{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:01:01Z","timestamp":1790766061618,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Remote monitoring technology can help patients and healthcare providers to track blood pressure measurements during pregnancy to manage hypertension, but limited evidence from widespread community use is available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among pregnant patients in 2022\u20132023 with hypertensive disorders of pregnancy, in a setting offering home blood pressure monitoring with blood pressure data collected either via weekly nurse telephone calls or digital remote upload of blood pressures with nurse calls only as\u2010needed, we compared participant characteristics, monitoring process, and clinical outcomes between remote monitoring participants and non\u2013remote monitoring participants using propensity weighting to account for differences between participant groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among all 2750 pregnant patients with hypertensive disorders of pregnancy, 2366 (86.0%) participated in remote monitoring. After adjustment, compared with patients with telephonic nurse monitoring of home\u2010recorded measures, patients with remote monitoring had statistically significantly (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05) fewer synchronous nurse phone calls (6.4 with remote monitoring vs. 12.6 without remote monitoring), more weeks with blood pressure readings shared with clinicians (measures on 12.7\u00a0weeks with remote monitoring vs. 8.3\u00a0weeks without remote monitoring,) and more weeks with severe hypertension captured (events on 1.08\u00a0weeks with remote monitoring vs. 0.22\u00a0weeks without remote monitoring). While the number of medication adjustments was not significantly different between monitoring types, the gestational age at first adjustment was 1.96\u00a0weeks earlier (95% confidence interval [CI] 0.22\u20133.69) in patients with remote monitoring. Emergency department visits and hospitalizations did not differ statistically significantly between monitoring groups, nor did severe maternal morbidity or cesarean or stillbirth outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Remote blood pressure monitoring uptake and feasibility was high and was associated with higher capture of clinically actionable values, earlier medication adjustment, improved resource utilization, and similar perinatal outcomes compared with a telephone\u2010based care model for hypertensive disorders of pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70340","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:51:06Z","timestamp":1782924666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prenatal remote blood pressure monitoring: Impacts on blood pressure measurement and health outcomes"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8203-1016","authenticated-orcid":false,"given":"Mary","family":"Reed","sequence":"first","affiliation":[{"name":"Kaiser Permanente Division of Research  Pleasanton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Huang","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Division of Research  Pleasanton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayakar","family":"Beeravolu","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine The Permanente Medical Group California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Hedderson","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Division of Research  Pleasanton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Millman","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Division of Research  Pleasanton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3110-4438","authenticated-orcid":false,"given":"Mara","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine The Permanente Medical Group California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Clinical Guidance for the Integration of the Findings of the Chronic Hypertension and Pregnancy (CHAP) Study. Accessed October 17 2025.https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010advisory\/articles\/2022\/04\/clinical\u2010guidance\u2010for\u2010the\u2010integration\u2010of\u2010the\u2010findings\u2010of\u2010the\u2010chronic\u2010hypertension\u2010and\u2010pregnancy\u2010chap\u2010study."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.124.073302"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012739.pub2"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005690"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.4726"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.4712"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/whr.2021.0046"},{"key":"e_1_2_10_9_1","unstructured":"CDC.2024.Identifying Severe Maternal Morbidity (SMM). Maternal Infant Health. Accessed October 17 2025.https:\/\/www.cdc.gov\/maternal\u2010infant\u2010health\/php\/severe\u2010maternal\u2010morbidity\/icd.html."},{"key":"e_1_2_10_10_1","unstructured":"Gestational Hypertension and Preeclampsia. Accessed October 17 2025.https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010bulletin\/articles\/2020\/06\/gestational\u2010hypertension\u2010and\u2010preeclampsia."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.13515"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.16059"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2025.101251"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005665"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/15305627251371519"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005327"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.24011"},{"key":"e_1_2_10_18_1","unstructured":"Tailored Prenatal Care Delivery for Pregnant Individuals. Accessed October 17 2025.https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/clinical\u2010consensus\/articles\/2025\/04\/tailored\u2010prenatal\u2010care\u2010delivery\u2010for\u2010pregnant\u2010individuals."}],"container-title":["Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmf2.70340","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:21:24Z","timestamp":1790763684000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pmf2.70340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/pmf2.70340"],"URL":"https:\/\/doi.org\/10.1002\/pmf2.70340","archive":["Portico"],"relation":{},"ISSN":["2997-9684","2997-9684"],"issn-type":[{"value":"2997-9684","type":"print"},{"value":"2997-9684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70340"}}