Hypertensive Disorders of Pregnancy: Reaching the Rural Population After Delivery
- PMID: 40833554
- PMCID: PMC12367886
- DOI: 10.1007/s11906-025-01340-9
Hypertensive Disorders of Pregnancy: Reaching the Rural Population After Delivery
Abstract
Purpose of review: Hypertensive disorders of pregnancy are associated with maternal morbidity, mortality, hospital readmissions, and significant costs to healthcare systems.
Recent findings: The incidence of hypertensive disorders of pregnancy (HDP) and maternal morbidity is higher in rural areas than in urban areas. The interaction of rural residence, race, and non-medical drivers of health can create significant barriers to post-partum care in rural communities. Novel models of care, including remote blood pressure monitoring, telehealth, and application-based approaches, may offer ways to reach rural patients after hypertensive pregnancy. There are significant opportunities to create novel multi-modal and multi-disciplinary approaches to post-partum care of HDP. Tailoring and evaluating the approach in rural communities is an important next step to improve care.
Keywords: Digital health; Hypertensive disorders of pregnancy; Preeclampsia; Pregnancy; Rural; Telehealth.
© 2025. The Author(s).
Conflict of interest statement
Declarations. Competing Interests: The authors declare no competing interests.
Figures
Similar articles
-
Remote blood pressure monitoring in women at risk of or with hypertensive disorders of pregnancy: A systematic review and meta-analysis.Int J Gynaecol Obstet. 2025 Apr;169(1):89-104. doi: 10.1002/ijgo.16059. Epub 2024 Nov 29. Int J Gynaecol Obstet. 2025. PMID: 39611763
-
Planned early delivery versus expectant management for hypertensive disorders from 34 weeks gestation to term.Cochrane Database Syst Rev. 2017 Jan 15;1(1):CD009273. doi: 10.1002/14651858.CD009273.pub2. Cochrane Database Syst Rev. 2017. PMID: 28106904 Free PMC article.
-
Hypertension in Pregnancy and Postpartum: Current Standards and Opportunities to Improve Care.Circulation. 2025 Feb 18;151(7):490-507. doi: 10.1161/CIRCULATIONAHA.124.073302. Epub 2025 Feb 17. Circulation. 2025. PMID: 39960983 Free PMC article. Review.
-
Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD).Cochrane Database Syst Rev. 2021 Jul 20;7(7):CD013196. doi: 10.1002/14651858.CD013196.pub2. Cochrane Database Syst Rev. 2021. PMID: 34693988 Free PMC article.
-
Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability.Rural Remote Health. 2016 Oct-Dec;16(4):3808. Epub 2016 Oct 17. Rural Remote Health. 2016. PMID: 27744708
References
-
- Sonenberg A, Mason DJ. Maternity care deserts in the US. JAMA Health Forum. 2023;4(1):e225541–e. - PubMed
-
- Tanne JH. Nearly six million women in the US live in maternity care deserts. BMJ. 2023;382:p1878. - PubMed
-
- Hypertension in pregnancy. Report of the American college of obstetricians and gynecologists’ task force on hypertension in pregnancy. Obstet Gynecol. 2013;122(5):1122–31. - PubMed
-
- Society for Maternal-Fetal Medicine. Electronic address pso. Executive summary: workshop on preeclampsia, January 25–26, 2021, cosponsored by the society for Maternal-Fetal medicine and the preeclampsia foundation. Am J Obstet Gynecol. 2021;225(3):B2–7. - PubMed
-
- Mogos MF, Salemi JL, Spooner KK, McFarlin BL, Salihu HH. Hypertensive disorders of pregnancy and postpartum readmission in the united states: National surveillance of the revolving door. J Hypertens. 2018;36(3):608–18. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Research Materials