MomHEART: Utilization of a Web-Based Postpartum Hypertension Platform [ID: 1371438

Abstract

INTRODUCTION: Maternal complications of hypertensive disorders of pregnancy (HDP) extend to the postpartum period. Remote blood pressure (BP) monitoring and online educational platforms may improve a patient's knowledge, accessibility, and adherence to BP monitoring allowing for earlier identification of complications. We sought to compare differences in postpartum hypertension platform utilization based on severity of HDP. METHODS: We performed a single-center, prospective implementation study of women enrolled in a web-based postpartum hypertension platform called MomHEART. Through MomHEART, women received educational information about BP monitoring, text message reminders or calls from virtual nurses to log their BP daily for 14 days. Primary outcome was utilization defined as logging a BP, viewing educational information, and/or interacting with a virtual nurse. Descriptive statistics were used to analyze our data. A Fisher exact test was used to compare program utilization based on hypertensive severity. RESULTS: Sixty-four patients were enrolled from April to July 2022. The mean gestational age at delivery was 37.1 weeks. Participants were more likely to be Black, single, have insurance, and delivery vaginally. Thirty-two participants (50%) had HDP with severe features, and 32 (50%) had HDP without severe features. Forty-nine (76.6%) participants interacted with MomHEART. We found no difference in platform utilization by severity of hypertensive diagnosis. CONCLUSION: Utilization of MomHEART did not vary based on hypertension severity. Overall, utilization was high, indicating participants found MomHEART valuable. This is a small pilot study on the utilization of the MomHEART program. Additional analysis will be performed to assess the efficacy of identifying maternal hypertensive complications in the postpartum period.