{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:50:03Z","timestamp":1791528603404,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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":[[2026,11]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Hypertensive disorders of pregnancy (HDP) increase the risk of chronic hypertension (HTN) and cardiovascular (CV) disease later in life. It is unknown how strict blood pressure (BP) monitoring postpartum (PP) may affect rates of HTN at 6\u00a0weeks PP.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We evaluate the effect of a PP HTN standardized clinical assessment and management plan (SCAMP) on HTN at 6\u00a0weeks PP.<\/jats:p>\n <\/jats:sec>\n \n Study design<\/jats:title>\n \n This is a secondary analysis of a prospective cohort study of patients with PP HTN at a quaternary care center for 6 months after enacting an institution\u2010wide SCAMP. The prospective group was compared with historical controls who delivered prior to initiation of the SCAMP. The SCAMP included (1) initiation or uptitration of medication for any BP \u2265150\/100 or any 2 BPs \u2265140\/90 within a 24\u2010h period with a goal of BP\u00a0<140\/90 12\u00a0h prior to discharge and (2) enrollment in a remote BP monitoring system upon discharge. Inclusion criteria were an existing diagnosis of chronic HTN or HDP and a documented BP at a 6\u2010week PP visit. The primary outcome was HTN, defined as systolic BP (SBP) \u2265140 or diastolic BP (DBP)\u00a0\u226590, at 6\u00a0weeks PP. Secondary outcomes included mean BP values as measured in the outpatient setting at 6\u00a0weeks PP and use of anti\u2010HTNs at the time of the 6\u2010week PP visit. For all analyses,\n p<\/jats:italic>\n values were two\u2010way, and the level of statistical significance was set at\n p<\/jats:italic>\n \u00a0<\u00a00.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 780 PP HTN patients in the prospective cohort study, 627 (80.4%) met inclusion criteria for the secondary analysis, 305 in the SCAMP cohort and 322 historical controls. The SCAMP cohort had lower rates of chronic HTN, more patients on anti\u2010HTNs, and higher rate of nifedipine use. The primary outcome of HTN at 6\u00a0weeks PP was significantly lower in the SCAMP group (10.5%\u00a0vs. 18.3%,\n p<\/jats:italic>\n \u00a0=\u00a00.005). After adjusting for confounding variables, multivariable logistic regression showed that the SCAMP group had 38% reduced odds of HTN at 6\u00a0weeks PP compared to controls (adjusted odds ratio [aOR], 0.62; 95% confidence interval [CI], 0.38\u20130.996;\n p<\/jats:italic>\n \u00a0=\u00a00.048). Mean SBP at 6 weeks PP was significantly lower in the SCAMP group (120\u00a0\u00b1\u00a012 vs. 124\u00a0\u00b1\u00a014\u00a0mmHg,\n p<\/jats:italic>\n \u00a0<\u00a00.001), as was mean DBP (76\u00a0\u00b1\u00a08 vs. 81\u00a0\u00b1\u00a08\u00a0mmHg,\n p<\/jats:italic>\n \u00a0<\u00a00.001). A subanalysis only including patients with diagnosed HDP and excluding those with only chronic HTN demonstrated similar findings.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Implementation of a SCAMP was associated with reduced rates of HTN at 6\u00a0weeks PP, with lower mean SBP and DBP. More data are needed to evaluate how these findings mitigate long\u2010term HTN risk.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmf2.70477","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:00:34Z","timestamp":1791525634000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Standardized postpartum blood pressure protocol and lower rates of hypertension at 6\u00a0weeks postpartum"],"prefix":"10.1002","volume":"2","author":[{"given":"Audra C.","family":"Fain","sequence":"first","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics and Gynecology University of California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2005-5562","authenticated-orcid":false,"given":"Thalia","family":"Mok","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics and Gynecology University of California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny Y.","family":"Mei","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics and Gynecology University of California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1097\/AOG.0000000000005248","article-title":"Standardized Clinical Assessment and Management Plan to Reduce Readmissions for Postpartum Hypertension","volume":"142","author":"Mei J. 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