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Article

Characteristics of the Basel Postpartum Hypertension Cohort (Basel-PPHT Cohort): An Interim Analysis

1
Medical Outpatient Department and Hypertension Clinic, ESH Hypertension Centre of Excellence, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland
2
Eudox Statistische Beratung, 4031 Basel, Switzerland
3
Department of Obstetrics and Gynecology, University Hospital Basel, 4031 Basel, Switzerland
4
Department of Cardiology, University Hospital Basel, 4031 Basel, Switzerland
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Diagnostics 2024, 14(13), 1347; https://doi.org/10.3390/diagnostics14131347
Submission received: 25 May 2024 / Revised: 18 June 2024 / Accepted: 19 June 2024 / Published: 25 June 2024
(This article belongs to the Special Issue Advancements in Maternal–Fetal Medicine)

Abstract

Postpartum hypertension (PPHT) is hypertension that persists or develops after delivery and is a frequent cause of readmission, affecting 10% of pregnancies. This interim analysis aims to describe the cohort and to determine the feasibility and acceptance of a home-based telemonitoring management strategy (HBTMS) in PPHT patients. Enrollment at the University Hospital Basel began during the 2020 SARS-CoV-2 pandemic. Maternity-ward patients were screened for preexisting hypertension, hypertensive disorders of pregnancy, and de novo PPHT. In this pragmatic non-randomized prospective trial, the participants chose the HBTMS or standard of care (SOC), which consisted of outpatient hypertension clinic appointments. The HBTMS was a smartphone application or a programmed spreadsheet to report blood pressure (BP), followed by telephone consultations. Three months postpartum, the participants underwent a 24 h BP measurement and a blood, biomarker, and urine analysis. A total of 311 participants were enrolled between 06/20 and 08/23. The mean age was 34 (±5.3) years. The current pregnancy history demonstrated the following (≥1 diagnosis possible): 10% had preexisting hypertension, 27.3% gestational hypertension, 53% preeclampsia (PE), 0.3% eclampsia, 6% HELLP (hemolysis, elevated liver enzymes, and low platelets), and 18.3% de novo PPHT. A family history of cardiovascular disease and PE was reported in 49.5% and 7.5%, respectively. In total, 23.3% were high-risk for PE. A total of 68.5% delivered via c-section, the mean hospitalization was 6.3 days (±3.9), and newborn intrauterine growth restriction occurred in 21%. A total of 99% of the participants chose the HBTMS. This analysis demonstrated that the HBTMS was accepted. This is vital in the immediate postpartum period and pertinent when the exposure of hospital visits should be avoided.
Keywords: cardiovascular risk; high risk; maternal health; arterial hypertension; hypertensive disorders of pregnancy; diagnostics; telemedicine cardiovascular risk; high risk; maternal health; arterial hypertension; hypertensive disorders of pregnancy; diagnostics; telemedicine

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MDPI and ACS Style

Socrates, T.; Wenker, C.; Vischer, A.; Schumacher, C.; Pugin, F.; Schötzau, A.; Mayr, M.; Hösli, I.; Mosimann, B.; Lapaire, O.; et al. Characteristics of the Basel Postpartum Hypertension Cohort (Basel-PPHT Cohort): An Interim Analysis. Diagnostics 2024, 14, 1347. https://doi.org/10.3390/diagnostics14131347

AMA Style

Socrates T, Wenker C, Vischer A, Schumacher C, Pugin F, Schötzau A, Mayr M, Hösli I, Mosimann B, Lapaire O, et al. Characteristics of the Basel Postpartum Hypertension Cohort (Basel-PPHT Cohort): An Interim Analysis. Diagnostics. 2024; 14(13):1347. https://doi.org/10.3390/diagnostics14131347

Chicago/Turabian Style

Socrates, Thenral, Céline Wenker, Annina Vischer, Christina Schumacher, Fiona Pugin, Andreas Schötzau, Michael Mayr, Irene Hösli, Beatrice Mosimann, Olav Lapaire, and et al. 2024. "Characteristics of the Basel Postpartum Hypertension Cohort (Basel-PPHT Cohort): An Interim Analysis" Diagnostics 14, no. 13: 1347. https://doi.org/10.3390/diagnostics14131347

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