{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:02:24Z","timestamp":1785214944342,"version":"3.55.0"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite higher morbidity and mortality risks, parents of preterm infants miss postpartum visits more often than parents of full-term infants. Whether the introduction of telemedicine improved access to postpartum care among parents of infants in the neonatal intensive care unit (NICU) is unknown. We aimed to compare postpartum visit attendance and care comprehensiveness for NICU parents before and after the option of telemedicine.<\/jats:p>\n                  <jats:p>We conducted a retrospective cohort study of postpartum parents without a history of hypertension who gave birth &lt;32 weeks at two Philadelphia hospitals. We compared care receipt before and after implementation of telemedicine (2019 and 2023, respectively). Individuals with hypertension were excluded due to eligibility for a remote, text-based blood pressure monitoring program during the study period. Through manual chart review, we ascertained postpartum visit attendance and documentation of three core care elements: depression screening, contraception counseling, and blood pressure measurement.<\/jats:p>\n                  <jats:p>The proportion of parents without postpartum visits was similar in 2019 (13\/69, 18.8%) and in 2023 (7\/45, 15.6%; p\u2009=\u20090.65). While telemedicine was not available in 2019, 42.1% (16\/38) of postpartum visits in 2023 were conducted via telemedicine. In 2019 and 2023, the proportion of visits with missed depression screenings (10.7 vs. 0%, p\u2009=\u20090.08) and contraception counseling (0 vs. 18.4%, p\u2009=\u20090.001) were low. Missed blood pressure measurements increased significantly from 3.9% in 2019 to 36.8% in 2023 (p\u2009&lt;\u20090.0001); all missed measurements were during telemedicine visits.<\/jats:p>\n                  <jats:p>Despite the availability of telemedicine, approximately one in six NICU parents of preterm infants did not attend a postpartum visit. While telemedicine accounted for over one-third of visits in 2023, it was associated with gaps in essential care, specifically blood pressure measurements. Given the benefits of early detection and treatment for postpartum preeclampsia, supplementing telemedicine visits with in-person blood pressure measurements in NICUs may be warranted.<\/jats:p>","DOI":"10.1055\/a-2796-7279","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:15:41Z","timestamp":1769645741000},"page":"1556-1559","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum Care for Parents of Neonatal Intensive Care Unit Infants before and after Adoption of Telemedicine"],"prefix":"10.1055","volume":"43","author":[{"given":"Esther A.","family":"Kwarteng","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel F.","family":"Ledyard","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristan","family":"Scott","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"},{"name":"Leonard Davis Institute, University of Pennsylvania, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niesha","family":"Darden","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Walker","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Lewey","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie E.","family":"Power","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celeste P.","family":"Durnwald","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4510-9547","authenticated-orcid":false,"given":"Heather H.","family":"Burris","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"},{"name":"Leonard Davis Institute, University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"e140","DOI":"10.1097\/AOG.0000000000002633","article-title":"ACOG Committee Opinion No. 736: optimizing postpartum care","volume":"131","author":"ACOG Committee","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.7326\/M19-3252","article-title":"Health needs of mothers of infants in a neonatal intensive care unit: a mixed-methods study","volume":"173","author":"S Verbiest","year":"2020","journal-title":"Ann Intern Med"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"101689","DOI":"10.1016\/j.ajogmf.2025.101689","article-title":"Postpartum care in the neonatal intensive care unit, PeliCaN: a randomized controlled trial","volume":"7","author":"H H Burris","year":"2025","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"101659","DOI":"10.1016\/j.ajogmf.2025.101659","article-title":"Postpartum care receipt among parents of preterm infants admitted to the neonatal intensive care unit","volume":"7","author":"K Scott","year":"2025","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"100611","DOI":"10.1016\/j.ajogmf.2022.100611","article-title":"The impact on postpartum care by telehealth: a retrospective cohort study","volume":"4","author":"M P Arias","year":"2022","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"S 01","key":"ref6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10995-016-2045-6","article-title":"Postpartum health services requested by mothers with newborns receiving intensive care","volume":"20","author":"S Verbiest","year":"2016","journal-title":"Matern Child Health J"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"100446","DOI":"10.1016\/j.ajogmf.2021.100446","article-title":"Implementation of a text-based postpartum blood pressure monitoring program at 3 different academic sites","volume":"3","author":"M K Janssen","year":"2021","journal-title":"Am J Obstet Gynecol MFM"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2796-7279.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T04:51:41Z","timestamp":1785214301000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2796-7279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,28]]},"references-count":7,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2026,7,27]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2796-7279","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1,28]]},"published":{"date-parts":[[2026,1,28]]}}}