Postpartum blood pressure trends are impacted by race and BMI.

Pregnancy Hypertension
Joana Lopes PerdigaoLisa D Levine

Abstract

Our objective was to evaluate postpartum blood pressure trends, and time to resolution of hypertension among women with hypertensive disorders of pregnancy, specifically focusing on impact of race and BMI on these trends. We performed a secondary analysis of a randomized trial that utilized a text-message based home blood pressure monitoring system. BPs for this study included both inpatient postpartum BPs as well as home BPs obtained from the text-based program. Women were followed from 12 h of delivery to 16 days postpartum. Outcomes were: (1) postpartum BP trend summaries from a linear mixed-effects regression model and (2) time to resolution of hypertension (defined as ≥ 48 h of BPs < 140/90) depicted using Kaplan Meier survival curves with hazard ratio estimates of association using Cox models. Eighty-four women were included, of which 63% were black. Non-black women with a BMI < 35 kg/m2 had steady decreases in systolic BP whereas other groups peaked around 6.5 days postpartum. BPs for women in the BMI < 35 group, regardless of race, remained in the normotensive range. Conversely, women with a BMI ≥ 35 had a systolic BP peak into the hypertensive range prior to declining. Diastolic BP peaked at an average of 8.5 days post...Continue Reading

Citations

Jan 4, 2021·Journal of Cardiac Failure·Joan E BrillerMariann R Piano
Feb 13, 2021·Journal of Cardiac Failure·Kathryn J Lindley
Feb 16, 2021·Circulation·Islam Y ElgendyUNKNOWN American College of Cardiology Cardiovascular Disease in Women Committee
Apr 28, 2021·Clinical Obstetrics and Gynecology·Adina Kern-Goldberger, Adi Hirshberg
May 20, 2021·Clinical Obstetrics and Gynecology·Adina Kern-Goldberger, Adi Hirshberg
Jul 31, 2021·American Journal of Obstetrics & Gynecology MFM·Matthew K JanssenAdi Hirshberg

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