Prevalence and Outcomes of Persistent Hypertension Postpartum in Women with a Hypertensive Disorder of Pregnancy

Ongoing hypertension is highly prevalent and associated with emergency department visits and readmissions after delivery.

Many women who suffer a hypertensive disorder of pregnancy continue to have hypertension after delivery. To examine the prevalence and outcomes of ongoing hypertension in this setting, investigators performed a cohort study in 2705 women without prepregnancy hypertension who suffered a hypertensive disorder during pregnancy (preeclampsia or gestational hypertension). These women were enrolled in a remote postpartum ambulatory blood pressure (BP) monitoring program at a single hospital system. The primary outcomes were readmissions and emergency department (ED) visits within the first 6 weeks postpartum.

Results were as follows:

After hospital discharge, 2214 women (82%) had persistent hypertension (any home BP ≥140/90 mm Hg or treatment with …

Reviewing Author

Karol E. Watson, MD, PhD, FACC

Disclosures

Consultant/Advisory BoardBoehringer Ingelheim; Amgen; Novartis; Lilly; Amarin

Speaker’s BureauBoehringer Ingelheim

Grant/Research SupportNIH

Editorial BoardsCirculation (Associate Editor)