Hypertensive disorders in pregnancy are a leading cause of morbidity and mortality. This case series examines the ability of an integrated technology platform to augment surveillance with remote blood pressure (BP) readings in low-risk pregnant women and allow for real time intervention by providers of care.
Pregnant women presented at the clinic of an urban academic medical center. Patients were placed on an optimized prenatal care plan that consisted of an alternative in-clinic visit schedule and an integrated technology platform, provided by a mobile/digital health firm. Patients used the mobile app as well as collected weight and BP data weekly. The platform includes advanced remote monitoring technology to identify aberrant data points. A “trigger alert” mechanism alerts clinicians when aberrant data points are identified and enable the early detection of certain high-risk conditions, such as preeclampsia. Case 1: Patient 1, G3P1010 recorded 26 BPs antenatally; all BPs were less than 140/90. Postpartum, BPs were elevated and led to hospital readmission for magnesium sulfate. Case 2: Patient 2, G3P0020 recorded 21 BPs antenatally; all BPs were less than 140/90. Postpartum, BPs were elevated and led to hospital readmission for magnesium sulfate. 15 BPs were recorded after discharged and antihypertensives were titrated according to these data points.
Remote monitoring of BP in low-risk pregnant women resulted in frequent recordings during the antepartum and postpartum periods. Remote monitoring of BP could offer more robust monitoring in low-risk pregnancies and allow for real time identification and intervention of high blood pressure.