaction at three distinct sites.…”

Executive summary: Workshop on Preeclampsia, January 25–26, 2021, cosponsored by the Society for Maternal-Fetal Medicine and the Preeclampsia Foundation

“…One consideration for bundle sustainability was the integration of bundles into healthcare systems during public health emergencies or at times of competing priorities. Remote blood pressure monitoring, 40 mobile and online health applications, 41 and social media were highlighted as tools to educate and empower patients and deliver healthcare. Workshop participants also recognized that access to the internet and mobile devices is not equitably distributed within the United States or globally.…”