Postpartum Blood Pressure Control in Hypertensive Disorders of Pregnancy: Is Lower Better?

More-aggressive BP control was associated with a reduced likelihood of ED visits for hypertension within 6 weeks after delivery.

Current U.S. guidelines recommend postpartum antihypertensive therapy once blood pressure (BP) exceeds 150/100 mm Hg. In this observational study, researchers evaluated whether stricter BP control (goal, <130/80 mm Hg) reduced postpartum ED visits compared with standard care among women with a hypertensive disorder of pregnancy (chronic or gestational hypertension or preeclampsia).

The intervention group was a prospective cohort of 276 participants who were started on hypertension medication to maintain a BP <130/80 prior to discharge and were remotely monitored for 6 weeks after discharge. They were propensity score matched to a retrospective cohort of 429 participants receiving standard care.

During the 6-week postpartum period, emergency d…

Reviewing Author

Shea E. Hogan, MD, MSCS, FACC, FSCAI, FSVM

Disclosures

Editorial BoardsVascular Medicine

Shea E. Hogan, MD, MSCS, FACC, FSCAI, FSVM

Disclosures

Editorial BoardsVascular Medicine

Postpartum Blood Pressure Control in Hypertensive Disorders of Pregnancy: Is Lower Better?

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Reviewing Author