Management of Postpartum Preeclampsia

Management of Postpartum Preeclampsia

The aim of this study is to assess the effect of a lower treatment threshold for antihypertensive medication and tighter blood pressure control, using remote blood pressure monitoring, on reducing Emergency Room visits for our postpartum patients with hypertensive disease.

The aim of this study is to assess the effect of lower treatment threshold for initiating antihypertensive medication and tighter blood pressure control, using remote blood pressure monitoring, on reducing Emergency Room visits for our postpartum patients with hypertensive disease.

The investigators will study and compare two cohorts of patients. The first is a retrospective cohort, including patients delivered at Robert Wood Johnson University Hospital and Cooperman Barnabas Medical Center. The second is a prospective cohort that will enroll patients immediately postpartum who are eligible for our treatment protocol.

Inclusion Criteria:

• Chronic hypertension, gestational hypertension, or preeclampsia.
• Delivery of a neonate after 20 weeks during their current hospitalization
• Able to consent
• 18 years old or above
• English or Spanish speaking
• Planning to follow up with a physician associated with Robert Wood Johnson University Hospital or Cooperman Barnabas Medical Center
• Ability to follow directions

Exclusion Criteria:

• Any medical condition that the providers feel is a contraindication to the MOPP algorithm.
• Planning to follow up with an outside institution.
• Unwillingness to take blood pressure at home.