{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T23:35:38Z","timestamp":1765323338358,"version":"3.46.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"National Institute of Child Health and Development","award":["T32 HD052468"],"award-info":[{"award-number":["T32 HD052468"]}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","award":["R18HS027260"],"award-info":[{"award-number":["R18HS027260"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Population Research Infrastructure Program","award":["P2C HD050924"],"award-info":[{"award-number":["P2C HD050924"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hypertensive disorders of pregnancy are a leading cause of pregnancy-related deaths in the United States and approximately 70% occur after birth. We estimated the crude and adjusted association between elevated postnatal blood pressure (BP) and acute care utilization (visits to the Emergency Department, obstetric triage, urgent care facility, or hospital readmission) in the first 12 weeks after discharge from the birth hospitalization.<\/jats:p>\n                  <jats:p>We constructed a retrospective cohort of birthing people aged \u226518 years who gave birth to \u22651 liveborn infant at &gt;20 weeks of gestation from July 1, 2021, to December 31, 2022, at a quaternary maternity hospital in the Southeastern United States using electronic health records. Elevated BP was defined as \u22653 values of systolic BP \u2265140\u2009mm Hg or diastolic BP \u226590\u2009mm Hg between birth and discharge from the birth hospitalization. Crude and adjusted multivariable binomial regression models estimated risk differences comparing the 12-week risk of the postpartum acute care utilization (PACU) outcomes among birthing people with elevated postnatal BP to those without.<\/jats:p>\n                  <jats:p>In this cohort of 6,041 birthing people, 13.3% (n\u2009=\u2009804) had any PACU within 12 weeks of discharge from the birth hospitalization. The unadjusted 12-week risk of PACU was 6.5 percentage points higher among those with elevated postnatal BP compared to those without (95% confidence interval [CI]: 4.7 and 8.4). After adjusting for potential confounders, the 12-week risk of PACU was 6.0 percentage points higher among those with elevated postnatal BP compared to those without (95% CI: 4.2 and 7.8).<\/jats:p>\n                  <jats:p>Postnatal BP is a simple indicator of postpartum health status that may be used to flag individuals in need of more intensive postpartum counseling and follow-up.<\/jats:p>","DOI":"10.1055\/a-2591-8090","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T19:41:57Z","timestamp":1747683717000},"page":"064-071","source":"Crossref","is-referenced-by-count":0,"title":["Association between Elevated Postnatal Blood Pressure and Postpartum Acute Care Utilization in a Southeastern U.S. Health Care System, 2021 to 2023"],"prefix":"10.1055","volume":"43","author":[{"given":"Clara E.","family":"Busse","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"},{"name":"Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine J.","family":"Vladutiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian W.","family":"Pence","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Tucker","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Tumlinson","sequence":"additional","affiliation":[{"name":"Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"},{"name":"Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison M.","family":"Stuebe","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina"},{"name":"Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"issue":"17","key":"ref1","doi-asserted-by":"crossref","first-page":"585","DOI":"10.15585\/mmwr.mm7117a1","article-title":"Hypertensive disorders in pregnancy and mortality at delivery hospitalization - United States, 2017-2019","volume":"71","author":"N D Ford","year":"2022","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1161\/HYPERTENSIONAHA.117.10803","article-title":"Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice","volume":"72","author":"M A Brown","year":"2018","journal-title":"Hypertension"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"134.e1","DOI":"10.1016\/j.ajog.2011.10.878","article-title":"Prevalence, trends, and outcomes of chronic hypertension: a 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L Wagner","year":"2019","journal-title":"J Racial Ethn Health Disparities"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1089\/jwh.2020.8738","article-title":"A systematic review of patient-, provider-, and health system-level predictors of postpartum health care use by people of color and low-income and\/or uninsured populations in the United States","volume":"30","author":"K Wouk","year":"2021","journal-title":"J Womens Health (Larchmt)"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.whi.2022.02.002","article-title":"Postpartum visit attendance in the United States: a systematic review","volume":"32","author":"L B Attanasio","year":"2022","journal-title":"Womens Health Issues"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1097\/AOG.0000000000003020","article-title":"ACOG practice bulletin no. 203: chronic hypertension in 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