{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:14:13Z","timestamp":1787026453314,"version":"build-2736575974"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of a case management model in the comprehensive management of gestational hypertension, focusing on its impact on blood pressure control, pregnancy complications, neonatal health, and maternal satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled trial was conducted, enrolling 100 pregnant women with hypertension who attended the high-risk outpatient clinic of our hospital from March 2023 to March 2025. Participants were randomly assigned to either an experimental group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), which received a case management model intervention, or a control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), which received standard prenatal care. The two groups were compared regarding blood pressure control, incidence of pregnancy complications, gestational age at delivery, preterm birth rate, birth weight, low birth weight incidence, neonatal transfer rate, and maternal satisfaction. Statistical analyses were conducted using SPSS 23.0, with a significance level of\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The experimental group showed significantly better blood pressure control, with lower systolic and diastolic blood pressure levels compared to the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). The incidence of pregnancy complications, such as preeclampsia, placental abruption, and Hemolysis, Elevated Liver Enzymes, and Low Platelet count (HELLP) syndrome, was significantly reduced in the experimental group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Additionally, the experimental group had an extended gestational age at delivery, a lower preterm birth rate, and higher birth weight (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Neonatal outcomes were improved, as evidenced by a significant reduction in the incidence of low birth weight and neonatal transfer rates (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Maternal satisfaction with care was also significantly higher in the experimental group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The case management model significantly improved maternal and neonatal outcomes by enhancing blood pressure control, reducing pregnancy complications, and increasing maternal satisfaction. These results support the integration of case management into standard care for pregnant women with hypertension to optimize pregnancy outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fgwh.2026.1677541","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T06:38:54Z","timestamp":1773988734000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of a case management model on maternal and neonatal outcomes in gestational hypertension: a randomized controlled trial"],"prefix":"10.3389","volume":"7","author":[{"given":"Yaping","family":"Tang","sequence":"first","affiliation":[{"name":"Shenzhen Luohu District Maternal and Child Health Hospital","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muli","family":"Shi","sequence":"additional","affiliation":[{"name":"Shenzhen Luohu District Maternal and Child Health Hospital","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Shenzhen Luohu District Maternal and Child Health Hospital","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongli","family":"Huang","sequence":"additional","affiliation":[{"name":"Shenzhen Luohu District Maternal and Child Health Hospital","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinlian","family":"Bao","sequence":"additional","affiliation":[{"name":"Shenzhen Luohu District Maternal and Child Health Hospital","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.ccl.2020.09.005","article-title":"Hypertensive disorders of pregnancy","volume":"39","author":"Khedagi","year":"2021","journal-title":"Cardiol Clin"},{"key":"B2","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.preghy.2021.02.001","article-title":"Prevalence of hypertensive disorders in pregnancy in China: a systematic review and meta-analysis","volume":"24","author":"Li","year":"2021","journal-title":"Pregnancy Hypertens"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2050312119843700","DOI":"10.1177\/2050312119843700","article-title":"Hypertension in pregnancy: pathophysiology and treatment","volume":"7","author":"Braunthal","year":"2019","journal-title":"SAGE Open Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1186\/s12884-023-05694-3","article-title":"Mediation effect of pregnancy-induced hypertension on the association between assisted reproductive technology and adverse neonatal outcomes: a population-based study","volume":"23","author":"Wang","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.1111\/jch.14248","article-title":"Morbidity and maternal and infant outcomes of hypertensive disorder in pregnancy in China in 2018","volume":"23","author":"Lyu","year":"2021","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.1161\/HYP.0000000000000208","article-title":"Hypertension in pregnancy: diagnosis, blood pressure goals, and pharmacotherapy","volume":"79","author":"Garovic","year":"2022","journal-title":"Hypertension"},{"key":"B7","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1007\/s40265-014-0187-7","article-title":"Drug treatment of hypertension in pregnancy","volume":"74","author":"Brown","year":"2014","journal-title":"Drugs"},{"key":"B8","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1111\/jch.14653","article-title":"Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: a review","volume":"25","author":"Ojangba","year":"2023","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"B9","doi-asserted-by":"publisher","first-page":"S32","DOI":"10.1016\/j.jfma.2024.10.022","article-title":"Lifestyle modifications and non-pharmacological management in elderly hypertension","volume":"124","author":"Tsai","year":"2024","journal-title":"J Formosan Med Assoc"},{"key":"B10","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s40292-023-00582-5","article-title":"Hypertension in pregnancy: a diagnostic and therapeutic overview","volume":"30","author":"C\u00edfkov\u00e1","year":"2023","journal-title":"High Blood Press Cardiovasc Prev"},{"key":"B11","doi-asserted-by":"publisher","first-page":"50","DOI":"10.3389\/fcvm.2018.00050","article-title":"Use of antihypertensive drugs during preeclampsia","volume":"5","author":"Odigboegwu","year":"2018","journal-title":"Front Cardiovasc Med"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e70316","DOI":"10.7759\/cureus.70316","article-title":"Maternal and neonatal outcomes in pregnant women with chronic hypertension: a retrospective study of 50 cases","volume":"16","author":"Yousofzai","year":"2024","journal-title":"Cureus"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.34067\/KID.0000000000000228","article-title":"Evaluation and management of hypertensive disorders of pregnancy","volume":"4","author":"Bajpai","year":"2023","journal-title":"Kidney360"},{"key":"B14","doi-asserted-by":"publisher","first-page":"2240","DOI":"10.4081\/jphr.2021.2240","article-title":"Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: systematic literature review","volume":"10","author":"Ernawati","year":"2021","journal-title":"J Public Health Res"},{"key":"B15","doi-asserted-by":"publisher","first-page":"352","DOI":"10.3390\/healthcare12030352","article-title":"The influence of nurse-led interventions on diseases management in patients with diabetes Mellitus: a narrative review","volume":"12","author":"Dailah","year":"2024","journal-title":"Healthcare (Basel)"},{"key":"B16","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1111\/nyas.12844","article-title":"Family interventions to improve diabetes outcomes for adults","volume":"1353","author":"Baig","year":"2015","journal-title":"Ann N Y Acad Sci"},{"key":"B17","doi-asserted-by":"publisher","first-page":"192","DOI":"10.3389\/fpubh.2019.00192","article-title":"Improving models of care for diabetes in pregnancy: experience of current practice in far north Queensland, Australia","volume":"7","author":"McLean","year":"2019","journal-title":"Front Public Health"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1416620","DOI":"10.3389\/fpubh.2024.1416620","article-title":"The mediating effect of e-health literacy on social support and behavioral decision-making on glycemic management in pregnant women with gestational diabetes: a cross-sectional study","volume":"12","author":"Yumei","year":"2024","journal-title":"Front Public Health"},{"key":"B19","doi-asserted-by":"publisher","first-page":"749","DOI":"10.3390\/healthcare12070749","article-title":"Models used by nurse case managers in different autonomous communities in Spain: a scoping review","volume":"12","author":"Villarreal-Granda","year":"2024","journal-title":"Healthcare"}],"container-title":["Frontiers in Global Women's Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2026.1677541\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T06:38:55Z","timestamp":1773988735000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2026.1677541\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":19,"alternative-id":["10.3389\/fgwh.2026.1677541"],"URL":"https:\/\/doi.org\/10.3389\/fgwh.2026.1677541","relation":{},"ISSN":["2673-5059"],"issn-type":[{"value":"2673-5059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"article-number":"1677541"}}